Doctors say surgery is better than wearing slings in treating shoulder dislocation
Pushpa Narayan | TNN | Jan 18, 2018, 18:32 IST
CHENNAI: When an 18-year-old swimmer came to the emergency room with a dislocated shoulder and MRIs revealed a torn ligaments and displaced bones, orthopedician Dr Ram Chidambaram suggested an immediate surgery, although a traditional approach would have meant complete rest with hands in a sling.
Dr Chidambaram said that without surgery there was a 90% chance of recurrence of shoulder dislocation in the swimmer. He was also at risk of early onset of arthritis.
"A keyhole surgery will solve the problem once for all. We use just three sutures to anchor the bones and repair the ligaments. These sutures are at least 15 times stronger than stainless steel," said Dr Chidambaram, director of MIOT centre for sports medicine, shoulder and upper limb surgery.
Surgery is a preferred treatment not just for this teenaged swimmer, but for most patients -- young and old - says Dr Chidambaram.
"When there is pain and damage to the bone or muscles we must choose scalpel over sling. The outcomes have been very good. We have done a complete shoulder replacement on an 84-year-old woman and she can rotate her shoulders to 180 degrees," he said.
In the next couple of days, a team of doctors, in association with Indo-German Orthopedic Foundation, will speak to surgeons in the city on why they must not hesitate to use their scalpels. "It's high time we gave the upper limb its due," said hospital chairman Mallika Mohandoss.
"In most developed countries patients go in for surgeries to regain normal movements as soon as they suffer injuries. But people here adjust their range of activity and accept disability just to avoid surgery. The idea of a conference came because we have turned a new leaf in many patients who have remained disabled for long," she said.
Orthopedicans, however, say delayed surgeries can be complicated and expensive. At the meeting, doctors from countries such Germany, Belgium and the Netherlands will discuss shoulder problems. Over 600 participants -- orthopaedic surgeons, physiotherapist and postgraduates - will attend the conference, which will be held on the hospital's Ramapuram campus.
Pushpa Narayan | TNN | Jan 18, 2018, 18:32 IST
CHENNAI: When an 18-year-old swimmer came to the emergency room with a dislocated shoulder and MRIs revealed a torn ligaments and displaced bones, orthopedician Dr Ram Chidambaram suggested an immediate surgery, although a traditional approach would have meant complete rest with hands in a sling.
Dr Chidambaram said that without surgery there was a 90% chance of recurrence of shoulder dislocation in the swimmer. He was also at risk of early onset of arthritis.
"A keyhole surgery will solve the problem once for all. We use just three sutures to anchor the bones and repair the ligaments. These sutures are at least 15 times stronger than stainless steel," said Dr Chidambaram, director of MIOT centre for sports medicine, shoulder and upper limb surgery.
Surgery is a preferred treatment not just for this teenaged swimmer, but for most patients -- young and old - says Dr Chidambaram.
"When there is pain and damage to the bone or muscles we must choose scalpel over sling. The outcomes have been very good. We have done a complete shoulder replacement on an 84-year-old woman and she can rotate her shoulders to 180 degrees," he said.
In the next couple of days, a team of doctors, in association with Indo-German Orthopedic Foundation, will speak to surgeons in the city on why they must not hesitate to use their scalpels. "It's high time we gave the upper limb its due," said hospital chairman Mallika Mohandoss.
"In most developed countries patients go in for surgeries to regain normal movements as soon as they suffer injuries. But people here adjust their range of activity and accept disability just to avoid surgery. The idea of a conference came because we have turned a new leaf in many patients who have remained disabled for long," she said.
Orthopedicans, however, say delayed surgeries can be complicated and expensive. At the meeting, doctors from countries such Germany, Belgium and the Netherlands will discuss shoulder problems. Over 600 participants -- orthopaedic surgeons, physiotherapist and postgraduates - will attend the conference, which will be held on the hospital's Ramapuram campus.
No comments:
Post a Comment