How and why is rotator cuff repair surgery performed?

Written by: Mr Mohammed Abdus-Samee
Published:
Edited by: Conor Lynch

In this article below, esteemed consultant orthopaedic surgeon, Mr Mohammed Abdus-Samee, details what rotator cuff repair surgery entails, and what recovery time from the operation looks like.

What is rotator cuff repair, and why do people undergo this procedure?

It is an operation performed to repair one or more of the tendons that are deep inside the shoulder. It is usually done via keyhole surgery, but it can also be done via an open incision.

 

People undergo this procedure usually because a loss of function and/or unresolved or severe shoulder pain. The tear is normally found after an MRI or ultrasound scan.

 

What is involved in keyhole rotator cuff surgery?

The operation is a day-case procedure performed under a general anaesthetic. Once the patient is in theatre, a few small keyhole incisions are made around the shoulder to allow the surgeon to pass a small camera and various other keyhole instruments into the shoulder.

 

The actual repair is usually done via strong threads that have to tie the tendon back onto the bone. The way that we do that is by attaching these threads to anchors that are deep inside the bone. After the operation, small sutures are put over the incisions and dressings are applied to the incisions.

 

Is the procedure painful?

It can be painful. General and local anaesthetic are used for pain relief and to minimise pain as much as possible. Strong painkillers are prescribed after the local anaesthetic wears off.

 

What is recovery time like?

It takes two weeks for the wounds to heal. People can get back to normal activities when the pain is at a reasonable level. Patients can start to drive again after roughly six weeks after the operation. In terms of being able to resume full activity, you are normally looking at a time between six and 12 weeks.

 

Patients should avoid getting the wounds wet during this recovery time if possible. The physiotherapists’ advice should be strictly followed. People who have undergone this surgery should also avoid heavy lifting or any intense physical exertion for the first three months after surgery.

 

To book a consultation with Mr Mohammed Abdus-Samee, simply visit his Top Doctors profile today

By Mr Mohammed Abdus-Samee
Orthopaedic surgery

Mr Mohammed Abdus-Samee is a consultant orthopaedic surgeon based in London and Orpington, specialising in keyhole surgery, rotator cuff surgery and shoulder replacement alongside shoulder decompression (arthroscopic subacromial decompression), shoulder instability and shoulder pain. He privately practices for BMI The Blackheath Hospital, BMI Chesfield Park Hospital and BMI Sloane Hospital while his NHS base is University Hospital Lewisham for Lewisham and Greenwich NHS Trust.

Mr Abdus-Samee has a significant number of referrals for sports injuries as well as complex and revision surgery. He is held in high regard by his colleagues and patients alike, having been nominated for NHS Staff Awards for Safety as well as patient appreciation at University Hospital Lewisham. He has noted leadership credentials, too, as the previous clinical director of Trauma and Orthopaedics at Lewisham and Greenwich NHS Trust.

Mr Abdus-Samee graduated from Imperial College London, where he completed his medical degree and intercalated BSc Honours. Following this, he did basic surgical training at Broomfield Hospital in Chelmsford and worked at the Royal National Orthopaedic Hospital (RNOH) in Harrow, London, after passing his surgical membership exams.

He completed his higher surgical training on the South-East Thames Orthopaedic Rotation at top centres including Guy's and St Thomas' Hospitals as well as in Ashford in Kent, Lewisham, Woolwich and King's College Hospital. He went on to develop expertise and knowledge in his chosen field of shoulder and upper limb surgery, attending a wide range of courses and further training within Europe and North America. 

Alongside his clinical experience, Mr Abdus-Samee is an esteemed medical educator. An honorary senior clinical lecturer at King's College London, he is a keen teacher and currently he supervises both senior and junior surgical trainees. Furthermore, he examines medical students at King's College and is an FRCS (Orth) examiner on local courses and an active, qualified Advanced Trauma Life Support (ATLS) instructor.

From the early days of his surgical career until present, he has undertaken various research projects, writing papers that have been published in peer-reviewed journals.   

Mr Abdus-Samee is a fellow of The Royal College of Surgeons Edinburgh (FRCSEd). He underwent fellowship training in sports and arthroscopic surgery in Stoke-on-Trent and shoulder and elbow surgery in Bristol. He is an active member of various professional associations including the British Orthopaedic Association (BOA), British Elbow and Shoulder Society (BESS) and the British Trauma Society (BTS) alongside the British Medical Association (BMA), the Medical Protection Society (MPS) and the Conflict and Catastrophe Faculty (Society of Apothecaries).  

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