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Anterior Stabilisation with Capsular shift +/- Bankart repair |
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Indications for operation: Recurrent traumatic or atraumatic
anterior instability with capsular redundancy |
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Anaesthetic:
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General Anaesthetic with an interscalene block(Fully asleep with
a local anaesthetic injection into the side of the neck will numb the nerves to
the shoulder for post-operative pain relief)
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Operation type:
Arthroscopic or open
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Incisions: |
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3 ½ cm incisions will be made in the shoulder, one to the back and two at the front of the shoulder.
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A delto-perctoral incision. This is a 5 cm incision in the front of the shoulder
running from just below the clavicle (collarbone) towards the axilla (armpit)
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If the operation is "open" arthroscopy may be performed first. The incision for
the open operation is a 6cm deltopectoral incision (over the front of the shoulder).
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Procedure:
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The gleno-humeral
(shoulder) joint will be inspected first arthroscopically
followed by the subacromial bursa and the
rotator cuff. After the incision
has been made the joint is exposed using the delto-pectoral incision. If there is a Bankart
lesion the area where the labrum has become detached will be freshened up
and the labrum reattached to the glenoid using 2 or 3 sutures secured to the bone
using "suture anchors". The excess shoulder joint capsule will be tightened and secured
with sutures.
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Wound Closure:
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Small butterfly paper stitches will be used to close the small wounds. The larger
wound will be closed with a single dissolving stitch running under the skin and
paper stitches will be used over the top.
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Dressings:
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Elastoplast dressings will be placed over the top of the paper stitches
and an adhesive bandage over the top of all of the wounds.
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Immediate aftercare: |
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An immobiliser sling will be placed on the arm and it may feel numb for
the rest of the day. You can go home when you feel comfortable and will be given
instructions on what to do next.
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