The orthopedic department of Friedrichshafen Clinic in Germany is headed by an experienced orthopedic surgeon, Prof. DM Winter.
During the period between 2005 and 2013 our doctors have performed about 1500 surgeries for total and partial shoulder joint replacement.
Shoulder replacement is indicated in shoulder joint destabilization, when the conservative therapy doesn't give an expected effect.
Please note that only the qualified specialist can judge about the indications for the joint surgery. After a thorough examination of the patient the diagnosis and indications for the surgery are discussed with the patient. The joint replacement cost may also be judged only after tests and consultations.
Age, the degree of functional impairment, type of activity and individual preferences are the key factors which should be taken into account when deciding about the type of surgical joint replacement.
Wear on the shoulder joint often results in severe pain and limited mobility. When surgery on the joint promises to improve.
If you followed the spectacular stunts of the Olympic gymnasts on television, you could see how extremely stressed the shoulders are. Forces that are about five times your own weight tug at your joints with your swinging momentum. People who are intensively involved in arm-poor sports are often worn out at an early age.
But even with normal everyday movements, the shoulder joints wear off - but usually not so fast. Millions of people in Germany are familiar with the symptoms of wear: pain, loss of strength, stiff joints.
Hundreds of thousands of patients opt for an intervention on the shoulder joint every year. Orthopedic surgeons then mend damaged tendons, remove bone fragments, repair ligaments and connective tissue, insert replacement joints. Since not all of this is systematically recorded, there is no data on how many shoulder operations altogether come together.
But how even experienced orthopedic surgeons recognize where the cause of the discomfort lies and whether a surgical procedure on the shoulder is necessary at all? The beginning is always the medical history and the physical examination. Prof. Dr. explains: "First of all, I let my patients move their aching shoulders, and the comparison with the healthy joint quickly gives me a first idea. For foreign patients, the transmitted X-ray and MRI images are evaluated first. Then an invitation to a personal conversation takes place."
Then the doctor himself lends a hand, performs various functional tests. For example, he lets the patient raise and twist his arm against resistance. Winter: "If these movements in the shoulder hurt or the strength is missing, this indicates problems with the rotator cuff." This muscle group hugs the shoulder joint and controls most of its movements. This makes the rotators susceptible to wear and other pathological changes. They are also the target of most surgical procedures on the shoulder joint.
Before orthopedists recommend surgery, they get an accurate picture of shoulder damage, such as ultrasound, X-ray and MRI examinations. The latter represent details of tendons, muscles and ligaments. However, it takes a lot of experience to interpret all results correctly.
"In the meantime, people know that this is going past the actual target - at least for many patients," says Winter. Often after a decompression the pain remains in the shoulder joint - because there are other or other causes for the complaints. Tears of the rotator tendon or the lower biceps tendon, for example, limescale deposits or wear in the so-called shoulder joint, the link between arm and trunk. Nevertheless, decompression is not necessarily wrong, says Winter. "But if you do it, you should also fix the other problem makers." This assumes that they have been detected before.
This phase includes the research of the patient's condition and individual implant selection. If there are any infections found, a patient is prescribed with proper therapy to avoid the post-surgical infectious complications.
A patient undergoes the following tests before the shoulder replacement surgery:
The shoulder replacement lasts no more than 2 hours and is performed with minimally invasive techniques. The overall recovery period after the partial shoulder joint replacement lasts about 3 months. Such an operation would cost about 7 000- 10 000 euro.
Our doctors in Germany use this method to replace the damaged cartilage zone of humeral head without replacing the bone. The surgery implies the installation of metal implant on the humeral head area.
This approach is reasonable when there are no pathologic changes in stabilizing muscles and in shoulder pocket area. The result of the hemiarthroplasty is increasing the motion amplitude by 40 degrees and more in any directions.
Interfacial endoprosthesis replacement is an optimal variant of shoulder replacement, if there are no contradictions.
This surgery is aimed at the replacement of both glenoid cavity and humeral head. It is indicated in heavy damages of bone, joint and muscle elements.
During the surgery humeral head is totally removed, stripping the bone marrow. The inner part of the bone is prepared, and prosthesis is implanted into it. The implant's core is put into the bone cavity and is fixated by cement or by cementless method. The glenoid cavity is replaced by soft plastic element. Our clinic in Germany provides modern implants that are similar to natural joints in terms of motion range.
Reverse endoprosthesis replacement of shoulder joint is indicated in mechanical shoulder dysfunction due to rotator cuff breakage.
An endoprosthesis is implanted during a surgery. The implant's spheroid joint is localized on the top of shoulder bone. Therefore the motions in shoulder joint will be made by a fully-featured deltoid muscle instead of the damaged muscles of shoulder girdle.
During the first 6 weeks after the surgery a patient needs to develop motions in shoulder joint by a passive way. In 6 weeks after surgery active exercising is allowed. Physiotherapy brings great results.A patient returns to his normal life in 12-24 weeks, when the joint becomes fully functional. Labor activity, swimming, gold and other sports are allowed.
If you need to undergo shoulder or any other joint replacement, welcome to our clinic in Germany. Experienced specialists will perform high-quality diagnostics, select optimal joint model and will take care of proper rehabilitation.
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