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International Patient CareAcromioclavicular Joint Reconstruction Surgery by Expert Orthopedics
Acromioclavicular Joint Reconstruction at Medicover Hospitals is performed using the open surgical approach by our experienced orthopaedic surgeons with qualifications like MS and DNB. This procedure helps in stabilising the joint, leading to improved shoulder function and reduced recovery time for patients across India.
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What is Acromioclavicular Joint Reconstruction?
Acromioclavicular Joint Reconstruction is a surgical procedure to repair and stabilize the acromioclavicular (AC) joint. This joint is located at the top of the shoulder where the acromion (part of the shoulder blade) meets the clavicle (collarbone). The surgery aims to restore normal function and alignment of the joint, which is crucial for shoulder movement and strength.
This surgery is often needed due to injuries like dislocations or separations of the AC joint. Such conditions can result from falls or direct impacts. If left untreated, they may lead to chronic pain and limited shoulder function. Modern surgical approaches include open and arthroscopic techniques. These methods help in precise repair and faster recovery. Early intervention can prevent long-term complications.
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Complete Guide To Acromioclavicular Joint Reconstruction
Everything you need to know about the procedure, preparation, and recovery
Acromioclavicular Joint Reconstruction Surgery Indications
Doctors recommend acromioclavicular joint reconstruction surgery when non-surgical treatments fail to relieve symptoms. This procedure is often necessary to restore function and alleviate pain in the shoulder joint.
Severe Joint Dislocation
Patients may experience intense shoulder pain and visible deformity after a fall or direct impact. X-rays or MRI scans show significant dislocation of the acromioclavicular joint. Surgery is considered when the joint remains unstable despite conservative treatments like rest and physiotherapy.
Chronic Shoulder Pain
Persistent pain in the shoulder, especially during overhead activities, can indicate joint issues. Clinical evaluations and imaging reveal joint degeneration or instability. Surgery is suggested when pain persists despite medication and physical therapy.
Limited Shoulder Movement
Patients often report restricted shoulder motion, making daily tasks difficult. Physical exams and imaging tests confirm joint abnormalities. When exercises and other non-surgical methods do not improve mobility, surgery may be needed.
Recurrent Joint Instability
Frequent episodes of shoulder slipping or popping out of place can occur. Doctors find joint laxity upon examination. Surgery is recommended when instability continues despite bracing and rehabilitation efforts.
Failed Previous Treatments
Some patients do not respond to initial treatments like injections or physiotherapy. Persistent symptoms and imaging results showing joint issues lead doctors to consider surgical reconstruction as the next step.
How to Prepare for Acromioclavicular Joint Reconstruction?
Proper preparation for acromioclavicular joint reconstruction can enhance recovery and reduce complications. It ensures that the body is ready for surgery and helps in smooth post-operative healing.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting: Fast for at least 8 hours before the surgery if general anaesthesia is used.
- Pre-Surgery Exercises: Perform any recommended shoulder exercises to maintain joint flexibility.
- Clothing: Wear loose, comfortable clothing on the day of surgery to avoid pressure on the shoulder.
- Transportation: Arrange for someone to drive you home after the procedure.
- Medication List: Bring a list of your current medications with dosages for hospital records.
- Smoking and Alcohol: Avoid smoking and alcohol for a few days before surgery to aid recovery.
- Pre-Op Instructions: Follow all specific instructions given by your healthcare provider carefully.
Acromioclavicular Joint Reconstruction Surgery (Step-by-Step)
Overview: This surgery is performed by orthopaedic surgeons. It typically lasts 1-2 hours. General anaesthesia is commonly used to ensure the patient is asleep and pain-free during the procedure.
- Preparation: The patient is positioned on the operating table. The surgical area is cleaned and sterilised. Anaesthesia is administered.
- Incision: A small incision, usually 3-5 cm, is made over the acromioclavicular joint. This allows access to the joint.
- Joint Exposure: The surgeon uses a curette to carefully expose the damaged joint. Soft tissues are gently moved aside.
- Reconstruction: The damaged ligaments are repaired or reconstructed. This may involve using a graft. The graft is secured with screws or sutures.
- Stabilisation: Instruments like a harmonic scalpel or bipolar cautery may be used to stabilise the joint. This ensures proper alignment and healing.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the area.
- Recovery: The patient is moved to a recovery room. Monitoring continues as the anaesthesia wears off. Pain management and post-operative care instructions are provided.
Who Performs Acromioclavicular Joint Reconstruction Surgery?
Orthopaedic surgeons perform this surgery. They specialise in musculoskeletal system disorders. Their expertise ensures precise joint reconstruction and recovery guidance.
Recovery After Acromioclavicular Joint Reconstruction Surgery
Recovery from Acromioclavicular Joint Reconstruction Surgery involves a gradual return to normal activities. It is important to follow your surgeon's advice and attend follow-up appointments to ensure a smooth recovery.
Day 1-3:
- Rest is crucial. Keep the arm in a sling to support the shoulder.
- Apply ice packs to reduce swelling.
- Consume light meals like curd, dal-rice, and soups to maintain energy levels.
Day 4-7:
- Continue using the sling. Begin gentle finger and wrist movements.
- Stick to a diet rich in proteins and vitamins, such as moong dal and khichdi.
- Avoid lifting heavy objects or strenuous activities.
Week 2-4:
- Gradually increase shoulder movements as advised by your physiotherapist.
- Include more solid foods, focusing on balanced meals with vegetables and proteins.
- Return to work or school may be possible, depending on your job and comfort level.
Phase 1 (Month 1-2):
- Engage in physiotherapy exercises to improve shoulder mobility.
- Continue avoiding heavy lifting and overhead activities.
- Maintain a nutritious diet to support healing.
Phase 2 (Month 3-6):
- Progress to more active rehabilitation exercises.
- Gradually resume normal activities, including sports, as advised.
- Regular follow-ups with your doctor are essential.
When to Seek Urgent Help:
- Severe pain or swelling that does not improve with medication.
- Fever or signs of infection at the surgical site.
- Numbness or tingling in the arm or hand.
Benefits of Acromioclavicular Joint Reconstruction Surgery
Acromioclavicular joint reconstruction surgery aims to restore shoulder function and alleviate pain. Here are some benefits:
- Pain Relief: Reduces chronic pain associated with joint instability.
- Improved Mobility: Enhances shoulder movement and flexibility.
- Stability Restoration: Provides better joint stability, reducing the risk of future dislocations.
- Enhanced Strength: Helps regain shoulder strength for daily activities and sports.
Risks and Complications of Acromioclavicular Joint Reconstruction Surgery
While generally safe, this surgery carries some risks. It's important to be aware of potential complications:
Common Risks
- Infection: Risk of infection at the surgical site.
- Stiffness: Potential for reduced shoulder flexibility post-surgery.
- Persistent Pain:Some patients may continue to experience discomfort.
Rare Risks
- Nerve Damage: Possibility of nerve injury leading to numbness or weakness.
- Blood Clots: Risk of clot formation in the veins.
- Implant Failure: Risk of hardware issues requiring further intervention.
Cost of Acromioclavicular Joint Reconstruction Surgery
The cost of Acromioclavicular Joint Reconstruction Surgery at Medicover Hospitals ranges from INR 37,000 to INR 5,00,000. The price varies based on the ward category chosen, such as outpatient, day care, general, or private rooms.
We offer transparent pricing with support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facilities are also available for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Acromioclavicular Joint Reconstruction surgery cost at Medicover Hospitals?
The cost for Acromioclavicular Joint Reconstruction surgery at Medicover Hospitals ranges from INR 37,000 to INR 5,00,000, depending on the type of care.
2. Is Acromioclavicular Joint Reconstruction surgery covered under health insurance at Medicover?
Yes, it is often covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Will my shoulder mobility improve after Acromioclavicular Joint Reconstruction?
Yes, shoulder mobility typically improves after surgery. Physical therapy is crucial to regain full range of motion.
4. Can I lift heavy objects after Acromioclavicular Joint Reconstruction?
Lifting heavy objects is usually restricted for several weeks post-surgery. Consult your doctor for specific guidance on lifting.
5. Is there a risk of arthritis after Acromioclavicular Joint Reconstruction?
There is a potential risk of developing arthritis in the joint later. Regular follow-ups help monitor and manage any symptoms.
6. Will I need physiotherapy after Acromioclavicular Joint Reconstruction?
Yes, physiotherapy is essential for recovery and strengthening. It helps restore shoulder function and prevent stiffness.
7. Can I play sports after Acromioclavicular Joint Reconstruction?
Returning to sports is possible but requires a gradual approach. Full return usually occurs after clearance from your doctor.
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