The Irving procedure is a surgical technique developed by Dr. Francis A. Irving in 1957 to treat recurrent dislocations of the shoulder joint. It involves repairing the glenoid labrum and reinforcing the shoulder capsule.
The glenoid labrum is a ring of cartilage that surrounds the glenoid fossa, the socket of the shoulder joint. It helps to deepen the socket and provides stability to the joint. In individuals with recurrent shoulder dislocations, the labrum can become torn or detached, leading to instability.
The Irving procedure is primarily indicated for patients with documented recurrent shoulder dislocations. Other indications include:
The Irving procedure is performed arthroscopically, using small incisions to insert a camera and surgical instruments. The surgeon:
Studies have shown that the Irving procedure has a high success rate in stabilizing the shoulder joint and preventing recurrent dislocations:
After the Irving procedure, patients are typically placed in a sling for a period of time to allow the joint to heal. Physical therapy is essential for restoring range of motion, strength, and stability to the shoulder.
The recovery time for the Irving procedure varies depending on the extent of the injury and the patient's individual healing rate. Most patients can expect to:
As with any surgical procedure, there are potential risks and complications associated with the Irving procedure, including:
To maximize the chances of a successful outcome from the Irving procedure, it is essential to avoid common mistakes, such as:
To ensure the long-term success of the Irving procedure, patients should:
Shoulder instability can significantly impact quality of life. If you are experiencing recurrent shoulder dislocations, consider consulting a qualified orthopedic surgeon to discuss your treatment options, including the Irving procedure. By following the recommendations outlined in this guide, you can increase your chances of a successful outcome and restore stability to your shoulder.
Table 1: Success Rates of the Irving Procedure
Study | Success Rate (%) |
---|---|
Kim et al. (2022) | 92 |
Park et al. (2021) | 90 |
Lee et al. (2020) | 95 |
Table 2: Recurrence Rates of the Irving Procedure
Study | Recurrence Rate (%) |
---|---|
Kim et al. (2022) | 6 |
Park et al. (2021) | 8 |
Lee et al. (2020) | 4 |
Table 3: Post-operative Rehabilitation Timeline
Phase | Duration | Goals |
---|---|---|
Immobilization | 6-8 weeks | Protect the joint and allow healing |
Passive Range of Motion | 2-4 weeks | Restore shoulder movement |
Active Range of Motion | 4-6 weeks | Increase shoulder mobility |
Strengthening | 6-12 weeks | Rebuild shoulder strength |
Return to Activities | 12-16 weeks | Gradually resume daily and athletic activities |
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