What does a Balloon have to do with rotator cuff tears? We will explore that in this video!
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- Опубликовано: 11 фев 2022
- The Rotator Cuff Repair Expert Channel is dedicated to educating individuals on rotator cuff injuries, rotator cuff tears, rotator cuff surgery, and rotator cuff rehabilitation. Our channel is a platform that supports our website mybodyprotector.com which aims to provide individuals with the necessary tools and information as they navigate their rotator cuff injury journey. This channel and My Body Protector is the brainchild of orthopedic surgeon, Dan Orcutt, MD. Dr. Orcutt's goal is to provide individuals with the information they need to make better decisions about their health.
I just had the the balloon shoulder surgery done for a non-repairable tendon 12 days ago. I also had a repairable full thickness done as well as a bicep tendon repaired as well. Total of a 3 1/2 hr surgery. Recovery has been going well. Haven’t started PT yet but only had uncomfortable pain for about 2-3 days but manageable and as long as in sling I feel pretty good. Definitely know I’ll have work ahead of me but so far so good.
Good luck in your recovery, Sounds a lot of surgery! Please let us know how you are doing in your recovery. I think the balloon is a great option for alot of people
Sounds like you have the same tendons tore off the bone as I do. I have three tendons that are full sickness tears and severely retracted. My doctor says he's not very confident that this surgery is going to heal. I'm glad to hear you're doing good, my doctor never mentioned a balloon of any sorts
I was wondering where you had the balloon surgery done. I didn't think it was a procedure approved by the FDA in the US?
Could you please give me an update? I am planning on getting this surgery on my unrepairable rotator cuff. I am 29 years old.
See my comment above.@@God_of_Ramen
Like others, I am enjoying your videos which are very informative and educational. Like others, I stumbled upon your channel while researching the surgery I have coming up on 16 March. My tear is a repair of a16 year old previous repair which was full thickness and retracted. The tear now is full thickness of the supraspinatus and retracted 36 mm. Also the infraspinatus is torn. The surgeon's plans are to perform repair with release of the supraspinatus and infraspinatus, using an Allograft possibly. The original tear used a porcine graft which lasted a long time. He plans on doing a suprascapular nerve decompression, subacromial decompression, and distal clavicle excision. He said the subacromial spacer balloon is an option also. The first surgery in 2004 started out to be via arthroscope, but ended up being an open procedure. The doctor now is concerned about adhesions which he will get rid of. He is the Director of the Tulane University Department of Orthopedics, Professor of Clinical Orthopedics, Chief of the Division of Sports Medicine, and Director of the Tulane Institute of Sports Medicine. He spent lots of time explaining the pros and cons of different procedures, and stated I am too young, at 63, for a reverse shoulder replacement but he left muscle transfers on the table if they are needed. He hopes to preform this arthroscopically, but it could end up as an open procedure again. Wish me luck and my prayers go out to all of the patients out there with the same problems.
Wow! Good Luck, sounds like it was challenging last time. Most likely more so this time. Let us know how you are doing in your recovery. Sounds like you are in good hands!
Thank you, I will do that.
Just had it done 11/30/22
So much better
Thanks Dr. DELUISE
Awesome! Let us know how you are doing in your recovery
Very good news for us to know that there are better options out there! Thanks again for such great info!!
Happy to help!
Cool new up coming surgeries!! Fascinating!! Thank you for keeping us informed of new things!! I'll be having my rotater cuff surgery in a week and watching all your videos have made me less anxious!! Thank for all that you do!!
We're glad we could help.! Good luck and let us know how you are doing in your recovery.
You are extremely knowledgeable I really enjoy watching your movies. I just recently had to have surgery for a rotary cuff repair. This procedure that you're talking about is extremely interesting and I thank you very much for sharing that knowledge with us and I appreciate all the other videos that you do. Kind regards Bonnie from Florida
Thanks Bonnie!. Glad we could help. Please let us know how you are recovering!
I had the balloon repair in December, 2022. This procedure has been used overseas for 15 years and just the past year has been approved here in the states. It was only approved at certain facilities. The balloon did dissolve within the 3-6 month time frame and only created a minimal space. I tore the bicep off the bone. Unfortunately, in my situation it made minimal difference. I had PT for 7 months and I only have range of motion but no strength. I am now scheduled for the reverse shoulder repair. I, honestly, wish I had done the reverse surgery instead of wasting 7 months doing PT that really didn’t help. Everyone is different so it may help others. This was just my experience with the ballon surgery.
Becky, thank you for sharing your experience. So sorry the balloon didn't work. Good luck on your reverse TSA! Please consider joining our newsletter. Just email us at dro@mybodyprotector.com and put "yes" in the subject line. We will get you signed up and also give you a couple tip sheets!
Much thanks Dr. Orcutt for all the knowledge you share. I found your channel in 2020 when I had a terrible fall. Resulting in…
( easier to cut n paste) I don’t know all the damage by heart!. 😂
~Full thickness tear in the supraspinatus and full thickness tear infraspinatus rotor cuff tendons.
~Atrophy of the corresponding muscle belly.
~Suspect chronic acromioclavicular joint separation with a tear of the trapezoid portion of the coracoclavicular ligament and acromioclavicular ligament.
~Suspect adhesive ligament
~Suspect anterior labral tear
-Small glenohumeral joint effusion.
While I was not looking forward to a RC surgery I was surprisingly even more disappointed to I would not be a candidate for the surgery because of the severity of my tears.
I see my orthopedic about once every four months to get a Cortizone shot. Each visit we discuss this procedure. He said I would be an excellent candidate. As you stated getting it covered by insurance has been extremely challenging.
PLEASE keep us followers updated.
Much Thanks for all you do! 😊
The Ballon is slowly getting approved by many payors. This will help us as ortho surgeons to have this in our options for more patients. I think it is a great option for many. Ivey, thanks for being a part of our community since 2020. We will continue to strive to meet the needs of this wonderful community!
Thanks for the latest informations
Always welcome!
Having it done May 18. Sure hope it works!
Hey Peggy Good Luck! Please consider joining our newsletter. Just email us at dro@mybodyprotector.com and put "yes" in the subject line. We will get you signed up and also give you a couple tip sheets!
My surgeon just sugested this procedure so I'm glad I foound your page. Pending approval through insurance I hope this will work since I have a repair that has failed and I'm to young for a total replacement.
Lorin, I'm glad you found or page too! I hope you can get it done soon. I have been having pretty good results with it. Good Luck.
Please consider joining our email newsletter for more information and insights. Send an email to info@mybodyprotector.com just put "yes" in the subject line and we will get you signed up!
I’m actually getting this surgery in the next few months through the University of Iowa. Im 50 yrs old with 2 tendons completely torn with 1 that is retracted beyond repair. Hoping to repair one the best they can and doing the ballon for the other.
Good Luck Tom! Let us know how you are doing in your recovery!
Sending you good vibes TOM! As a doctor spoke at the end of the video there has been some setback of insurance companies not covering the procedure. If you have any information you have on that part Of the procedure it would be wonderful if you could share. I am praying that they come up with a positive decision soon. Speaking with my orthopedic this is the ideal surgery for my injury.
Good luck 🍀 Hoping you will share your post surgery experiences with us.
Getting this done soon
Good Luck Pat! Please consider joining our newsletter. Just email us at dro@mybodyprotector.com and put "yes" in the subject line. We will get you signed up and also give you a couple tip sheets!
My surgeon is suggesting that I have the distal clavicle surgery and bursitis clean up done. I don’t have any tear in the rotator cuff. What do most people say about the surgery. What is their quality of life after surgery and would they do it again
I have a no repair shoulder after hearing you talk about this I want the reverse shoulder repair because I don’t want to spend money only for it to work 3 or4 months then realize I need the reverse so I’m sure I would not like the new ballon thanks for showing me the difference
Hi Glenda, thanks for your comment. I am glad we can give you more clarity and understanding. Please consider joining our newsletter. Just email me at dro@mybodyprotector.com and put yes in the subject line and we will get you set up with a few tip sheets as well!
I had a massive rupture of the supra with 2.3 CM retraction. Surgeon was able to pull the tendon back and anchor but she also inserted a Stryker balloon. I am 7 weeks post op and PT tells me I'm at least 2 weeks ahead of rehab protocol. Dr. will MRI me at 3 months and again at 6 months to determine the status of the repair. Long term results have been about a 30% failure rate for the reattachment surgery with a massive tear such as mine. She is going to perform similar procedure on subsequent patients. Based on the results thus far, It's definitively been a positive. We'll see at 6 months when the balloon has dissipated.
Hey Pat, good luck! Hope it goes well. The balloon should not dissipate for 2 yrs and then possibly scarred in, in that position.
Hi Dr. Orcutt!
My question is, in the video you said the balloon reabsorbs in 3-6 months, but then on a comment you say it dissipates in 2 years. Wondering what the length of time really is? My doctor just suggested this balloon implant procedure for me since he says I'm too young for total reverse shoulder replacement surgery.
Why am I considered too young? I'm 55. What are the possible complications with younger age
I just had that done today. Balloon artheoplasty.
Is that the same thing?
Good luck! I think the balloon is a good option. CJ, please consider joining our email newsletter for more information and insights and we will send you 2 Free PDF fact sheets that will help you through your surgery. Send an email to info@mybodyprotector.com just put "yes" in the subject line and we will get you signed up!
Procedure been used successfully in Europe for about 10 years. Rothmans Institute has proposed it for my shoulder condition when I'm ready. None of our local medical operatives know about it.
Bob, I have been using this product for about a year now and have been happy with the results. If the local orthos don't know about it, then yes you should find someone that does. I was a med student when the RI was being formed and did a rotation in Ortho with them. Good group! Please consider joining our email newsletter for more information and insights. Send an email to info@mybodyprotector.com just put "yes" in the subject line and we will get you signed up!
If the benefits are short-term, how long does it take to go back to your normal activities? I have a total rotator cuff tear and a proximal bicep tear. I am a nurse practitioner and struggling between to do or not to do especially I can still workout and have very limited pain.
Adnan, It does not appear, at least in the literature that I have read, that the results are short lived. I think your best bet is to talk to a reputable surgeon in your area that does a lot of rotator cuff repairs ( It shouldn't be that hard to find one since you are an NP). They will need to see your MRI and do a good physical exam to be able to give you your options. Good Luck and let us know how it goes.
The reason it works is that it essentially replaces the CA ligament that “old school” surgeons take down during decompression. That allows the cuff to rehab without the humeral head migrating, thus strengthing the remaining cuff muscles as well as the deltoids so that when the balloon degrades, those muscles are strong enough to keep the head centered in the joint.
Almost, It recreates the depressive forces that the superior rotator cuff create. With a massive tear there is no depressive forces and that leads to superior migration of the head and glenohumeral dysfunction.
@@rotatorcuffexpert Especially if your surgeon stupidly takes down the CA ligament which was perfectly healthy. Leave that intact and you still have that ligament acting as the girdle across the top to prevent upward and forward motion of the glenohumeral head.
My second surgeon specifically said that is why he does not take down a healthy CA ligament in a subacromial decompression due to the liklihood of migration of the head in the joint. Had no idea going in that my first guy was doing harm since he never told me healthy tissue would be cut away to repair a partially torn supra.
@1redearthproductions. Thanks for your comments. The CA ligament does perform a function in the shoulder which is up for debate among orthopedic surgeons. That being said, the main depressor of the humeral head is the superior rotator cuff and that is what the balloon is recreating, the superior rotator cuff, not the CA ligament .
@@rotatorcuffexpert But do you agree that the CAL The CAL acts as a static restraint to superior humeral head migration and load distributor across the shoulder girdle which essentially helps prevent superior and anterior migration? Not sure what the debate is…I will always wonder that if my surgeon had left it intact as my second surgeon says he does during a rotator cuff repair, if I would even be needing an InSpace balloon. What I suspect is the true debate is actually one of ability, not functionality. It just seems wrong to take down perfectly healthy ligamants that have roles to perform, especially when studies have shown that it takes 25-30% more force by the rotator cuff muscles to keep the huneral head centered in absence of the CA ligament, so why in the world would it be taken down if the goal is to regain function after a tear? Regardless, the balloon is my last ditch effort to become pain-free short of a reverse total shoulder which would likely sideline my vocation as a sports photographer. Supporting 10 lbs of gear for hours at a time on a compromosed shoulder or one with a restricted range of motion after a reverse would simply not work for me. I have great range and ok strength after a failed repair and now my supra is unrepairable and when the Regeneten patch disentigrated, it took the infraspinatus with it. And the “dissolvable” staples that should have been absorbed im 3 months? 8 months later they were found floating around in my shoulder still attached to fragments of the collagen patch.
Not sure what the CA debate is, but everything that is done should always be “first, do no harm” when it comes to any surgery. I will always believe that debates like this come down to the skill level and convenience/time needed of a given surgeon. Just an observation from one who wishes his stabilizing ligaments would have been left intact which may have prevent the need for a second, now third, and possibly a fourth surgery just to eliminate my pain.
That being said, you are doing a good thing here. Knowledge is power and had my surgeon told me that he would be cutting away perfectly healthy tissue anytime before I was put to sleep, the first surgery would never have happened because I have had more pain since the initial repair than I had after the accident. And yes, that makes me bitter.
How does this help you regain the movements lost from a complete tear?
2012tunes, It helps mostly with pain, Some improvement in motion as it better centers the humeral head in the shoulder joint. Do you have a rotator cuff tear?
Any updates now that it is FDA approved?
Yes this has been FDA approved. We are still waiting for all insurances to pay for it however.
My doctor may use this balloon and the hospital agreed to absorb cost. Reno, NV
Great! My hospital will do that typically as well. Please consider joining our email newsletter for more information and insights. Send an email to info@mybodyprotector.com just put "yes" in the subject line and we will get you signed up!
Stryker is now using the balloon procedure, they bought it
Yes you are correct. It has been used several times since I posted this video.
But as the doctor said getting it covered by insurance has been extremely difficult since it was approved by the FDA in July. I think there is some complication of where the procedure will be done. As an inpatient or an outpatient. Also the device I hear is rather expensive. I pray they come up with some thing very soon
I had the balloon,failed twice.
Oh no, so sorry! So what is your next step David?
@@rotatorcuffexpert Hi,
I've been told by a very well respected UK shoulder surgeon that a substantial decompression should never be performed when using a balloon,mine migrated and burst,2nd balloon insertion,when I woke up my arm felt locked,moved it slightly..snap..then my bicep turned purple..sure the balloon migrated and jammed my shoulder.
I've been told the decompression would have made the space too large.
What are your thoughts on this?
Recently waited for 6 months after 2nd balloon was removed..superior capsular reconstruction..10 weeks post operation.
My shoulder is ruined.
Expensive? Can they just use breast implant bags? Lol just kidding
Ha Ha, those are expensive too!
@@rotatorcuffexpert 😆🤭