A Conversation with Dr. David Dare, MD
In this Q&A, Dr. David Dare, Sports Medicine Orthopaedic Specialist at Raleigh Orthopaedic, addresses a common question from patients considering rotator cuff repair: What’s the difference between arthroscopic and open surgical techniques? If you’re experiencing ongoing shoulder pain that affects daily activities and sleep, understanding the options for rotator cuff surgery is an important step in your treatment journey. Dr. Dare provides expert insight into the pros and cons of each approach to help patients make informed decisions about their care.
Q&A with Dr. David Dare
Question: I’m considering having my rotator cuff tear repaired. I have difficulty sleeping at night because of the pain. My surgeon has discussed doing this surgery through a small, open incision, but I have heard that this can be done arthroscopically. Is there an advantage to one technique over the other?
Answer: If you have already selected a surgeon, it is best to allow them to use the technique he or she is comfortable with to fit their lifestyle.
Arthroscopic rotator cuff repair, which requires the use of a fiberoptic camera and instruments inserted through several small incisions about the width of a ballpoint pen tip, is challenging. It is important to choose a surgeon with specialized arthroscopic shoulder training who does these procedures frequently.
The advantages of an arthroscopic repair versus a mini open repair (approximately a two- to four-inch incision) are a lower risk of infection and stiffness, as well as less pain. In addition, viewing through the camera allows the surgeon to see and treat the entire joint, whereas other problems may be missed deep in the shoulder joint during an open technique.
An arthroscopic rotator cuff repair, in most cases, should take about 45 minutes to an hour. Excessive surgical time can increase the risk of potential surgical complications.
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Disclaimer:Â The information on this site is for general informational purposes only and is not intended as medical advice. It should not be used as a substitute for professional diagnosis, treatment, or medical judgment. Always consult a physician or qualified healthcare provider with any questions you may have about a medical condition or treatment.