This is a procedure that aims to improve the symptoms of shoulder arthritis in order to postpone a patients’ need for joint replacement surgery. It may be a good option for you if you have early-to-moderate arthritis of your shoulder, but you are younger than the ideal age for a joint replacement (e.g. less than 60 years old). Some surgeons use the term 'complete articular management' or CAM procedure for this operation.
General anaesthesia +/- regional block keyhole surgery. Performed as day case surgery or overnight stay.
Keyhole procedure, multiple small (<1cm) scars (+/-3cm incision if biceps tenodesis).
This surgery aims to remove all pain generators in your shoulder and may involve several separate procedures:
Removal of bone spurs in the ball and socket joint
Trimming of unstable and frayed cartilage
Micro fracture of exposed bone to promote cartilage healing
Clearance of inflamed joint lining
Subacromial bursa excision and decompression
Acromioclavicular joint excision if painful
Please take your prescribed painkillers regularly for the first few days. You will be given a sling to wear - you may discard this when comfortable unless told otherwise. PLease begin your rehabilitation programme as soon as you can. Take down any bulky padded dressings on day 2 after surgery, butkeep your wound dry and covered with a dressing for 12 days. You can shower after 4 days if your waterproof dressings are on.
Patients vary in their symptoms after surgery, but in general you can expect to return to:
Office work after two to four weeks (in a sling if you’ve had a repair)
Light physical work after six to twelve weeks
Heavier labour may take 16-24 weeks after a cuff or biceps repair, but may be sooner if no repair was performed
Driving is allowed once you are competent and confident to control a car both for routine and emergency manoeuvres. It will probably take four weeks or more for you to be ready.
By six months, 75% of patients will feel their shoulder is better.
You will be seen at two weeks after your operation. Follow up thereafter will depend on your progress.
Keyhole Shoulder surgery is generally very safe, but specific risks of this surgery include:
Persistent stiffness (5%)
Popeye sign (40% risk with tenotomy, 5% risk with tenodesis) as biceps muscle sits lower in your arm
Lack of symptom relief: approx. 25% will not benefit from this procedure
Nerve injury (1%) – trimming of bone spurs can be close to the Axillary nerve. This nerve could be injured, which might cause weakness of your deltoid muscle (an elevator muscle of your shoulder)
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
Wexham Park Hospital, Slough, Berkshire, SL2 4HL
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