Surgery to split the shoulder joint

What operational options are there?

The surgical treatment for an ankle joint dislocation depends on the Degree of injury and the Activities of the patient from.
If all Ligaments of the shoulder joint (Acromioclavicular joint) are torn, this form of injury is called Tossy 3 designated.
Therapy can then take place both conservatively and surgically.
advantages the operation is the possibility of Restoration of the actual anatomy of the shoulder.
The risks and pain of this operation are also relatively low.
An argument against the operation is that the remaining joint damage is often not too great and bearable, so that in some cases no improvement can be achieved through the operation.

Whether an operation is performed depends on the individual case and should be discussed with the doctor individually.
The operation consists mainly in the Restoration of the actual anatomy.
To get a good view of that joint and having the tapes is first in some cases relatively large incision over the shoulder joint necessary, whereby a big scar remains behind.
The torn ligaments can then sewn back together become.
In newer procedures, the restoration of the ligaments can be done under a Arthroscopy (Joint endoscopy). The procedure and the remaining scar are then significantly smaller.
The shoulder joint itself is through Screws, one plate or Wires initially propped up in position. In addition, the ligaments themselves are stabilized, since the individual ligament seam would not withstand the forces acting on the joint.

The shoulder joint is used so that the ligaments and capsule have sufficient time to heal after the operation Immobilized in a Gilchrist bandage for 6 weeks.
The joint can then be used again slowly accustomed to increasing loads become. In some cases the stabilizing material has to be removed in another operation after a while.

Appointment with a shoulder specialist

I would be happy to advise you!

Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .

The shoulder joint is one of the most complicated joints in the human body.

The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

You can find me in:

• Lumedis - your orthopedic surgeon
  Kaiserstrasse 14
  60311 Frankfurt am Main

Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.

Surgical techniques

Kirschner wire:
With the help of this procedure you can wire pins of different thicknesses through the skin (percutaneous) in the bone can be used. The advantage is that here only one low tissue trauma arises. In most cases, however, this form of therapy does not lead to sufficient stabilization, so that a further immobilization by means of a Gilchrist bandage becomes necessary. Furthermore, through this small operation the Ribbons not sewn again become.

Plate fixation:
A plate serves that Compression of the fracture gap and only needs to be used if in addition to tearing the ligament, there is also a broken bone consists.
The plate is then placed on the fracture gap and fixed in the bone with screws. This allows the ends of the fracture to heal together again. The plate does not have to be removed again in principle, but can be annoying in some cases because it Muscles and tendons. In this case it takes place in a further surgery removal the plate after the fracture has healed.

TightRope system:
With this system arthroscopic (as part of a jointoscopy) Seam system introduced into the shoulder joint, which the torn ligaments stabilized. Due to the purely arthroscopic therapy (shoulder joint mirroring), the access route is very small, so hardly any scars stay behind and that Tissue trauma low is held. In order for this form of therapy to lead to healing, the ligaments must within 2 weeks of the injury are surgically supplied.
After these 2 weeks there is talk of a chronic shoulder joint disruption and the ligaments can no longer grow together.

Tendon replacement:
Can the operative supply only a few weeks after the injury must take place Tendons often reconstructed become. This too can as part of a joint specimen (Arthroscopy). This involves removing the body's own tendon (usually from the calf) and inserting it into the shoulder joint as a tendon replacement.