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International Patient CareGlenohumeral Arthrodesis Surgery by Expert Orthopedics
Glenohumeral Arthrodesis at Medicover Hospitals is performed using the open surgical approach. Our team of MS and DNB-qualified orthopaedic surgeons ensures precise execution of the procedure. This approach often results in improved shoulder stability and function for patients across India.
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What is Glenohumeral Arthrodesis?
Glenohumeral Arthrodesis is a surgical procedure that involves the fusion of the shoulder joint (glenohumeral joint). This joint connects the upper arm bone (humerus) to the shoulder blade (scapula). The surgery aims to create a stable and pain-free shoulder by permanently joining these bones. This eliminates movement in the joint but can significantly reduce pain and improve function in certain cases.
This surgery is often needed when the shoulder joint is severely damaged. Conditions like chronic arthritis, recurrent dislocations, or irreparable rotator cuff tears may lead to this procedure. If left untreated, these conditions can cause persistent pain and loss of shoulder function. Modern surgical approaches for Glenohumeral Arthrodesis include open surgery and minimally invasive techniques. These methods aim to achieve effective fusion and pain relief.
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Complete Guide To Glenohumeral Arthrodesis
Everything you need to know about the procedure, preparation, and recovery
Glenohumeral Arthrodesis Surgery Indications
Doctors recommend Glenohumeral Arthrodesis when shoulder joint stability is compromised and other treatments have failed. This procedure is considered when pain and dysfunction significantly affect daily activities.
Severe Shoulder Arthritis
Patients experience chronic shoulder pain and stiffness. X-rays or MRIs show joint space narrowing and bone spurs. When medications and physical therapy no longer relieve symptoms, surgery may be advised.
Irreparable Rotator Cuff Tears
Patients report weakness and inability to lift the arm. Imaging reveals massive tears that cannot be repaired. If conservative treatments like injections and therapy fail, arthrodesis is considered.
Shoulder Instability
Frequent dislocations or a feeling of the shoulder slipping out of place are common. Physical exams and imaging confirm joint laxity. When bracing and rehabilitation do not improve stability, surgery may be necessary.
Failed Shoulder Replacement
Patients may have persistent pain and limited movement after a shoulder replacement. Imaging shows implant loosening or malposition. When revision surgery is not feasible, arthrodesis is an option.
Infection in the Shoulder Joint
Symptoms include severe pain, swelling, and fever. Lab tests and imaging confirm infection. When antibiotics and drainage do not resolve the issue, arthrodesis may be required to eradicate infection.
How to Prepare for Glenohumeral Arthrodesis?
Preparation is crucial for a successful Glenohumeral Arthrodesis. It helps reduce complications and ensures a smoother recovery. Following your doctor's instructions can make a significant difference.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements 7-10 days before surgery.
- Fasting Guidelines: Do not eat or drink anything for at least 8 hours before the procedure.
- Pre-Surgery Tests: Complete all required blood tests, X-rays, or MRIs as advised by your doctor.
- Personal Items: Wear loose, comfortable clothing on the day of surgery.
- Transportation: Arrange for someone to drive you home after the procedure.
- Medication List: Bring a list of your current medications, including dosages, to the hospital.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 48 hours before surgery.
- Home Preparation: Set up a comfortable recovery area at home with easy access to essentials.
Glenohumeral Arthrodesis Surgery (Step-by-Step)
Overview: Glenohumeral arthrodesis is performed by orthopaedic surgeons. The procedure typically lasts 2-4 hours and is done under general anaesthesia.
- Preparation: The patient is positioned on the operating table. General anaesthesia is administered to ensure comfort and pain-free experience.
- Incision: A 10-15 cm incision is made over the shoulder joint. This allows access to the glenohumeral joint.
- Joint Preparation: The surgeon uses a curette to remove cartilage from the joint surfaces. This prepares the bone for fusion.
- Bone Grafting: Bone graft material is placed between the humerus and glenoid. This promotes fusion and stability.
- Fixation: Metal plates and screws are used to secure the joint in the desired position. This ensures proper alignment and stability during healing.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to the recovery room. They are monitored as they wake from anaesthesia.
Who Performs Glenohumeral Arthrodesis Surgery?
Glenohumeral arthrodesis is performed by orthopaedic surgeons. These specialists are trained in surgical procedures involving bones, joints, and muscles. They have expertise in managing complex shoulder conditions.
Recovery After Glenohumeral Arthrodesis Surgery
Recovery from Glenohumeral Arthrodesis Surgery involves a gradual return to daily activities. It is essential to follow your surgeon's advice to ensure proper healing and avoid complications.
Day 1-3:
- Rest is crucial. Keep the arm immobilised in a sling.
- Pain and swelling are common. Follow prescribed medication schedules.
- Consume a soft diet. Include curd, dal-rice, and soups to aid digestion.
Day 4-7:
- Continue using the sling. Avoid any shoulder movement.
- Begin gentle finger and wrist exercises to maintain circulation.
- Maintain a balanced diet. Include moong dal and khichdi for nutrition.
Week 2-4:
- Follow-up appointment to assess healing progress.
- Gradually increase hand and wrist activities as advised.
- Return to light work or school activities, avoiding any lifting or strenuous tasks.
Month 2-3:
- Physical therapy may begin to improve strength and flexibility.
- Continue dietary focus on protein-rich foods like dals and lean meats.
- Resume most daily activities, but avoid heavy lifting or overhead movements.
When to Seek Urgent Help
- Severe pain not relieved by medication.
- Signs of infection: fever, redness, or unusual swelling at the surgical site.
- Numbness or tingling in the arm or hand.
If you experience any of these symptoms, contact your healthcare provider immediately.
Benefits of Glenohumeral Arthrodesis Surgery
Glenohumeral arthrodesis is a surgical procedure aimed at relieving pain and stabilising the shoulder joint.
- Pain Relief: Helps in reducing chronic shoulder pain.
- Joint Stability: Provides stability to a previously unstable shoulder joint.
- Improved Function: Enhances the ability to perform daily activities with less discomfort.
- Durability: Offers a long-term solution for severe joint issues.
Risks and Complications of Glenohumeral Arthrodesis Surgery
As with any surgery, glenohumeral arthrodesis carries certain risks and potential complications.
- Infection (Common): Risk of infection at the surgical site.
- Nerve Damage (Rare): Potential for nerve injury during the procedure.
- Non-union (Common): The bones may not fuse together as intended.
- Limited Mobility (Common): Reduced range of motion in the shoulder.
- Hardware Issues (Rare): Problems with the surgical hardware used in the procedure.
Cost of Glenohumeral Arthrodesis Surgery
The cost of Glenohumeral Arthrodesis Surgery at Medicover Hospitals varies depending on the ward category. Prices range from Rs.1,60,000 to Rs. 8,00,000 across different ward types. Our pricing is transparent, and we offer insurance and TPA support, including CGHS, ESI, and major TPAs. A cashless facility is 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 Glenohumeral Arthrodesis surgery cost at Medicover Hospitals?
The cost for Glenohumeral Arthrodesis surgery at Medicover Hospitals ranges from Rs. 1,60,000 to Rs. 8,00,000, depending on the type of room and care required.
2. Is Glenohumeral Arthrodesis surgery covered under health insurance at Medicover?
Yes, Glenohumeral Arthrodesis surgery is covered by CGHS, ESI, and major TPAs, with cashless options available. Please contact the hospital for current panel details.
3. Will I lose shoulder mobility after Glenohumeral Arthrodesis?
Yes, Glenohumeral Arthrodesis results in loss of shoulder joint mobility. However, it stabilises the shoulder and reduces pain significantly.
4. Can I lift weights after Glenohumeral Arthrodesis?
Lifting heavy weights is not recommended after Glenohumeral Arthrodesis. Light activities can be resumed after consulting with your doctor.
5. Will I need physical therapy after Glenohumeral Arthrodesis?
Yes, physical therapy is crucial to regain strength and adapt to changes post-surgery. It helps improve functionality of the shoulder region.
6. How long before I can drive after Glenohumeral Arthrodesis?
Driving is typically not advised for at least 6-8 weeks post-surgery. Consult your doctor to determine when it's safe for you to resume driving.
7. What are the risks of infection after Glenohumeral Arthrodesis?
Infection is a potential risk after Glenohumeral Arthrodesis, though it is rare. Proper wound care and follow-up visits help minimise this risk.
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