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Shoulder Joint Realignment as a Therapy Option

When can biomechanical correction of the joint be an alternative to replacement?

Joint axis correction, also known as osteotomy or joint correction, is a modern orthopaedic procedure aimed at preserving the natural function of the joint and delaying or even avoiding the need for a total joint replacement. This method is particularly effective for patients with joint degeneration, instability or deformitieswhich, however, still have sufficiently healthy cartilage and joint structures to benefit from a correction.

In contrast to joint replacementwhere parts of the joint are removed and replaced with artificial implants, joint axis correction joint axis correction aims to redistribute the forces within the joint, correct imbalances and reduce excessive wear and tear. This approach is particularly suitable for active patients or those who want to maintain their natural joint function for as long as possible.

Who can benefit from biomechanical correction of the joint?

A joint replacement is often the last option for severe osteoarthritis, instability or irreversible cartilage damage considered. But for many patients, a less invasive method such as the osteotomy significant pain relief and improved joint function offer.

Axis correction is particularly advantageous in the following cases:

  • Early stages of osteoarthritis - If the cartilage is unevenly worn but not completely destroyed, an axis shift can redistribute the load and slow down the degeneration process.
  • Post-traumatic joint deformities - Fractures that have not healed properly can lead to malpositioning of the joint , causing pain and functional disorders. Osteotomy corrects these problems and restores normal biomechanics.
  • Instability due to malalignment - Structural abnormalities of the bones can cause chronic instability , leading to pain and an increased risk of further damage. A joint axis correction can restore stability without the need for a prosthesis.
  • Athletes and younger patients - Because joint replacement has a limited shelf life , joint axis correction can help delay or avoid replacement, especially in active people who want to avoid multiple revision surgeries.

By preservation of the natural joint structure an axis correction offers a long-term solution that preserves preserves mobility and functionality.

Advantages of joint axis correction compared to joint replacement

  • Preservation of the natural joint - In contrast to prostheses, the patient's own joint structures remain in the body.
  • Improved biomechanics - By realigning the joint, the load distribution is optimized, which relieves damaged areas.
  • Delaying joint replacement - Many patients can delay an arthroplasty for years or even decades.
  • Faster recovery compared to joint replacement - The healing time is generally shorter than with a complete prosthesis implantation.
  • Reduced surgical risks - Since no artificial materials are implanted, there is no risk of rejection or implant failure.
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Which osteotomies and corrections are possible on the shoulder?

The shoulder is a highly mobile joint that is particularly susceptible to instability and degenerative changes. is. In many cases, osteotomy and joint axis corrections can be used to Contribute to pain relief and functional recovery.

Glenoid osteotomy

For patients with shoulder instability or glenoid bone defects due to as a result of repeated dislocations, a glenoid glenoid osteotomy can restore stability and alignment. This procedure can prevent further instability and reduce the risk of osteoarthritis.

Humeral osteotomy

Humeral osteotomies are used for Faulty healing of fractures or rotational deformities that cause pain and restricted movement. Due to the Realignment of the humerus can improve shoulder mobility and optimize joint loading.

Acromion osteotomy

Patients with Impingement syndrome or degeneration of the acromioclavicular joint can benefit from an acromion osteotomy. In this procedure, the acromion reshaped to reduce the pressure on the rotator cuff.

Joint axis correction for osteoarthritis

For patients with early osteoarthritis corrective corrective osteotomies redistribute redistribute the load from damaged areasso that joint joint function is preserved and wear and tear is slowed down.

Biomechanical correction for rotator cuff problems

For patients with chronic rotator cuff lesions biomechanical axis correction can optimize shoulder optimize shoulder function and reduce painto prevent further degenerative changes.

Case studies and success rates of these methods

Studies have shown that osteotomies and joint axis corrections are highly effective in the right patient group.

Clinical research shows that correctly performed axis corrections can extend the can extend the life of the joint by 10-15 years or longer, reducing pain while reducing pain and improving function.

The success rates depend on:

  • The degree of joint degeneration before the operation
  • Careful patient selection
  • Postoperative rehabilitation
  • The surgeon's experience

Long-term studies show that many patients who have undergone joint axis correction do not require a total joint replacement and instead experience a significant reduction in pain and improved mobility.

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Frequently asked questions

Patients with malpositions, early osteoarthritis or instabilitybut still have sufficient healthy cartilage can benefit from the correction. An orthopaedic surgeon decides on suitability.

The recovery time varies depending on type of osteotomy and general state of healthbut is usually around 3-6 months with appropriate physiotherapy.

Postoperative pain therapy is easy to control and most patients experience a significant reduction in pain. significant reduction in pain after healing.

While joint replacement removes the removes the natural jointjoint, osteotomy aims to preserve the joint and joint and to delay or prevent a replacement.

Possible complications include Infection, delayed healing or incomplete correctionare rare if the operation is performed by an experienced specialist.

Contact for further information

If you would like to know more about joint axis corrections and treatment optionsplease contact me for an individual consultation.

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My ordination in 1190 Vienna
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