- Dr. Armin Tehrany shares his opinion on what makes an orthopedic surgeon competent to do arthroscpoic shoulder surgery.
One must do in my opinion at least fifty to a hundred arthroscopic shoulder procedures a year.
Over the last few years we have developed and gotten close to perfecting a lot of our techniques in shoulder surgery. We started out by doing open surgery for the shoulder.
Back in the late 1980s and the early 1990s arthroscopic shoulder surgery came into vogue.
So, the camera is about the size of this pen. And what will happen is the arthroscope
will be placed through a tiny little keyhole in the side of the shoulder, the front of the shoulder, or the back of the shoulder, or even the top sometimes. Open surgery is a big incision, mini open is a smaller incision, and arthroscopic is small keyhole incisions.
So when a patient asks me: How much pain am I going to be in? How long am I gonna be out of work? What kind of medicines do I need to take? my answer essentially is:
its objective, it depends on the patient.
I would say that patients are usually very pleasantly surprised at how much pain they have to put up with compared to what they've heard from other surgical procedures that have been done in the shoulder when the shoulder has been open.
What matters is the training: Did the orthopedic surgeon have the right training? Does the orthopedic surgeon have a special interest in the shoulder?
I love the shoulder. So, that helps a lot for me to be able to get better at it every day.
An academic affiliation, staying in touch with new research, going to meetings,
these kinds of things are important in a surgeon who does a specialized surgery.