Some photographs taken during rotator cuff repair surgery:
Tape Sutures (A) are passed through the tendon tissue (C) and brought
out of the shoulder through a plastic cannula (B) to be loaded onto an anchor
The completed Suture-Bridge tendon repair. The tendon is firmly snugged down against
the bone footprint of the humerus to optimise the chances of healing
This video shows a completed arthroscopic repair of a very large cuff tear. Note the overlapping sutures that provide stable compression of the repaired tendon onto the humeral footprint.
You will go home on the same day, or the morning after your operation. Please begin to take your prescribed painkillers before your nerve block wears off and continue to take them regularly for the first few days. You will need to wear a sling for four-to-six weeks to protect your tendon repair. Please take note of what movements are allowed and what to avoid. You can take down any bulky padded dressings on day 2 after surgery, but please keep your wounds covered with the waterproof dressings for 12 days. Showering is fine after four days. Any sutures can be removed at 12-14 days after surgery in the clinic.
Phase 1 - Protection of your tendon repair in a sling. Restricted movements (4-6 weeks)
Phase 2 - Restore shoulder range of motion and control. (4-12 weeks)
Phase 3 - Strengthening and functional return (12-26 weeks)
Speed of recovery varies, but you can aim to return to:
Office work after two to four weeks if you are comfortable in a sling
Light work after twelve weeks
Heavy labour and sport may take 6 months
Driving is allowed once you are confident and competent to control a car both for routine and emergency manoeuvres. This will probably take 8 weeks or so.
By six weeks, many patients will be comfortable during normal daily activities, but certain movements will still be restricted. Do not worry if you remain sore at this point: it can take a while longer to recover from this operation. By six months, 85% of patients will feel their shoulder is better, although some patients take even longer to benefit.
Arthroscopic shoulder surgery is very safe, and major complications are rare. Specific risks of rotator cuff repair surgery include:
Failure of tendon healing -
The healing rate varies: most studies report healing rates of approx. 70%-90%. Healing is influenced by your age, your tendon tissue quality, the tear size and retraction and the repair itself
Failure to heal fully does not necessarily lead to a poor outcome, but as you would expect strength is better in those patients whose tendons heal fully. Some repaired tendons will re-tear in the future.
Stiffness /Frozen shoulder(3-5%) - this might necessitate injection or further keyhole surgery to free up movement (capsular release and MUA)
Lack of benefit - approximately 10% of patients will not feel they have improved with their surgery. It may take 6 months to feel you have made a good recovery from this operation.
The risks of nerve injury, deep infection and major bleeding are very low (much less than 1 in 100 chance)
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
BMI The Princess Margaret Hospital
Osborne Rd, Windsor SL4 3SJ
Spire Thames Valley hospital
Wexham Street, Wexham, Buckinghamshire, SL3 6NH
BMI Bishops Wood Hospital
Rickmansworth Road, Northwood, HA62JW
Wexham Park Hospital, Slough, Berkshire, SL2 4HL