Posterior Shoulder Dislocation Surgery

Who is the Right Candidate for Posterior Shoulder Dislocation Surgery?

Deciding the right candidate for Posterior Shoulder Dislocation Surgery depends on a number of factors. These include:

• Severity of pain and immobility: Patients with severe pain and limited mobility in the affected arm that doesn’t improve with non-surgical treatments are considered suitable candidates.
• Repeated incidents of dislocation: Individuals who experience frequent posterior shoulder dislocations, despite non-surgical interventions, may benefit from this surgery.
• Associated injuries: People with associated injuries like fractures or ligamentous and tendinous injuries are also potential candidates for Posterior Shoulder Dislocation Surgery.

Quality of life impact: If the dislocation is significantly affecting the individual’s daily activities or quality of life, doctors may recommend surgery.

What are the Benefits of Posterior Shoulder Dislocation Surgery?

Posterior Shoulder Dislocation Surgery is a reliable and effective medical intervention that brings about numerous benefits to patients. Here are some of the key advantages:

• Improved stability: Surgical strategies like subscapularis tendon transfer, lesser tuberosity transfer, and bone grafting aid in restoring equilibrium to the shoulder joint by filling humeral head faults and repairing damaged soft tissues.
• Reduced pain: The procedure addresses the root cause of instability, significantly lowering pain and enhancing function in chronic posterior shoulder dislocation cases.
• Increased range of motion: Early rehabilitation and range of motion exercises are feasible with surgical treatment, which is crucial to reclaiming shoulder mobility compared to prolonged immobilization.
• Better outcomes: Surgical intervention boasts a 50-95% success rate in terms of improved stability, pain relief, and return to function.
• Ability to address associated pathology: The surgeon can assess and treat any associated injuries to the labrum, capsule, or rotator cuff using open and arthroscopic surgical approaches.
• Improved quality of life: Posterior Shoulder Dislocation Surgery can significantly enhance a patient’s lifestyle by restoring stability and function.

How to Prepare for Posterior Shoulder Dislocation Surgery?

In preparation for your Posterior Shoulder Dislocation Surgery, it’s essential to take certain measures for optimum results. Here are some steps you can take:

• Prepare mentally by familiarising yourself with the procedure including the kind of anaesthesia used, the incision site, expected recovery time etc.
• Refrain from alcohol or tobacco at least a few days prior to surgery.
• Adhere to pre-operative instructions provided by your surgeon. This may include avoiding certain medications.
• Refrain from supplements or medications like blood thinners for a week or two prior to surgery.
• Make arrangements to take a few days off from work.
• Keep everything you need close and stock required items for a comfortable recovery.
• Arrange for someone responsible to assist you with household chores or other activities after the surgery.

What are the Recovery Tips and Precautions to follow after Posterior Shoulder Dislocation Surgery?

While recovery after Posterior Shoulder Dislocation Surgery is generally smooth, one must follow the surgeon’s post-operative instructions for optimal results:

• Immobilisation: Maintain the affected arm in a sling or shoulder immobiliser for a few weeks to allow for proper healing.
• Pain management: Manage discomfort with analgesics and anti-inflammatory medicines as directed by your doctor.
• Physical therapy: Engage in physical therapy to maintain range of motion and fortify surrounding muscles, especially after the sling is removed.
• Follow-up: Schedule follow-up appointments with your doctor to monitor progress and address any concerns.

Avoid heavy lifting: Refrain from heavy lifting or strenuous activities that could delay healing.

Potential Risks or Complications associated with Posterior Shoulder Dislocation Surgery

Like any surgical procedure, Posterior Shoulder Dislocation Surgery has potential risks and complications:

• Incorrect diagnosis: Failing to correctly diagnose the extent of the dislocation and associated injuries can lead to inadequate treatment.
• Fractures: The procedure itself can cause fractures of the glenoid or humerus.
• Neurovascular injury: There’s a risk of damaging nerves or blood vessels during the surgery.
• Infection: There’s a risk of postoperative infection.
• Recurrence of instability: Even after surgery, the shoulder can remain unstable and prone to repeat dislocations.

Awareness about these potential complications allows one to make an informed decision about undergoing Posterior Shoulder Dislocation Surgery

What is the Cost of Posterior Shoulder Dislocation Surgery in India?

Dealing with posterior shoulder dislocation can be distressing, and the cost of its treatment adds to your concerns. In India, the cost of Posterior Shoulder Dislocation Surgery can range from being moderately expensive to highly costly. This wide range in price is influenced by several factors:

• Facility utilisation: The cost of utilising operative facilities, including hospital stay, forms a significant part of the overall cost. Choosing a private room or ward may affect this cost.
• Implant costs: Implants such as anchors and prosthetic components used in the surgery contribute significantly to the overall expense.
• Procedure complexity: More complex procedures that require additional anchors or deal with existing pathologies often come at a higher price.
• Surgeon and hospital factors: The experience of the surgeon and the hospital’s cost structure can significantly influence these costs.
• Patient factors: Characteristics such as age, sex, and body mass index (BMI) of the patient also play a role in determining the cost.
• Recurrent instability: If posterior shoulder dislocations are frequent, it increases the overall procedure cost due to the need for additional procedures and extended hospital stays.
• Postoperative care: Costs associated with pain management and rehabilitation post-surgery can add up to the overall expenditure.
• Location: The location of the procedure matters too, with metropolitan cities tending to have higher costs than smaller towns.

Technique: The chosen surgical technique, such as arthroscopic or open surgery, can also influence pricing.

Is Posterior Shoulder Dislocation Surgery covered under insurance?

Securing insurance coverage for your Posterior Shoulder Dislocation Surgery can significantly reduce your financial concerns. Most insurance providers cover this surgery as it is considered a medically necessary procedure. Here are some typical inclusions and exclusions:

Inclusions:

• Emergency services: Most insurance providers offer coverage for hospitalisation and surgical procedures related to Posterior Shoulder Dislocation Surgery.
• Rehabilitation: Insurance often covers physical therapy and other rehabilitation services post-surgery to aid the patient’s recovery.

Exclusions:

• Pre-existing conditions: Insurance policies may not cover any pre-existing conditions, like chronic shoulder instability or previous shoulder injuries, that have contributed to the dislocation.
• Experimental or investigational procedures: Experimental techniques or devices that are not widely accepted or approved by regulatory agencies might not be supported by insurance.
• Deductibles and co-payments: Insurance policies usually come with deductibles and co-payments for medical services, which can add to your out-of-pocket expenses.

Therefore, it is fundamental to thoroughly review your insurance policy and consult your provider to understand the specific coverages and any potential exclusions. This ensures you are financially prepared for your Posterior Shoulder Dislocation Surgery.