{"id":1558,"date":"2023-06-13T18:03:12","date_gmt":"2023-06-13T18:03:12","guid":{"rendered":"http:\/\/cyprusorthopaedics.cy\/?page_id=1558"},"modified":"2024-12-19T16:03:02","modified_gmt":"2024-12-19T14:03:02","slug":"arthroscopic-or-open-acj-stabilisation","status":"publish","type":"page","link":"https:\/\/cyprusorthopaedics.cy\/el\/arthroscopic-or-open-acj-stabilisation\/","title":{"rendered":"\u0391\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae \u03ae \u03b1\u03bd\u03bf\u03b9\u03ba\u03c4\u03ae \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 ACJ"},"content":{"rendered":"<div data-elementor-type=\"page\" data-elementor-id=\"1558\" class=\"elementor elementor-1558\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9e9f4fe elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"9e9f4fe\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6d37676\" data-id=\"6d37676\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e79270 elementor-widget elementor-widget-heading\" data-id=\"5e79270\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">\u0391\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae \u03ae \u03b1\u03bd\u03bf\u03b9\u03ba\u03c4\u03ae \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 ACJ<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0f8859b elementor-widget elementor-widget-spacer\" data-id=\"0f8859b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6fef3e elementor-widget elementor-widget-heading\" data-id=\"a6fef3e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">The procedure is performed to treat symptoms of instability of the shoulder. It is appropriate when the damage to the shoulder mainly involves the soft tissues such as the labrum (the \u201cbumper\u201d around the socket) or the capsule (sleeve of ligaments).<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-932dec7 elementor-widget elementor-widget-spacer\" data-id=\"932dec7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2c819a3 elementor-widget elementor-widget-image\" data-id=\"2c819a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"528\" src=\"https:\/\/cyprusorthopaedics.cy\/wp-content\/uploads\/2023\/05\/surgery-1024x676.jpg\" class=\"attachment-large size-large wp-image-472\" alt=\"\u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u039a\u03cd\u03c0\u03c1\u03bf\u03c2 \u039f\u03c1\u03b8\u03bf\u03c0\u03b5\u03b4\u03b9\u03ba\u03ae\" srcset=\"https:\/\/cyprusorthopaedics.cy\/wp-content\/uploads\/2023\/05\/surgery-1024x676.jpg 1024w, https:\/\/cyprusorthopaedics.cy\/wp-content\/uploads\/2023\/05\/surgery-300x198.jpg 300w, https:\/\/cyprusorthopaedics.cy\/wp-content\/uploads\/2023\/05\/surgery-768x507.jpg 768w, https:\/\/cyprusorthopaedics.cy\/wp-content\/uploads\/2023\/05\/surgery.jpg 1280w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ebb71c elementor-widget elementor-widget-spacer\" data-id=\"5ebb71c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c49d856 elementor-widget elementor-widget-accordion\" data-id=\"c49d856\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2061\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2061\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u03a0\u03ce\u03c2 \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03b5\u03af\u03c4\u03b1\u03b9 \u03b7 \u03b4\u03b9\u03b1\u03b4\u03b9\u03ba\u03b1\u03c3\u03af\u03b1;<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2061\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2061\"><p>The procedure is performed under a combination of general and regional anaesthesia. The joint is examined under anaesthesia to test stability. An arthroscope is inserted into the joint and the inside of the joint is examined. The torn labrum and ligaments may be scarred down and are mobilised to allow them to be repaired in the appropriate location. The rim of the socket is scraped to promote bleeding and facilitate healing. The labrum and capsule is then fixed back to bone with suture anchors (small devices with sutures that are embedded in bone). In some instances if there is a large defect affecting the ball of the joint (Hill-Sachs lesion), the adjacent tendon is repaired into the defect (\u201cremplissage\u201d).<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2062\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2062\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03ba\u03c4\u03b9\u03ba\u03ad\u03c2 \u03bb\u03cd\u03c3\u03b5\u03b9\u03c2<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2062\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2062\"><p>The alternatives to surgery are to do nothing or continue with physiotherapy and exercises. There is evidence to suggest that with repeated dislocations there is progressive damage to the joint.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2063\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2063\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u039f\u03c6\u03ad\u03bb\u03b7<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2063\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2063\"><p>The main benefit of the procedure is to repair the damage, restore stability and improve the function of the joint. More than 85% of patients achieve benefit from surgery.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2064\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2064\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u039a\u03af\u03bd\u03b4\u03c5\u03bd\u03bf\u03b9<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2064\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2064\"><p><strong>\u03a0\u03cc\u03bd\u03bf\u03c2<\/strong>\u00a0- \u039f \u03ce\u03bc\u03bf\u03c2 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b5\u03af\u03bd\u03b1\u03b9 \u03b5\u03c0\u03ce\u03b4\u03c5\u03bd\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03bc\u03b5\u03c1\u03b9\u03ba\u03ad\u03c2 \u03b5\u03b2\u03b4\u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7. \u0391\u03c5\u03c4\u03cc \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b1\u03bd\u03c4\u03b9\u03bc\u03b5\u03c4\u03c9\u03c0\u03af\u03b6\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03b7 \u03bb\u03ae\u03c8\u03b7 \u03ba\u03b1\u03c4\u03ac\u03bb\u03bb\u03b7\u03bb\u03c9\u03bd \u03b1\u03bd\u03b1\u03bb\u03b3\u03b7\u03c4\u03b9\u03ba\u03ce\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c4\u03c1\u03bf\u03c0\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03bf\u03c4\u03ae\u03c4\u03c9\u03bd.<\/p><p><strong>\u03a0\u03c1\u03ae\u03be\u03b9\u03bc\u03bf<\/strong>\u00a0- \u039a\u03b1\u03c4\u03ac \u03c4\u03b7 \u03b4\u03b9\u03ac\u03c1\u03ba\u03b5\u03b9\u03b1 \u03c4\u03b7\u03c2 \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7\u03c2, \u03b7 \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03b4\u03b9\u03b1\u03c3\u03c4\u03ad\u03bb\u03bb\u03b5\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c6\u03c5\u03c3\u03b9\u03bf\u03bb\u03bf\u03b3\u03b9\u03ba\u03cc \u03bf\u03c1\u03cc \u03ba\u03b1\u03b9 \u03b1\u03c5\u03c4\u03cc \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03bf\u03b4\u03b7\u03b3\u03ae\u03c3\u03b5\u03b9 \u03c3\u03c4\u03bf \u03bd\u03b1 \u03c0\u03b1\u03c1\u03b1\u03bc\u03b5\u03af\u03bd\u03b5\u03b9 \u03bf \u03ce\u03bc\u03bf\u03c2 \u03c0\u03c1\u03b7\u03c3\u03bc\u03ad\u03bd\u03bf\u03c2 \u03b3\u03b9\u03b1 \u03bc\u03af\u03b1 \u03ae \u03b4\u03cd\u03bf \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7.<\/p><p><strong>\u0391\u03b9\u03bc\u03bf\u03c1\u03c1\u03b1\u03b3\u03af\u03b1<\/strong>\u00a0- \u039c\u03b9\u03b1 \u03bc\u03b9\u03ba\u03c1\u03ae \u03c0\u03bf\u03c3\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03b9\u03bc\u03bf\u03c1\u03c1\u03b1\u03b3\u03af\u03b1\u03c2 \u03b1\u03c0\u03cc \u03c4\u03b1 \u03c3\u03b7\u03bc\u03b5\u03af\u03b1 \u03c4\u03b7\u03c2 \u03b1\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae\u03c2 \u03c0\u03cd\u03bb\u03b7\u03c2 \u03b4\u03b5\u03bd \u03b5\u03af\u03bd\u03b1\u03b9 \u03b1\u03c3\u03c5\u03bd\u03ae\u03b8\u03b9\u03c3\u03c4\u03b7 \u03ba\u03b1\u03b9 \u03c3\u03c5\u03bd\u03ae\u03b8\u03c9\u03c2 \u03b8\u03b1 \u03c5\u03c0\u03bf\u03c7\u03c9\u03c1\u03ae\u03c3\u03b5\u03b9 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03bc\u03af\u03b1 \u03ae \u03b4\u03cd\u03bf \u03b7\u03bc\u03ad\u03c1\u03b5\u03c2.<\/p><p><strong>\u0391\u03ba\u03b1\u03bc\u03c8\u03af\u03b1<\/strong>\u00a0\u2013 Some degree of stiffness is to be expected in the first few weeks after surgery. Prevention is the key and it is essential to follow the instructions provided by the physiotherapist and perform daily stretching within the limits imposed to maintain the range of movements.<\/p><p><strong>Chondrolysis<\/strong>\u00a0\u2013 Damage to the gristle of the joint has been reported after the use of thermal shrinkage of the capsule or use of intra-articular pain catheters. We do not use thermal shrinkage or intra-articular pain catheters.<\/p><p><strong>\u0392\u03bb\u03ac\u03b2\u03b7 \u03c5\u03bb\u03b9\u03ba\u03bf\u03cd<\/strong>\u00a0\u2013 Suture anchors may rarely work loose from the bone. This may require further surgery to remove the loose anchors.<\/p><p><strong>\u039c\u03cc\u03bb\u03c5\u03bd\u03c3\u03b7<\/strong>\u00a0- \u0397 \u03bb\u03bf\u03af\u03bc\u03c9\u03be\u03b7 \u03b5\u03af\u03bd\u03b1\u03b9 \u03bc\u03b9\u03b1 \u03c0\u03b9\u03b8\u03b1\u03bd\u03cc\u03c4\u03b7\u03c4\u03b1 \u03b1\u03bb\u03bb\u03ac \u03b5\u03af\u03bd\u03b1\u03b9 \u03c3\u03c0\u03ac\u03bd\u03b9\u03b1 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03bf\u03c0\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7.<\/p><p><strong>\u03a5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae<\/strong>\u00a0\u2013 Occasionally the labrum may fail to heal or may tear again following a further injury resulting in recurrence of symptoms. The risk of this is less than 10%. This is likely to require further surgery.<\/p><p><strong>Nerve or blood vessel injury\u00a0<\/strong>- \u0391\u03c5\u03c4\u03cc \u03b5\u03af\u03bd\u03b1\u03b9 \u03b4\u03c5\u03bd\u03b1\u03c4\u03cc \u03b1\u03bb\u03bb\u03ac \u03c3\u03c0\u03ac\u03bd\u03b9\u03bf.<\/p><p><strong>Open surgery\u00a0<\/strong>\u2013 The need to convert to an operation is rare but may become necessary if technical issues are encountered during the operation.<\/p><p><strong>Reoperation<\/strong>\u00a0&#8211; If the labrum is deficient or if there is glenoid bone loss it may be necessary to undertake\u00a0<a href=\"\/el\/bone-block-procedure-for-shoulder-instability\/\" target=\"_blank\" rel=\"noopener\"><strong>bone block surgery<\/strong><\/a>\u00a0and this may be deferred to a later stage.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2065\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-2065\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u039c\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03af\u03b8\u03b1\u03bb\u03c8\u03b7<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2065\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-2065\"><ul><li>Following the procedure the arthroscopy portal sites (skin incisions) will be closed with sutures and tape and covered with shower-proof dressings. These dressings should be left undisturbed as far as possible for 5-7 days. If the dressings are removed for any reason they should be replaced with similar dressings or waterproof plasters. The shoulder may also be covered with an absorbent pad (or a nappy) that will be removed the day after surgery.<\/li><\/ul><ul><li>Prior to discharge from hospital a physiotherapist will provide instructions about looking after the shoulder. You will be advised to protect the shoulder by wearing a special sling for 3 weeks and intermittently performing limited movements of the shoulder. After 3 weeks you may stop wearing the sling during the day and will be allowed to move the shoulder actively through a greater range. You may resume driving at 4 weeks. Strengthening exercises are started after 6 weeks. Outpatient physiotherapy will be arranged and may need to be continued for 6-12 months.<\/li><\/ul><ul><li>For detailed instructions on rehabilitation click\u00a0<strong><a href=\"\/el\/rehabilitation-after-shoulder-stabilisation-or-labral-repair\/\" target=\"_blank\" rel=\"noopener\">\u03b5\u03b4\u03ce<\/a><\/strong>.<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2066\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-2066\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u0395\u03c0\u03b1\u03bd\u03ac\u03bb\u03b7\u03c8\u03b7 \u03c4\u03b7\u03c2 \u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1\u03c2, \u03c4\u03b7\u03c2 \u03bf\u03b4\u03ae\u03b3\u03b7\u03c3\u03b7\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03c9\u03bd \u03b4\u03c1\u03b1\u03c3\u03c4\u03b7\u03c1\u03b9\u03bf\u03c4\u03ae\u03c4\u03c9\u03bd<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2066\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-2066\"><ul><li>Office duties may be resumed within 3 weeks.<\/li><li>Manual tasks should be avoided for at least 4 months.<\/li><li>You will be able to resume driving at 4 weeks.<\/li><\/ul><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2067\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-2067\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-2067\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-2067\"><p>An appointment will be arranged for you at 2-4 weeks after the procedure. Follow-up is required for at least 12 months after surgery or until a satisfactory recovery is achieved.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f273dbb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f273dbb\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5b04d66\" data-id=\"5b04d66\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-97eda9c elementor-align-center elementor-widget elementor-widget-button\" data-id=\"97eda9c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/el\/%ce%b5%cf%80%ce%b1%cf%86%ce%ae\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">\u039a\u03bb\u03b5\u03af\u03c3\u03c4\u03b5 \u03c1\u03b1\u03bd\u03c4\u03b5\u03b2\u03bf\u03cd<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Arthroscopic or Open ACJ Stabilisation The procedure is performed to treat symptoms of instability of the shoulder. It is appropriate when the damage to the shoulder mainly involves the soft tissues such as the labrum (the \u201cbumper\u201d around the socket) or the capsule (sleeve of ligaments). How is the procedure performed? The procedure is performed <a class=\"moretag\" href=\"https:\/\/cyprusorthopaedics.cy\/el\/arthroscopic-or-open-acj-stabilisation\/\">[Read More]<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1558","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/pages\/1558","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/comments?post=1558"}],"version-history":[{"count":10,"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/pages\/1558\/revisions"}],"predecessor-version":[{"id":4480,"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/pages\/1558\/revisions\/4480"}],"wp:attachment":[{"href":"https:\/\/cyprusorthopaedics.cy\/el\/wp-json\/wp\/v2\/media?parent=1558"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}