Shoulder Ligament Repair: Surgery Duration, Hospital Stay, and Recovery Tips

Shoulder strap repair

Hello, my mother has a torn shoulder ligament and needs repair.
How long does she need to stay in the hospital for this surgery? What post-operative care is required? Will arthroscopy be necessary? How long does the surgery take? Thank you!

Zheng Minfen, 30~39 year old female. Ask Date: 2016/02/29

Dr. Xie Hongjia reply Orthopedics

A rotator cuff tear typically requires a hospital stay of about 2-3 days.
Postoperatively, protection and rehabilitation are necessary for 6-8 weeks (using a sling or arm support for stabilization).
Arthroscopy may be considered due to its smaller incisions and quicker recovery.
The duration of the surgery varies depending on the extent of the damage, usually taking 1-2 hours, but it can extend up to 3 hours.

Reply Date: 2016/02/29

More Info

Shoulder ligament repair surgery is a significant procedure that addresses injuries to the ligaments surrounding the shoulder joint, often due to trauma or degenerative conditions. The specifics of the surgery, including duration, hospital stay, and recovery tips, can vary based on individual circumstances, but I will provide a comprehensive overview based on common practices and medical knowledge.

Surgery Duration
The duration of shoulder ligament repair surgery typically ranges from 1 to 2 hours. This timeframe can vary depending on the complexity of the injury, the specific techniques used, and whether additional procedures are performed simultaneously, such as arthroscopy. Arthroscopic surgery, which involves smaller incisions and the use of a camera, may take slightly less time compared to open surgery, but both approaches aim to achieve the same outcome: restoring stability and function to the shoulder joint.

Hospital Stay
Post-surgery, the length of hospital stay can vary. Many patients undergoing shoulder ligament repair can expect to be discharged on the same day as the surgery, especially if the procedure is performed arthroscopically. However, if the surgery is more extensive or if there are complications, an overnight stay may be required for monitoring. Generally, a stay of 1 to 2 days is typical for more complex cases.

Postoperative Care
1. Pain Management: After surgery, pain management is crucial. Patients are often prescribed pain medications to help manage discomfort. It’s important to follow the prescribed regimen and communicate with your healthcare provider if pain is not adequately controlled.

2. Immobilization: A sling or shoulder immobilizer is usually recommended to keep the shoulder stable and prevent movement that could jeopardize the repair. This device is typically worn for several weeks, depending on the surgeon’s recommendations.

3. Physical Therapy: Rehabilitation is a critical component of recovery. Physical therapy usually begins with gentle range-of-motion exercises within a few days post-surgery. As healing progresses, more active rehabilitation exercises will be introduced to strengthen the shoulder and restore function. The timeline for returning to full activity can vary, but it often takes several months.

4. Follow-Up Appointments: Regular follow-up visits with the surgeon are essential to monitor healing and adjust rehabilitation protocols as needed. These appointments allow the healthcare provider to assess the surgical site, manage any complications, and ensure that the recovery is on track.

5. Activity Restrictions: Patients are typically advised to avoid lifting heavy objects, overhead activities, or any movements that could strain the shoulder for a specified period. Adhering to these restrictions is vital to ensure proper healing.

Recovery Tips
- Rest and Ice: Adequate rest and the application of ice can help reduce swelling and pain in the initial postoperative period.

- Gradual Return to Activities: It’s essential to gradually reintroduce activities as advised by the healthcare provider. Rushing the recovery process can lead to setbacks.

- Nutrition: A balanced diet rich in protein, vitamins, and minerals can support healing. Staying hydrated is also important.

- Listen to Your Body: Pay attention to any signs of complications, such as increased pain, swelling, or fever, and contact your healthcare provider if these occur.

In summary, shoulder ligament repair surgery is a procedure that can significantly improve shoulder function and alleviate pain when performed correctly. The duration of the surgery is typically 1 to 2 hours, with a potential same-day discharge for less complex cases. Postoperative care involves pain management, immobilization, physical therapy, and adherence to activity restrictions. Following these guidelines will help ensure a successful recovery and return to daily activities. Always consult with your healthcare provider for personalized advice tailored to your specific situation.

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