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Shoulder Replacement Tips

Shoulder Replacement - Know Forms Of It!

Shoulder Replacement - Know Forms Of It!

A shoulder replacement surgery is performed when your shoulder is so seriously injured that it has to be changed for normal functioning to continue. It may also happen when the bones of the joints are so badly broken that they cannot be fixed in a way that your shoulder can function properly. Apart from bone fractures or sudden injuries, some diseases like crippling arthritis can require you to undergo this surgery. It should only be done if the condition cannot be fixed with the help of physiotherapy, exercise or medication first.

It is advised that patients undergo this surgery with shoulder surgeons trained for this surgery.

Types of shoulder replacement surgery

There are several types of shoulder replacement surgery. They are-

• Total replacement surgery - This surgery is more commonly done than the other types. The joint at the shoulder is a ball and socket joint, meaning a ball-like bone fits into a socket-like joint. In this surgery the ball is replaced with a metal ball and the bony socket with metal socket with a plastic component in between.

• Partial replacement surgery - In this type of surgery, only the bony ball is operated upon and replaced with a metal ball.

• Reverse replacement surgery - In this procedure, a bony ball is replaced with metal cup and the bony cup is replaced with metal ball i.e the alignment of the joint is reversed. This surgery is done in elderly patients with arthritis due to neglected rotator cuff tears or in shoulder fractures which badly broken bones. These patients usually have very little movement in the shoulder

Things you can do before surgery to facilitate the process

• You should get diagnostic tests done well in advance, like X-rays and related imaging.
• You should cut down on the level of your addictions, like smoking and drinking.
• The doctor will ask you to reduce intake of certain medicines like painkillers.

Recovery after shoulder replacement

  1. The stay in hospital is usually 2-3 days. Advanced pain management techniques are used nowadays for virtually painless experience after surgery.
  2. Usually shoulder movements are started after pain relief.
  3. Patients are able to do daily activities in 3 weeks but lifting hand overhead may take some weeks thereafter.
  4. You should ask a friend or relative to help you with daily tasks around the house, and for transport for the first few weeks.
  5. Supervised rehabilitation under an experienced physiotherapist is a must.
  6. Many patients gain near normal function and are able to do daily activities of living.
  7. You will need to change your daily routine a bit, like avoid putting heavy strain on the shoulders or lifting weights.

Knowing More About Shoulder Pain!

Knowing More About Shoulder Pain!

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch/wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In the case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromioclavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of the shoulder can cause shoulder pain due to...

  • Bankart lesion
  • Hill-Sachs lesion

Diagnose Shoulder Pain-

Shoulder pain can be diagnosed only after a thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain-

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions --

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis --

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle-aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Remember "a stitch in time saves nine"

Knee And Shoulder Surgery - When Is It Required?

Knee And Shoulder Surgery - When Is It Required?

The knees and shoulder are two of the most prominent joints in the human body. While the shoulder is known as the most flexible joint, the knee is the strongest joint. These joints are susceptible to a number of issues. Depending on the problem, it may be treated non-surgically or surgically. In some cases, delaying surgical treatment can cause more trouble in the long run. Hence, it is important to get a clear diagnosis as early as possible.

Shoulder issues that require surgery
Partial or complete rotator cuff tears are issues that require surgical treatment. This involves repairing the rotator cuff and removing spurs from the underside of the joint. Patients suffering from frequent shoulder dislocations may also be advised surgery. This can be performed arthroscopically or through open surgery. This type of surgery ideally should be followed by physical therapy. Another issue related to the shoulder that may require surgery is multiple shoulder fractures or fracturing of the humerus head. As with the shoulder joint, multiple fractures may also need surgery. Patients suffering from osteoarthritis or rheumatoid arthritis that causes pain in the shoulder and restricts movement may be advised to undergo a shoulder replacement surgery. This may involve replacing the entire socket or replacing only the head of the humerus.

Knee issues that require surgery
Knee surgery may be advised to treat many different conditions that cause knee pain. Osteoarthritis is one of the most common of such conditions. Other such conditions that may involve knee surgery are:

  1. Tendonitis that causes the knee joint to become inflamed. Surgery can prevent it from recurring.
  2. An acute injury susceptible to further complications.
  3. Ligament tears, in particular, an ACL injury which requires reconstruction of the ligament that involves removing the damaged ligament and replacing it with a tendon from another part of the body.
  4. Repairing a damaged tendon in the knee is sometimes done by surgery.
  5. Realigning the kneecap in cases of lateral release.

If the bones and cartilage in the knee joint are damaged beyond repair, a knee replacement surgery may be advised. In some cases, only a partial knee replacement may be needed.

These surgeries are considered quite safe but as with any other surgery, there are a few side effects and risks associated with them. Temporary pain/swelling of the joint is the most common amongst these but it typically resolves itself in a few days.

3972 people found this helpful

Primary & Reverse Shoulder Replacement Surgery - What Should You Be Aware Of?

Primary & Reverse Shoulder Replacement Surgery - What Should You Be Aware Of?

Shoulder replacement surgery is less common than knee replacement surgery.  It helps with the shoulder joint pain and easy movement of the shoulder. More people are emerging to opt for shoulder replacement surgery. More and more people are taking the benefit of shoulder replacement surgery to relieve pain and dislocation.

The shoulder is made up of mainly three bones: upper arm bone, collarbone, and shoulder blade to attach them. The head of the upper arm bone is attached to a small round socket also known as glenoid. Basically, the shoulder is a ball and socket joint.

The surfaces of the bones where they attach themselves are filled with articular cartilage. The fluid helps in the movement of the bones without friction and protects them. The joint is then covered in muscles, tendons, and tissue that keeps the shoulder socket in place and helps in the smooth movement of the shoulder joint. The rotator cuff keeps the arm bones attached to the socket and enables you to rotate your arms and shoulders with ease.

In the primary shoulder replacement surgery, surgeons use the artificial prosthesis for treating shoulder. The damaged or injured parts are removed and replaced with new artificial parts, mainly made of the prosthesis. The anatomy is the same as the shoulder after surgery, the only difference is the artificial parts. A plastic cup is fitted in the shoulder socket and a ball is attached on the upper arm bone for rotating and movement of the arms and shoulders.

However, in the reverse shoulder replacement surgery, doctors work in reverse mode. Due to the injury in the rotating cuff and tearing of the tissue, the metal ball cannot be fitted to the upper arm bone. For this reason, doctors use reverse shoulder replacement surgery for the patients in which a rotating metal ball is fixed to the shoulder socket and a plastic cup is attached to the upper arm bone. Reverse surgery has opted for patients with shoulder arthritis, and arthropathy for patients for which rotator cuffs do not function. The surgery is relied upon deltoid muscle to stabilize the arm and easy movement.

The doctors diagnosed the patients with care. The type of surgery largely depends upon the condition of the shoulder of the patients. Reverse shoulder replacement surgery is very common these days. Many of the patients who suffer from rotator cuff damage can benefit from the surgery.

After the surgery, the patient is supposed to wear a sling to give support to the arm and shoulder. The sling helps the surgery site a time to heal. With proper and timely follow up with the doctor and performing the physical exercise as suggested by the doctors, patients can recover from the surgery in just a couple of months. Physical therapy is recommended by doctors for fast recovery and proper placement of shoulder parts. Thousands of patients have benefited from shoulder replacement surgery in recent times. The follow-up doctors monitor the movement, rotation, and function of the shoulder for a period of six months, to ascertain the viability and acceptance of surgery by the body.

3512 people found this helpful

Knee And Shoulder Surgery - What All Should You Know?

Knee And Shoulder Surgery - What All Should You Know?

The knees and shoulder are two of the most prominent joints in the human body. While the shoulder is known as the most flexible joint, the knee is the strongest joint. These joints are susceptible to a number of issues. Depending on the problem, it may be treated non-surgically or surgically. In some cases, delaying surgical treatment can cause more trouble in the long run. Hence, it is important to get a clear diagnosis as early as possible.

Shoulder issues that require surgery
Partial or complete rotator cuff tears are issues that require surgical treatment. This involves repairing the rotator cuff and removing spurs from the underside of the joint. Patients suffering from frequent shoulder dislocations may also be advised surgery. This can be performed arthroscopically or through open surgery. This type of surgery ideally should be followed by physical therapy. Another issue related to the shoulder that may require surgery is multiple shoulder fractures or fracturing of the humerus head. As with the shoulder joint, multiple fractures may also need surgery. Patients suffering from osteoarthritis or rheumatoid arthritis that causes pain in the shoulder and restricts movement may be advised to undergo a shoulder replacement surgery. This may involve replacing the entire socket or replacing only the head of the humerus.

Knee issues that require surgery
Knee surgery may be advised to treat many different conditions that cause knee pain. Osteoarthritis is one of the most common of such conditions. Other such conditions that may involve knee surgery are:

  1. Tendonitis that causes the knee joint to become inflamed. A surgery can prevent it from recurring.
  2. An acute injury susceptible to further complications.
  3. Ligament tears, in particular, an ACL injury which requires reconstruction of the ligament that involves removing the damaged ligament and replacing it with a tendon from another part of the body.
  4. Repairing a damaged tendon in the knee is sometimes done by surgery.
  5. Realigning the kneecap in cases of lateral release.

If the bones and cartilage in the knee joint are damaged beyond repair, a knee replacement surgery may be advised. In some cases, only a partial knee replacement may be needed.

These surgeries are considered quite safe but as with any other surgery, there are a few side effects and risks associated with them. Temporary pain/swelling of the joint is the most common amongst these but it typically resolves itself in a few days.

4127 people found this helpful

Shoulder replacement - Know all about it!!!!

Shoulder replacement - Know all about it!!!!

A shoulder replacement surgery is performed when your shoulder is so seriously injured that it has to be changed for normal functioning to continue. It may also happen when the bones of the joints are so badly broken that they cannot be fixed in a way that your shoulder can function properly. Apart from bone fractures or sudden injuries, some diseases like crippling arthritis can require you to undergo this surgery. It should only be done if the condition cannot be fixed with the help of physiotherapy, exercise or medication first.

It is advised that patients undergo this surgery with shoulder surgeons trained for this surgery.

Types of shoulder replacement surgery

There are several types of shoulder replacement surgery. They are-

• Total replacement surgery - This surgery is more commonly done than the other types. The joint at the shoulder is a ball and socket joint, meaning a ball-like bone fits into a socket like joint. In this surgery the ball is replaced with a metal ball and the bony socket with metal socket with a plastic component in between.

• Partial replacement surgery - In this type of surgery, only the bony ball is operated upon and replaced with a metal ball.

• Reverse replacement surgery - In this procedure, a bony ball is replaced with metal cup and the bony cup is replaced with metal ball i.e the alignment of the joint is reversed. This surgery is done in elderly patients with arthritis due to neglected rotator cuff tears or in shoulder fractures which badly broken bones. These patients usually have very little movement in the shoulder

Things you can do before surgery to facilitate the process

• You should get diagnostic tests done well in advance, like X-rays and related imaging.
• You should cut down on the level of your addictions, like smoking and drinking.
• The doctor will ask you to reduce intake of certain medicines like painkillers.

Recovery after shoulder replacement

  1. The stay in hospital is usually 2-3 days. Advanced pain management techniques are used nowadays for virtually painless experience after surgery.
  2. Usually shoulder movements are started after pain relief.
  3. Patients are able to do daily activities in 3 weeks but lifting hand overhead may take some weeks thereafter.
  4. You should ask a friend or relative to help you with daily tasks around the house, and for transport for the first few weeks.
  5. Supervised rehabilitation under an experienced physiotherapist is a must.
  6. Many patients gain near normal function and are able to do daily activities of living.
  7. You will need to change your daily routine a bit, like avoid putting heavy strain on the shoulders or lifting weights.
3393 people found this helpful

Shoulder Arthritis - Ways It Can Be Treated!

Shoulder Arthritis - Ways It Can Be Treated!

The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles, but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.

Treatment:

Nonsurgical or Lifestyle treatments:

  1. Take rest or avoid the activities that provoke pain or change the way of your arm movements.
  2. Physical therapy boosts shoulder mobility.
  3. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirin alleviate pain and inflammation.
  4. Corticosteroid injections in the shoulders can also help to ease the pain and inflammation, although temporarily.
  5. Applying moist heat or ice packs over the shoulders for about half an hour at least thrice a day brings relief.
  6. Drugs such as methotrexate can be administered in case one is suffering from rheumatoid arthritis (a chronic disease attacking multiple joints of the body).
  7. Dietary supplements such as chondroitin and glucosamine may help reduce pain.

Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)

  1. Join replacement surgery or arthroplasty involves replacing the damaged parts of the shoulder with a prosthetic (artificial) joint.
  2. Few mild forms of arthritis may be treated using the Arthroscopic procedure (minimally invasive surgery). It requires a surgeon to ease the joint pain by making small incisions to “clean out” the joint. A tiny camera fitted into the joint guides the surgeon through the surgery.
  3. Resection arthroplasty is a method that involves the surgical removal of the bone from the collar bone and substituting it with a scar tissue to treat arthritis of particular joints.
4203 people found this helpful

Shoulder Pain - Causes, Diagnoses & Treatment Of It!

Shoulder Pain - Causes, Diagnoses & Treatment Of It!

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are:

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:

  • Bankart lesion

Diagnose Shoulder Pain

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views.
  2. UltrasoundWith an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic ArthroscopyA surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

4275 people found this helpful

Shoulder Pain - Causes, Diagnosis & Treatment Of It!

Shoulder Pain - Causes, Diagnosis & Treatment Of It!

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements, especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket, it clearly shows you are suffering from shoulder pain. Shoulder pain can happen due to various reasons, it varies from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are:

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to:

  • Bankart lesion

Diagnose Shoulder Pain

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views.
  2. UltrasoundWith an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic ArthroscopyA surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

3729 people found this helpful

Shoulder Arthritis Treatment - All You Should Know About It!

Shoulder Arthritis Treatment - All You Should Know About It!

The shoulders are the most mobile joints in your body. Shoulder joints undergo wear and a tear over time and hence become unstable. Shoulder arthritis is one of the painful conditions affecting the shoulder joints. Arthritis not only takes a toll on the tendons and muscles, but also affects the ligaments and joints too. They usually cause symptoms such as joint pain, resulting in limited mobility.

Treatment:

Nonsurgical or Lifestyle treatments:

  1. Take rest or avoid the activities that provoke pain or change the way of your arm movements.
  2. Physical therapy boosts shoulder mobility.
  3. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or aspirinalleviate pain and inflammation.
  4. Corticosteroid injections in the shoulders can also help to ease the pain and inflammation, although temporarily.
  5. Applying moist heat or ice packs over the shoulders for about half an hour at least thrice a day brings relief.
  6. Drugs such as methotrexate can be administered in case one is suffering from rheumatoid arthritis (a chronic disease attacking multiple joints of the body).
  7. Dietary supplements such as chondroitin and glucosamine may help reduce pain.

Surgical treatments (if your pain results in disability and does not lessen with nonsurgical options)

  1. Join replacement surgery or arthroplasty involves replacing the damaged parts of the shoulder with a prosthetic (artificial) joint.
  2. Few mild forms of arthritis may be treated using the Arthroscopic procedure (minimally invasive surgery). It requires a surgeon to ease the joint pain by making small incisions to “clean out” the joint. A tiny camera fitted into the joint guides the surgeon through the surgery.
  3. Resection arthroplasty is a method that involves the surgical removal of the bone from the collar bone and substituting it with a scar tissue to treat arthritis of particular joints. If you wish to discuss about any specific problem, you can consult an orthopedist.
4244 people found this helpful
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