Pioneering unit performing artificial shoulder replacement technique in Nghe An

Nghe An Orthopedic Trauma Hospital effectively applies artificial shoulder replacement technique in treatment. Photo: Dau Huyen

Advanced technology, many outstanding advantages

Mr. LTM, 84 years old, in Con Cuong district (Nghe An) had a domestic accident, causing pain and deformity in the left shoulder and arm area. Mr. M. came to see a doctor atNghe An Orthopedic Trauma Hospitaland concluded: Fracture of the upper end of the left humerus, indicated for partial left shoulder replacement surgery. Mr. M. had a successful partial shoulder replacement surgery by the surgical team of Doctor CK1. Nguyen Song Due and his colleagues. After surgery, the doctor instructed him on physical therapy exercises to reduce pain and swelling; ensuring early function of the shoulder joint.
Mrs. M. happily shared: “Before the surgery, she was very tired and in a lot of pain, especially every time she changed positions. After the surgery, her health improved, and the pain in her shoulder was much less.”

According to Doctor CKI. Nguyen Song Due - Deputy Head of Lower Limbs Department,Nghe An Orthopedic Trauma Hospital: In the past, the treatment of complex fractures of the upper part of the humerus often used the method of combined bone surgery (including closed reduction, percutaneous needle penetration under C-arm guidance, steel wire needle penetration, screw plate with bone graft or boneless graft). However, patients had to face a series of post-operative complications such as displacement, shoulder stiffness, head necrosis and bone fusion device detachment. Artificial partial shoulder replacement surgery was born with many outstanding advantages, overcoming most of the limitations of traditional treatment methods; improving treatment effectiveness. After surgery, patients have a stable shoulder joint, no more pain and a very large range of motion.
In the case of patient TVH, 52 years old, in Quy Hop (Nghe An), Mr. H. had symptoms of severe pain in the right shoulder area, and had been treated in many places without improvement. The pain symptoms persisted, affecting daily activities and work. Mr. H. went to Nghe An Orthopedic Trauma Hospital for examination and was diagnosed with necrosis of the right humeral head and was prescribed shoulder replacement surgery by the doctor.

Artificial shoulder replacement surgery is the surgery to replace a damaged shoulder joint with an artificial shoulder joint with or without bone cement. Surgery is considered when the joint is severely damaged due to osteoarthritis, complex fractures of the upper end of the humerus, causing pain to the patient; greatly affecting the ability to move, work and daily activities. In addition to factors of physical damage to the joint, similar to other joint replacement surgeries, the decision to operate is based on the doctor's professional assessment and the patient's wishes and desires to make the most appropriate decision.

There are two types of shoulder replacement:Total shoulder replacement and partial shoulder replacement. Total shoulder replacement involves replacing the entire glenoid cavity with an artificial glenoid cavity and the humeral head with an artificial humeral head. Partial shoulder replacement involves replacing the humeral head with an artificial humeral head while leaving the glenoid cavity intact because the glenoid cavity is still good.

Preoperative and postoperative X-rays of LTM patients

Advantages of shoulder replacement surgery:

• Effective pain relief for patients.
• Regain normal range of motion and restore damaged shoulder joint function.
• Limit disability for patients.
• The patient recovered quickly, with easy movement of the arm and shoulder.
• Does not affect the joint cavity or surrounding nerves.
• Effectively reduces the risk of infection.

Effective application of shoulder replacement techniques

Artificial shoulder replacement surgery is a specialized technique at the central level, requiring a team of experienced orthopedic trauma doctors, high professional qualifications and modern, synchronous medical facilities. The requirements of the surgery are to replace damaged joint surfaces with artificial physical structures and meet physical requirements such as angular properties, axis, and stability of the joint, ensuring sufficient length of the humerus, and restoring all soft tissues such as the joint capsule and rotator cuff tendons.
To meet these strict requirements, since the end of 2017, Nghe An Orthopedic Trauma Hospital has been one of the leading units in updating and effectively applying this modern technique in treatment. Up to now, the Hospital has received and successfully performed joint replacement surgery for many patients with shoulder joint diseases.
As a pioneer in the province in developing the field of orthopedic trauma surgery and cosmetic plastic surgery, the Hospital has also mastered many specialized and modern techniques in the world and at the central level; well meeting the increasing demand for medical examination and treatment of the people.

NGHE AN ORTHOPEDIC TRAUMA HOSPITAL:

Grade II specialized hospital at provincial level for Orthopedic Trauma - Burns - Cranial and Spinal Nerves - Rehabilitation - Cosmetic Surgery.
Address: 138 Nguyen Phong Sac, Hung Dung Ward, Vinh City (Old Poland Hospital).
Hotline: 08 1664 5656
Website: bvctchna.vn