Dr. Harold Vanderschmidt is a renowned Orthopaedic surgeon presently serving at Burjeel Hospital, Dubai, UAE. Being one of the best Orthopaedic Surgeons in Dubai he holds extensive experience of more than 36 years. He has successfully operated more than 10,000 arthroscopic procedures. His educational qualification includes MBBS followed by MD. His expertise lies in Diagnosis and Management of Orthopaedic Diseases and Injuries, Elbow, Knee, Ankle, Foot, Highly specialized in ACL Reconstructions, Arthroscopic Surgery on Shoulder, Revision ACL Surgery, Cartilage Repair, Rotator Cuff Repair, Reconstruction of Shoulder Instability, Joint Replacement Surgery Shoulder, Hip, Knee, and Ankle, etc. Dr. Harold was titled as the “Instructor for Arthroscopic Surgery” from the AGA. He is a Founder Member of the Knee Surgery and Arthroscopy European Society of Sports Traumatology, and a member of ISAKOS, AO Trauma. He has very effectively contributed to both national and international publications. He is an active participant and invited as a guest speaker in scientific conferences, CDE's and worldwide conferences to talk about Reconstruction of Shoulder Instability.
Bone Instability Reconstruction of the Shoulder
Our shoulder is the most used and very flexible joint in our body. Injury and trauma can tear or stretch the labarum or ligaments that causes loosening and instability of the shoulder joint. This leads to partial or complete dislocation of the joint. It refers to the lack to retain the top of the humerus within the glenoid socket.
Instability reconstruction of the shoulder is a surgical procedure that helps to treat shoulder instability by relocating a piece of bone with an attached tendon to the shoulder joint.
When do you need Instability Reconstruction of the shoulder?
- Anterior shoulder instability
- Bankart tear or injury
- SLAP tear
- Chronic shoulder dislocation
- Hill–Sachs fracture
Procedure
- The procedure is performed under general anaesthesia where you have to be in a semi-reclined or beach-chair position.
- Towards the armpit, an incision of 5 cm is made from your shoulder blade.
- To separate the muscles of the shoulder and chest and expose the coracoid, retractors are used.
- The coracoid process is free of the attachments that alongside the conjoined tendon, is transacted from its base.
- After this, the doctor will drill holes into the transacted coracoid process.
- The subscapularis muscle that passes in front of the shoulder joint is split in line with its fibres.
- After entering the capsule of the shoulder, the glenoid is exposed and ready to receive the coracoid.
- The transacted coracoid along with the conjoined tendon is passed along the separated subscapularis muscle.
- It is then fixed to the glenoid rim with screws through the drilled holes. As a result, there occurs an increase in the glenoid surface that stabilizes the joint.
- The instruments are finally withdrawn, the incision is then closed and covered with a sterile bandage.
Take Away
Religiously follow all the post-care instructions given by your doctor. Keep the surgical site clean and eat healthy food. Take complete rest, stay away from stress and strenuous activities. Meet the best Orthopaedic surgeon in the country Dr. Harold Vanderschmidt is here to help you. He is providing consultancy and treatment at Burjeel Hospital, Dubai, UAE.
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