During the Surgery
Dr. Rajani prefers to operate early in the morning, hence you will be wheeled in to operation theatre at about 7.45am.
The anaesthetist will evaluate you and make you comfortable. After which fluid drips will be started.
We use a combination of Block and General Anesthesia. Our expert anaesthetist for post-operative pain relief gives the shoulder block.
If the patient is not fit for general anaesthesia, the entire surgery is performed under the
block and sedation.
Position of the Patient:
The patient is given a beach chair position to decrease the blood loss and the arm is kept free.
» Surgeons Preparation:
Before beginning to scrub the surgeon wears the body exhaust mechanism attached to a battery. This system is then covered with water impermeable hoods, so that no part of the surgeon's body is exposed. This is an international protocol followed by all joint replacement surgeons.
After thorough scrubbing the surgeon is helped by the staff nurse to wear the hood gown and gloves. It is mandatory for all the assistants to wear the body exhaust mechanism or space suits and water impermeable gowns.
During Surgery the standard Delto-pectoral approach is used to expose the shoulder joint
The shoulder joint is dislocated keeping the soft tissues intact and the humeral head is excised at the desired level.
This will help to expose the Glenoid.
The glenoid is then Prepared
After Glenoid preparation,
Humerus is prepared for the trial insertion.