from 2005 Winter Health Savvy

Rotator Cuff Injury“About 80 to 90% of the rotator cuff repairs I perform now are arthroscopic,” says Mark Schwartz, MD, a Virtua Health orthopedic surgeon. He notes that with arthroscopy: “There is much better cosmesis and patients report significantly less pain in the first six to eight weeks post-op because there has been less trauma to the associated areas, especially the deltoid muscle.” Unlike open surgery, adds Dr. Schwartz: “With arthroscopic repair, we can begin rehabilitating patients within the first week.”

Alternative to open surgery

“It’s incredible. The evidence is conclusive that this procedure is at least as good as open surgery, which has always been the gold standard,” says Dr. Schwartz.

Latest technology

Recent advancements include a knotless suture device that simultaneously implants both the anchor and the suture to the humeral head. Dr. Schwartz also reports that dissolvable anchors and orthobiological tissue implants are now available. “These devices not only promote new tissue growth, but also help heal the existing tear. It’s just amazing what we can do now.”

from 2006 Winter Health Savvy

“Until recently, open surgery was the only medical treatment available for torn rotator cuffs,” says Virtua Health orthopaedic surgeon, Mark Schwartz, MD. “However, thanks to advancements in technology, minimally invasive arthroscopic rotator cuff repair is now an option for many patients,” he says.

 

Because arthroscopy does not involve cutting through the deltoid muscle, “patients generally experience less scarring and less pain immediately following arthroscopic surgery,” says Dr. Schwartz. “Plus, they can begin rehabilitation usually within a week after surgery.”

 

Dr. Schwartz explains the procedure: “It typically begins with the surgeon making three, sometimes four, incisions in the shoulder. An arthroscope (tiny camera) that helps guide the surgery is inserted in one of the incisions. Another incision is used for a catheter to flush water into the shoulder to move blood away from the tendon so that the surgeon can see the tear. A suture is passed through the remaining incisionss and through the tendon. Once all the stitches are made, using the same incision in the shoulder, the surgeon tightens and knots the suture before securing it onto the shoulder bone with an anchoring device.”

Mark G. Schwartz, MD

New Jersey Top Doctors – New Jersey Monthly Magazine

NURSES CHOICE of Top Doctors – New Jersey Monthly Magazine

New Jersey’s “Most Recommended Physicians” – National Consumers Survey

Guide to America’s Top Orthopaedists – Consumers’ Research Council of America

Top Doc for Sports Medicine – SJ Magazine

Patients’ Choice doctor –  based on patients’ continued satisfaction and appreciation

Top Doc – International Association of Orthopedic Surgeons

Top Doc – Inside Jersey Magazine