The orthopedic department of Friedrichshafen Clinic, headed by Prof. Dr. E. Winter, offers latest techniques of shoulder joint therapy. Professor Winter implements differentiated interdisciplinary approach to the treatment of this disease. Minimally invasive methods of osteoarthritis treatment are preferred. Deforming arthrosis of shoulder joint (osteoarthritis) is a disease resulting in serious change in cartilage and adjoining bone tissue. The disease is considered chronic, however, it tends to progress. As is the case with many other joint diseases, symptoms (shoulder pain, swelling and stiffness) appear rather unexpectedly. Patient usually feels first painful sensations after hard physical work (for example, lifting weights) or after exposure to cold.
The main symptom of arthrosis is pain in your shoulder when you are moving your arm back or aside. Painful sensations while palpating the lower edge of collarbone and shoulder-blade are also possible. In some cases the joint swells up and reddens, there is local temperature rise. Pain considerably intensifies with exertion, thus limiting patient’s mobility.
Shoulder replacement is often required in case of progressive shoulder joint arthritis (osteoarthritis) when surface of articular cartilage becomes worn out (primary osteoarthritis) and causes severe pain and dramatically limits movements.
One of the conditions required for achieving great results is using top quality diagnostic and visual equipment. Our orthopedic clinic possesses modern high-resolution equipment, from ultrasound to digital X-ray devices and advanced MRI equipment. Radiology department is headed by a skilled radiology expert. Received data is professionally analyzed by experienced shoulder joint specialists. Each diagnosis is based on accurate data and examination results, and every patient is offered the most suitable treatment method. The computer-based modeling system allows us to
Total replacement, or endoprosthesis, of shoulder joint.
The core of shoulder prosthesis can be cement-retained or uncemented.
Our experts apply a wide range of modern methods of shoulder joint treatment. We develop an individual approach to treating our patients depending on their peculiarities. Quality and duration of surgery depend on how skilled the expert in operating room is. Deep knowledge and experience of doctors in Friedrichshafen clinic secure successful results of shoulder replacement surgery.
Closed-cycle air defense system with laminar air flow unit provides strict hygienic environment in operating room.
During shoulder joint resurfacing only damaged cartilage surface of humeral head is replaced. The bone of humeral head is not replaced. Such model of prosthesis is used in case stabilizing muscles of shoulder joint (rotator cuff) are not damaged or damaged to a very little degree and pocket of shoulder (glenoid) shows no signs of wear. Thanks to this type of prosthesis, shoulder joint is restored by placing metallic surface on humeral head on top of humeral bone. Cartilage on the surface of joint pocket (glenoid) is unaffected; shoulder joint resurfacing allows keeping unaffected and unworn joint surface.
One of the main problems of shoulder joint resurfacing is continuing wear of joint pocket surface. Premature wear of glenoid component may result in intensified painful sensations and reduction in mobility and load capacity of the joint.
After shoulder joint hemiarthroplasty, movement amplitude in any direction improves by 40% (on average). This clinical result is similar to results of total shoulder joint replacement. Before conducting shoulder joint resurfacing, an expert in shoulder joints should carefully assess the surface of joint pocket and make sure its condition is good enough for achieving successful treatment results.
If joint resurfacing is possible to conduct, it will be the best treatment method available, as it allows keeping natural bone surface and shoulder bone stock. Moreover, if repeated surgery is needed later, it will be much easier to perform.
Total shoulder replacement, or total shoulder endoprosthesis. Shoulder component is fixed inside humeral bone. Glenoid component replaces joint pocket.
During total shoulder replacement both joint components, humeral head and joint pocket, are replaced. It is the most widespread technique of shoulder replacement. If both shoulder surfaces, humeral head and joint pocket, are worn, total endoprosthesis is required. This replacement method presupposes removing the segment of humeral head which is situated closest to the joint. Then, the inner part (bone marrow space) of shoulder bone is prepared for prosthesis stem introduction.
Prosthesis stem is implanted inside the bone. One of the gravest complications after total shoulder replacement is weakening in glenoid component which causes pain and limits mobility.
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