Direct Anterior Approach

The anterior approach is an approach to the front of the hip joint as opposed to a side or back approach.  Rehabilitation may be accelerated and hospital time decreased because the hip is replaced without detachment of muscle from the pelvis or femur.

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Total Joint Replacement (TJR)

Total joint replacement is a surgical procedure in which certain parts of an arthritic or damaged joint are removed and replaced with an artificial joint, which is designed to move just like a healthy joint.

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Shoulder Arthroscopy

The shoulder is the most mobile large joint in the human body and is often injured by athletes of all ages. Common injuries include rotator cuff tears, dislocation and labral tears. Most sports injuries requiring surgical intervention can be managed arthroscopically (minimally invasive).

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Shoulder Arthroscopy in El Paso TX

Shoulder Arthroscopy in El Paso TXShoulder arthroscopy involves the use of minimally invasive techniques to diagnose and treat injuries to the rotator cuff, bursa, or ball-and-socket joint. During such a procedure, Dr. Ingram will apply a set of minimal incisions to the shoulder, through which a small camera wil be inserted into the joint. A video of the structure’s interior will be broadcast to a monitor within the operating room, allowing for successful injury diagnosis, and if possible, immediate correction.

As the arthroscopic approach employs very small cuts, rather than a large and open incision, procedural recovery times are often shorter in duration. Likewise, lower levels of post-op pain are reported, allowing for a more comfortable patient experience.

Conditions for Repair

The symptoms of shoulder conditions vary according to specific damage location and severity. Causes may include a single traumatic injury, arthritis, exhaustive overuse, or aging-associated wear-and-tear. Inflammation and progressive pain are amongst the most commonly reported symptoms, as tendons, cartilage, and other soft tissues become irritated.

Upon the initial diagnosis of shoulder damage, Dr. Ingram will likely recommend a regimen of non-invasive treatment approaches, including: rest, anti-inflammatory and pain medications, and physical therapy. If the desired level of relief is not achieved, one of the following arthroscopic efforts may be recommended:

  • Repair of damage to the rotator cuff and/or ligaments
  • Removal of bone spurs, inflamed tissue, cysts, or loose cartilage
  • Repair and/or removal of the labrum

Another common focus for arthroscopic intervention is the correction and ongoing prevention of recurrent full or partial shoulder dislocation.

The Arthroscopic Procedure

If arthroscopic surgery is required, the procedure will most likely be performed on an outpatient basis, and require only regionalized anesthesia. Based on the unique injury case and overarching patient health, Dr. Ingram will determine whether a more comprehensive anesthetic or overnight stay is recommended.

During the operation, a fluid injection will be used to inflate the joint area for an eased viewing of its internal structures and any associated damage. As the incisions are applied and the camera inserted, special efforts will be made to minimize associated bleeding. Once the extent and type of damage is fully assessed, Dr. Ingram may insert other small tools (such as razors, scissors, or lasers) to implement immediate correction.

If more comprehensive damage is identified during the procedure, either followup arthroscopic intervention, or a more in-depth surgical intervention may be suggested.

Post-Op Recovery

Following shoulder surgery, it is important to take a gradual approach to rebuilding joint strength, allowing for the avoidance of over exhaustion or re-injury. Based on both injury and procedural specifics, Dr. Ingram will recommend a regimen of both at-home exercises and formal physical therapy, as well as the short-term use of medications for pain and inflammation reduction.

While the risks associated with arthroscopic shoulder surgery are minimal, any unusual swelling, discoloration, radiating pain, or other unexpected symptoms should be reported to the orthopaedic team immediately. Full recovery may require several months of attentive rehabilitative care.

Shoulder Arthroscopy in El Paso

Dr. Ingram is an orthopaedic and sports medicine expert who specializes in the non-invasive treatment of joint injuries. To schedule an appointment, contact his El Paso TX office at (915) 533-7465.