An Overview on Joint Preservation and Cartilage Restoration as a Shoulder Replacement Alternative
Shoulder osteoarthritis can be debilitating for some patients, causing severe pain, stiffness and catching of the joint. This shoulder condition is caused by the wearing away of the cartilage that lines the ends of the bones that creates smooth, pain free motion. An injury to shoulder cartilage, with or without arthritis, is more common in older adults but may be present in young, active individuals who have experienced a sports injury or other trauma. Dr. Nikhil Verma, shoulder surgeon treating the Chicago, Westchester, Oak Brook and Hinsdale, Illinois communities, has expertise in joint preservation and cartilage restoration shoulder replacement alternatives. These alternative techniques help patients return to daily activities quicker and get back to the sports activities they love without the use of a shoulder replacement.
Arthritis is a progressive disease that cannot be reversed. Once a patient experiences pain and stiffness, it is important to find a shoulder treatment to alleviate the symptoms. In mild cases, a physical therapy program can be prescribed to strengthen the surrounding muscles, along with anti-inflammatory medications and injections to reduce inflammation and pain. In more severe cases, a surgical procedure may be needed to ease the symptoms. There are several shoulder replacement alternatives aimed at joint preservation and cartilage restoration. Dr. Verma will determine a patient’s shoulder replacement alternatives based on symptoms, extent and type of cartilage damage and age.
For small lesions with partial fraying or loss of cartilage thickness, Dr. Verma may recommend shoulder arthroscopy, debridement and chondroplasty. This procedure is performed arthroscopically and removes loose pieces of cartilage and stabilizes the damage so it cannot become larger in size.
Microfracture is a joint preservation and cartilage restoration procedure designed to restore and regrow cartilage tissue similar to articular cartilage in patients who have full thickness loss of cartilage with good surrounding cartilage. Microfracture requires Dr. Verma to make tiny holes in the bone to release marrow. The marrow fills the damaged area, forms a blood clot and regrows tissue over the exposed bone over a period of time.
In patients who would like to prolong a shoulder replacement, such as an adult under 65 years of age with osteoarthritis, cartilage restoration and joint preservation may be good shoulder replacement alternatives. The arthroscopic procedure allows Dr. Verma to remove loose pieces of cartilage, smooth down the cartilage, remove any bone spurs, release the capsule to allow a larger range of motion and decompress any nerves.