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Arthroscopic AC repair
This is an exciting new technique that allows for the repair of acute shoulder separations (also known as "AC dislocations") using minimally-invasive, arthroscopic surgery. Through three tiny incisions, the clavicle which has been 'separated' can be fixed back into its proper position. The surgery is performed on an outpatient basis, and full range of motion is quickly re-established within days of the procedure.
Arthroscopic stabilization for shoulder dislocations
Shoulder dislocations are very common. Certain individuals are at very high risk of re-dislocating, and recurrent dislocations can cause significant disability. Furthermore, when a shoulder re-dislocates, there can be additional damage to the ligaments and the joint surfaces which may increase the risk of arthritis later in life. New arthroscopic, surgical techniques can be used to repair and stabilize shoulders after they dislocate. In some high risk individuals, surgery may be the best option, even after only a single dislocation. Arthroscopic repair provides a more predictable outcome, minimizes pain, allows the surgery to be performed on an outpatient basis , and decreases the overall risk of complications.
'Double-row' arthroscopic rotator cuff repair
This technique uses minimally-invasive, keyhole surgery to repair torn rotator cuff tendons. Arthroscopic rotator cuff repair is not only less-invasive but also decreases the risks of post-operative complications, such as muscle injury, stiffness, or infection. 'Double row' refers to the way the tendons are repaired -- with two rows of sutures. While more technically challenging for the surgeon, 'double row' creates a more secure repair. This type of surgery is therefore not only less painful but also more sturdy, with a better potential for healing of the torn tendons.
Rotator cuff 'healing response' technique
This is a novel technique that uses the body's own stem cells and bone marrow to help repair damaged rotator cuff tendons. No sutures are needed with this repair technique so patients have rapid recoveries. The procedure eliminates pain and results in dramatic improvements in shoulder function.
Anatomic total shoulder replacement
Most shoulder replacements provide excellent pain relief. An anatomic shoulder replacement also restores the anatomy of the shoulder virtually back to normal. When one's normal anatomy is recreated, the result is not only better restoration of function but also better loading and durability of the replacement parts. In addition to having no pain, individuals who have an anatomic shoulder replacement typically have shoulder motion and function that are indistinguishable from normal.
Clavicle (collar bone) fracture fixation
Historically, most collarbone fractures have been treated without surgery and have simply been allowed to heal. New studies, however, have shown that in many instances patients do better with surgical treatment. Specially-designed plates and pins are now available to fix collar bone fractures properly so that the bone heals in its original position. In such instances, surgery will provide a more predictable outcome in terms of shoulder motion and strength.
Capsulolabral reconstruction for shoulder instability
This is a new technique that has been developed for the treatment of recurrent shoulder instability in the setting of 'end-stage' shoulder instability. A transplanted tendon (from another part of the body or from a cadaver) is used to make new ligaments and cartilage which then act to prevent dislocation and stabilize the chronically unstable shoulder. This is a salvage procedure that serves as a promising alternative to shoulder fusion.
Minimally-invasive shoulder fracture repair
New techniques allow shoulder fractures to be fixed percutaneously (through the skin) with only tiny incisions and limited internal hardware. Such repairs preserve the blood supply to the fractured bone fragments which hastens healing and minimizes the risk of late complications.
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