Is Arthroscopic Surgery Worth it? - Dr. Kevin Kruse

Is Arthroscopic Surgery Worth it?

Is Arthroscopic Surgery Worth it?

The Evolution and Benefits of Arthroscopic Rotator Cuff Repair Surgery

Embracing Arthroscopic Surgery: A Surgeon’s Perspective

A common concern among patients considering rotator cuff repair surgery is the effectiveness of arthroscopic methods. Speaking from experience and knowledge, I can say with certainty that arthroscopic surgery is indeed worth it.

Historical Skepticism and Modern Acceptance

About 20-25 years ago, arthroscopic surgery for rotator cuff repairs was a topic of debate. An older, prominent surgeon in shoulder surgery, who had authored a significant book on the subject, was initially resistant to this new approach. He viewed arthroscopic surgery as unnecessary, even going so far as to label the arthroscope as “the tool of the devil” at a medical conference.

However, attitudes have shifted dramatically. A surgeon I trained with in France, a pioneer in arthroscopic surgery, referred to the arthroscope as a “gift from God.” This change in perception reflects the revolutionary advancements in arthroscopic techniques, allowing almost all rotator cuff tears to be repaired this way.

The Advantages of Arthroscopic Surgery

Arthroscopic surgery acts as a window into the body’s anatomy, offering a clear view through small incisions. Over my career, I’ve witnessed a remarkable growth in arthroscopic techniques, especially for rotator cuff repairs. The benefits are numerous:

  1. Minimally Invasive: Smaller incisions result in less pain and quicker recovery.
  2. Efficiency: The procedure is much quicker compared to open surgery, often taking less than 30 minutes.
  3. Strength of Repair: Arthroscopic repairs are as strong, if not stronger, than those done with traditional methods.
  4. Clearer Visualization: The magnified view of the tear and anatomy enhances precision.
  5. Reduced Complications: Smaller incisions lead to lower infection risks and less pain.
  6. Expertise Matters: It’s crucial to choose a surgeon with extensive experience in arthroscopic rotator cuff repairs. Our clinic performs between 300 to 400 repairs annually, far exceeding the average.

Conclusion: Arthroscopy as the Superior Choice

Having performed over 2,000 arthroscopic rotator cuff repairs, I firmly believe it is the superior method and would never revert to open surgery. The advancements in arthroscopic surgery represent not just a step forward in medical technology but a leap in patient care and outcomes.

This blog post is based on a video transcript and has been edited for clarity and readability.

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