Himchan Hospital's rotator cuff rupture, shoulder retrograde artificial joint surgery effective...Less bleeding, less surgery time
May 22, 2025
The shoulder joint is the only joint that can rotate 360 degrees and has an essential structure for various movements in everyday life. However, due to the complex structure in which multiple muscles, ligaments, and bones are organically connected, excessive use can lead to diseases such as rotator cuff rupture and shoulder arthritis.
In particular, after middle age, degenerative changes can weaken muscles and tendons around the shoulders and cause cartilage to wear, making it difficult to lift the arm or cause pain.
The shoulder rotator cuff is composed of four muscles around the shoulder joint: the maxillary muscle, the parietal muscle, the distal muscle, and the scapular muscle, which play an important role in shoulder movement. The rotator cuff rupture is a typical shoulder disease, and if the rotator cuff, which is a shoulder tendon, is damaged, it is limited in the movement of the arm along with pain.
According to data from the Health Insurance Review and Assessment Service, the number of patients with rotator cuff rupture (rotator cuff syndrome) is steadily increasing from 825,083 in 2019 to 89,024 in 2023. It is often affected by rapidly progressing shoulder arthritis after leaving rotator cuff rupture unattended
Choi Kyung-won, director of Himchan Hospital's Shoulder Clinic (Orthopedic Surgeon), said "If arthritis progresses with the rotator cuff tendon curled inside after rupture, it is difficult to suture surgery, so shoulder artificial joint surgery can be an alternative."There are two types of artificial joint surgery that applies to the shoulders: general artificial joint surgery and retrograde artificial joint surgery. "
◇High satisfaction with shoulder retrograde artificial joint surgery
General artificial joint surgery is a method that replaces the original joint as much as possible, and is applied when the tendon is not damaged and only the cartilage is worn. On the other hand, retrograde artificial joint surgery is a surgical method designed to insert an artificial joint in the opposite shape to the anatomical structure of the shoulder joint so that the deltoid muscle can lift the arm instead of the ruptured rotator cuff tendon.
In the case of shoulders, the frequency of tendon damage is very high compared to arthritis, and in most older patients, rotator cuff rupture is often present, so most shoulder artificial joint surgery can be considered retrograde artificial joint surgery.
Retrograde artificial joint surgery can solve joint deformation and irreparable tendon rupture that are difficult to completely heal with a single operation, and the prognosis of surgery is also very good, and patients are highly satisfied.
If chronic pain caused by extensive rupture of the rotator cuff or shoulder osteoarthritis persists for more than six months, osteonecrosis of the shoulder joint occurs, retrograde artificial joint surgery should be considered if the range of motion of the shoulder is limited or interferes with daily activities.
Retrograde artificial joint surgery time varies depending on the patient's condition, the experience of the surgeon, and the type of artificial joint (implant) used, but it is generally reported to take 90 to 120 minutes. Like artificial joint surgery in other areas such as knees and hip joints, retrograde artificial joint surgery is more likely to have various variables as the operation time increases, increasing the risk of infection. In addition, side effects such as nerve damage, hematoma and bleeding, and dislocation may occur.
◇It is important to reduce the operation time, close teamwork, and proficiency of the guide
In the meantime, Himchan Hospital surveyed patients who recently underwent retrograde artificial joint surgery and found that the operation time was significantly reduced compared to normal operation time. According to a survey of 85 patients (24 males, 61 females, and an average age of 74.8 years) who underwent retrograde artificial joint surgery from March 2024 to March 2025, the average operation time was 49.6 minutes and the amount of bleeding was 235.9ml. The total time including the suture of the surgical site is about 65 to 70 minutes, which is about 25 to 50 minutes shorter than the normal operation time.
Choi Kyung-won, director of Himchan Hospital's Shoulder Clinic, explained, "Shortening the operation time reduces risk factors such as infection to prevent complications and reduce the amount of bleeding during surgery, thereby reducing the burden on patients. The surgeon's expertise, proficiency, and systematic surgical system play an important role in shortening the operation time. Above all, a quick and successful operation can be expected when the surgeon can focus on the operation through close teamwork among operating room staff."
Han Soo-young, a nurse at Himchan Hospital's surgical team, said, `Usually, the surgery is prepared and executed mainly by the team, but since we have been working together for a long time, the surgeon and the operating room staff cooperate organically at the surgical site.' `The surgical assistant nurses and scrub nurses who have extensive experience in the operating room perform their roles naturally according to the surgical process, and the loss time that can occur during the operation is also a major factor that has shortened the operation time.'
In particular, after middle age, degenerative changes can weaken muscles and tendons around the shoulders and cause cartilage to wear, making it difficult to lift the arm or cause pain.
The shoulder rotator cuff is composed of four muscles around the shoulder joint: the maxillary muscle, the parietal muscle, the distal muscle, and the scapular muscle, which play an important role in shoulder movement. The rotator cuff rupture is a typical shoulder disease, and if the rotator cuff, which is a shoulder tendon, is damaged, it is limited in the movement of the arm along with pain.
According to data from the Health Insurance Review and Assessment Service, the number of patients with rotator cuff rupture (rotator cuff syndrome) is steadily increasing from 825,083 in 2019 to 89,024 in 2023. It is often affected by rapidly progressing shoulder arthritis after leaving rotator cuff rupture unattended
Choi Kyung-won, director of Himchan Hospital's Shoulder Clinic (Orthopedic Surgeon), said "If arthritis progresses with the rotator cuff tendon curled inside after rupture, it is difficult to suture surgery, so shoulder artificial joint surgery can be an alternative."There are two types of artificial joint surgery that applies to the shoulders: general artificial joint surgery and retrograde artificial joint surgery. "
◇High satisfaction with shoulder retrograde artificial joint surgery
General artificial joint surgery is a method that replaces the original joint as much as possible, and is applied when the tendon is not damaged and only the cartilage is worn. On the other hand, retrograde artificial joint surgery is a surgical method designed to insert an artificial joint in the opposite shape to the anatomical structure of the shoulder joint so that the deltoid muscle can lift the arm instead of the ruptured rotator cuff tendon.
In the case of shoulders, the frequency of tendon damage is very high compared to arthritis, and in most older patients, rotator cuff rupture is often present, so most shoulder artificial joint surgery can be considered retrograde artificial joint surgery.
Retrograde artificial joint surgery can solve joint deformation and irreparable tendon rupture that are difficult to completely heal with a single operation, and the prognosis of surgery is also very good, and patients are highly satisfied.
If chronic pain caused by extensive rupture of the rotator cuff or shoulder osteoarthritis persists for more than six months, osteonecrosis of the shoulder joint occurs, retrograde artificial joint surgery should be considered if the range of motion of the shoulder is limited or interferes with daily activities.
Retrograde artificial joint surgery time varies depending on the patient's condition, the experience of the surgeon, and the type of artificial joint (implant) used, but it is generally reported to take 90 to 120 minutes. Like artificial joint surgery in other areas such as knees and hip joints, retrograde artificial joint surgery is more likely to have various variables as the operation time increases, increasing the risk of infection. In addition, side effects such as nerve damage, hematoma and bleeding, and dislocation may occur.
◇It is important to reduce the operation time, close teamwork, and proficiency of the guide
In the meantime, Himchan Hospital surveyed patients who recently underwent retrograde artificial joint surgery and found that the operation time was significantly reduced compared to normal operation time. According to a survey of 85 patients (24 males, 61 females, and an average age of 74.8 years) who underwent retrograde artificial joint surgery from March 2024 to March 2025, the average operation time was 49.6 minutes and the amount of bleeding was 235.9ml. The total time including the suture of the surgical site is about 65 to 70 minutes, which is about 25 to 50 minutes shorter than the normal operation time.
Choi Kyung-won, director of Himchan Hospital's Shoulder Clinic, explained, "Shortening the operation time reduces risk factors such as infection to prevent complications and reduce the amount of bleeding during surgery, thereby reducing the burden on patients. The surgeon's expertise, proficiency, and systematic surgical system play an important role in shortening the operation time. Above all, a quick and successful operation can be expected when the surgeon can focus on the operation through close teamwork among operating room staff."
Han Soo-young, a nurse at Himchan Hospital's surgical team, said, `Usually, the surgery is prepared and executed mainly by the team, but since we have been working together for a long time, the surgeon and the operating room staff cooperate organically at the surgical site.' `The surgical assistant nurses and scrub nurses who have extensive experience in the operating room perform their roles naturally according to the surgical process, and the loss time that can occur during the operation is also a major factor that has shortened the operation time.'
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This article was translated by Naver AI translator.
