What is Rotator Cuff Repair?

A rotator cuff repair refers to shoulder surgery to treat a torn rotator cuff tendon. The rotator cuff is a group of four tendons and the related muscles, which stabilize the shoulder joint and allow you to raise and rotate your arm. The rotator cuff helps keep the ball of the arm bone (humerus) seated into the socket of the shoulder blade.

In the process of rotator cuff repair, the orthopedic surgeon will remove loose fragments of tendon and other debris from the space in the shoulder where the rotator cuff moves (debridement). Then, more room is made for the rotator cuff tendon (so it is not pinched or irritated) by shaving bone or removing bone spurs (subacromial smoothing). Finally, the torn edges of the tendon are sewed together, and then sewed to the top of the upper arm bone. This process requires a 2-3 inch incision to open and view the shoulder directly.

In another procedure, smaller incisions are made by splitting the deltoid muscle (the muscle forming the rounded contour of the shoulder), which may reduce risk of complications from a future deltoid injury. Both surgeries require both regional and general anesthesia and necessitate a short hospital stay.

 

Who is a candidate?
  • Have exhausted nonsurgical treatments
  • Experience continuous shoulder pain
  • Overuse of shoulder
  • Age
Learn More
Preparation
  • Obtain a medical evaluation and/or lab testing
  • Stop smoking
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements
  • Stop eating/drinking the night before the surgery
Learn More
Recovery
  • Medications postoperative procedure
  • Rehabilitative exercises
  • Follow-up care
  • Physical therapy
Learn More
Risks
  • Infection
  • Blood clots
  • Damage to tendon or muscle
  • Pain
Learn More
Price Comparison
MedRepublic logo

Average cost

USD $4,833

MedRepublic logo

Average cost in USA

USD $9,750

Typically included with our doctors:
  • Video/phone consultation
  • Airport round-trip service
  • Stitch removal and post-op consultations
  • In-person consultation with lead physician and surgical team
  • Post-op guidance and access to doctor
  • Physical therapy, diet and wound care counseling
We have 7 highly Qualifed doctors available

Oscar Mendoza, MD

Orthopedic Surgery

Guadalajara, Jalisco, Mexico

Completed an arthroscopy and joint replacement fellowship at Mercy Medical Center in Baltimore, MD and a complete shoulder rotation fellowship at Texas Orthopedic Hospital in Houston, TX. 

Fabrizio Picado, MD

Orthopedic Surgery - Surgery of the Hand, Joint Reconstruction, Surgical Sports Medicine

San José, Costa Rica

Completed sub-specialties in surgical sports medicine at Harvard Medical School in Boston, Massachusetts and hand surgery at the Miami Hand Center in Florida. Fellow in Hand Surgery at New York University (NYU) Hospital for Joint Diseases in New York.

Max Greig, MD

Orthopedic Surgery - Arthroscopy and Shoulder Surgery

Puerto Vallarta, Jalisco, Mexico

Member of the American Academy of Orthopedic Surgeons (AAOS) and the American Association of Hip and Knee Surgeons (AAHKS). Completed a sub-specialty in Arthroscopy and Shoulder Surgery at the University Münster - Department of General Orthopaedics in Münster, Germany.

Alwin Almeida, MBBS

Orthopedic Surgery - Arthroscopy

Grand Cayman, Cayman Islands, Cayman Islands

Completed his medical training at St John's Medical College in Bangalore, India. Chief Orthopedic Surgeon and Joint Replacement Surgeon at Health City Cayman Islands.

Jaime García, MD

Orthopedic Surgery - Arthroscopy and Shoulder Surgery

Hermosillo, Sonora, Mexico

Member of the American Academy of Orthopedic Surgeons

Luis Alberto Cardenas, MD

Orthopedic Surgery

San José del Cabo, B.C.S, Mexico

Member of the American Academy of Orthopedic Surgeons. Completed shoulder and elbow arthroscopy fellowship in Spain.

José Manuel Hernández, MD

Orthopedic Surgery - Surgical Sports Medicine, Ozonetherapy, Stem Cell Therapy

Puerto Vallarta, Jalisco, Mexico

Dr. Hernandez is an International affiliate member of the American Academy of Orthopedics Surgeons (AAOS), since April 2007.

Who is a candidate?

Candidates for a rotator cuff repair typically have painful shoulder conditions that do not respond to nonsurgical treatment such as rest, physical therapy, and medications or injections that reduce inflammation. Commonly, injury, overuse, and age-related wear and tear are responsible for most shoulder problems.

 

Who is not a candidate?

Candidates who have not yet exhausted nonsurgical treatment options or who are suffering from an active infection in the shoulder are generally not good candidates for rotator cuff repair. For less severe shoulder conditions, an arthroscopic surgery may be a better fit in order to treat the condition with less recovery time.

Preparation

Like other surgeries, rotator cuff repair requires a complete physical examination with your primary care provider before surgery. You should inform your orthopedic surgeon of any medications or supplements you take, and comply with certain general surgery procedures such as preoperative blood testing and possible cessation of smoking or use of pain relievers and anti-inflammatory drugs one week prior. You will likely be asked to stop eating or drinking the night before the surgery.

Recovery

In the case of regional anesthesia (numbing the area between your neck and the end of your torso), you may not be able to move your shoulder and hand, your eyelid may droop, and you may feel numbness in your shoulder and hand for 12 to 20 hours after the surgery. This is normal. After this anesthesia has worn off and you feel some pain, you will be able to take medication for pain relief. In the first few days after surgery, keep your shoulder in the cuff or brace provided and apply ice to relieve swelling and prevent further inflammation. Ensure your incisions are kept clean and dry, and follow your surgeon’s instructions about bathing, changing the dressing, and follow-up visits. 

You can expect to stop wearing a sling after 4 to 6 weeks. Repair of a rotator cuff tendon usually takes 4 to 6 months to heal well enough for a return to full activity. A formal physical therapy program, or a regimen of exercises to strengthen your shoulder, is necessary and make take several months to a year to ensure a complete recovery. 

Risks

As with any surgery, there are risks of complications related to infection or adverse reactions to anesthesia. Other known complications include nerves and blood vessel injuries, blood clots, and the need for additional revision surgery if the tendons do not heal properly or tear again. In the case of more invasive shoulder surgery, there may be damage to the deltoid tendon or muscle, which may require additional surgery to repair. Pain and stiffness are expected and may persist in some form even with physical therapy. 

 

Destinations offered

Guadalajara

MEXICO

Tijuana

MEXICO

Puerto Vallarta

MEXICO

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MedRepublic Privacy Policy

1. Introduction

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Complication Insurance

If you are having surgery outside of the country, your home country insurance is unlikely to cover a edical complication. As a result, we advise that you purchase a complication insurance policy, which is specifically designed to cover individuals who are traveling internationally for medical treatment.

Here are the two companies we have found to provide reliable services:

We have written a comprehensive overview comparing the pros and cons of both companies that you can view here.

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Travel Health Insurance

It may be wise to purchase travel health insurance when you travel internationally, as your home country insurance may not completely cover medical expenses incurred while abroad.

Here are some options that MedRepublic clients have used in the past:

Travel Gap

This is a short-term international travel medical plan for trips of up to 6 months. There are two different plans offered based on whether or not clients already have primary insurance domestically. You can choose from their network of providers across 180 different countries. For more information on what is covered, click here.

Liaison International

This is a short-term international travel medical plan for trips of 5 to 45 days. There are no country restrictions and you have the freedom to choose any doctor or hospital. There is also optional hazardous sports and scuba diving coverage. For more information on what is covered, click here.