Shoulder plastic surgery can help patients with severe, painful shoulder problems. It can also correct asymmetry of the shoulder region due to congenital factors such as Sprengel’s deformity or rotator cuff tears. The surgery can also enhance an underdeveloped or flattened deltoid muscle for cosmetic augmentation.어깨필러시술
Your doctor will take a medical history and examine your shoulder. He or she will also ask you about your symptoms, including whether you have a grinding or grating sensation in your shoulder when you move your arm. X-rays may be taken to find out how much damage has been done to the bones that form your shoulder joint and to the cartilage that should lie between them.
If the tendons that hold your shoulder together (your rotator cuff) are still intact and you have no other shoulder problems, your surgeon might recommend anatomic total replacement of the damaged joint surfaces. This involves removing the damaged parts of your shoulder joint and replacing them with metal and plastic implants. Your surgeon will also preserve the rotator cuff tendons.
Before the operation, you’ll be given an anesthetic. You may have a general anesthetic, a regional anesthetic, or a combination of both. Then your surgeon makes an incision over the affected area of your shoulder. Other incisions might be needed to reach the area with the damaged tissues.
To create the new shoulder joint, your orthopaedic surgeon* removes the head of your upper arm bone (humerus). A metal stem is placed into this hole. A plastic socket piece is then put on the end of this metal stem, forming one half of your new shoulder joint. The other half is a metal ball that fits into the socket. Your doctor may also need to remove a small section of the bony roof over your shoulder joint called the acromion.
After your new shoulder joint is in place, your surgeon closes the muscles and skin with stitches or staples. Your surgeon might also put a tube in your shoulder joint to drain any extra fluid.
The shoulder usually feels quite stiff after replacement surgery. Your doctor will teach you exercises to stretch and strengthen the muscles around your shoulder. You can probably begin physical therapy within a day or two after surgery. Your physical therapist will show you a program of exercises to do at home.
In the early stages of physical therapy, your surgeon may recommend using a sling to support your arm as you move it. This sling might need to be used for several weeks after your surgery.
Your doctor might also suggest that you wear a sling at night to protect your shoulder while you sleep. He or she might also recommend that you not lift anything very heavy, like a heavy bag of groceries, until your shoulder is healed enough to handle it. Most people can return to their normal activities after about four to six weeks, but they will need to wait longer before they can start doing sports.닥터케빈의원