Acromioclavicular (AC) joint surgery is a procedure performed to alleviate pain and restore functionality in cases of AC joint injury. The surgery involves removing the damaged portion of the clavicle bone.
Surgery becomes necessary when the AC joint injury is categorized as sub-types IV through VI, indicating a severe displacement of the clavicle. This displacement can lead to pain and pressure on the nearby trapezius muscle.
Acromioclavicular joint reconstruction yields positive outcomes, as most patients experience excellent pain relief, and around 95 percent are able to resume their previous levels of activity and sports. The procedure is associated with minimal complications and high patient satisfaction.
How long does AC Joint Surgery Take to Heal?
The healing time for AC joint surgery depends on several factors. Also, it tends to vary from patient to patient.
Generally, with adequate time, rest, and gradual rehabilitation, you can expect your shoulder to be pain-free and regain full functionality. The typical recovery period for Acromioclavicular joint reconstruction ranges from 6 to 12 weeks.
However, additional recovery time may be necessary if you wish to return to contact sports. Your orthopaedic surgeon may recommend this to minimise the risk of re-injury.
It’s important to note that some protrusion at the AC joint might still be present after surgery, but this typically doesn’t require further surgical intervention. In cases where non-surgical methods fail or for higher-grade injuries, surgery may be recommended. Working closely with your orthopaedic surgeon will ensure that you get an individualised treatment plan and optimal recovery.
What to Expect After AC Joint Surgery?
After undergoing AC joint surgery, there are several important things to expect during your recovery and rehabilitation period. Here’s a quick roundup of the ten most important ones;
- Post Anaesthesia Care Unit (PACU): Following surgery, you will be taken to a Post Anaesthesia Care Unit. Here, specially-trained nurses will monitor your progress. You will need to remain there until the effects of the anaesthesia have started to wear off, and you can eat, drink, and urinate comfortably. The PACU staff will provide verbal and written discharge instructions before you are discharged to your home or hospital room.
- Transportation and Overnight Support: It is crucial to note that you won’t be able to drive yourself home after the surgery. Make arrangements to have someone accompany you and stay overnight for assistance and support.
- Immediate Postoperative Recovery: Ice will be applied to your shoulder immediately after surgery. This should reduce the swelling and alleviate pain that may come post surgery. The ice application will be done intermittently for 20-30 minutes at a time over the first seven days. The incision(s) will take several days to heal. They may take up to two weeks. You will likely have a shoulder dressing that should be kept on for 48 hours.
- Medications and Pain Management: If you received a nerve block as part of your procedure, you may experience some numbness and weakness. Even if the block hasn’t completely worn off, it’s essential to start taking your prescribed pain medication once you are home. You do not want to wait until the pain becomes unbearable. This will make it difficult to catch up. Narcotic pain medications such as (hydrocodone) or oxycodone are commonly used for severe pain. Tylenol (acetaminophen) can be taken every four to six hours once the pain is better controlled. Follow the prescribed dosage instructions and take these medications with food. If you experience any issues, discontinue use and contact your healthcare provider.
- Follow-Up Visits: Your initial follow-up appointment will typically be scheduled one to two weeks after surgery. Your surgeon will determine the frequency of subsequent visits, which may vary based on your progress and individual needs.
- Sling and Immobilization: After surgery, your shoulder will be placed in a sling to provide stability and support. The duration of sling use varies depending on the specific surgery but typically lasts for six weeks. During this time, it is crucial to keep the sling on at all times, except for dressing, showering, and periodic elbow stretching. Avoid active reaching or lifting with the affected arm for up to two months after surgery.
- Rehabilitation Exercises: Once the sling-wearing period is over, your rehabilitation plan will focus on improving the range of motion in your shoulder and preventing scarring as the ligaments heal. Physical therapy exercises will be gradually introduced to strengthen your shoulder and aid in restoring its function. Consistency and dedication to your physical therapy regimen are paramount for achieving optimal recovery.
- Patience with the Rehabilitation Process: The rehabilitation process may sometimes appear slow and challenging. However, it is important to remain patient and committed to your physical therapy. Your active participation and adherence to the recommended exercises will greatly contribute to the success of your recovery, enabling you to regain the activities you enjoy.
- Range of Motion and Strength Restoration: Physical therapy will play a vital role in restoring the motion and strength of your shoulder. Your therapist will guide you through exercises and techniques to gradually improve your shoulder’s flexibility, stability, and muscular strength.
- Long-Term Expectations: AC joint surgery has a high success rate, with most patients experiencing excellent pain relief and returning to their pre injury levels of activity and sports. While complications are rare, it’s important to closely follow your surgeon’s instructions, attend follow-up appointments, and communicate any concerns or issues during your recovery process.
In Closing
The recovery time and process after Acromioclavicular joint reconstruction isn’t even long or complicated as it may sound. The most important thing is to follow the post-surgery care as directed by your orthopaedic surgeon.
Most importantly, do not skip any prescribed medications or post-surgery care recommendations. Following your surgeon’s guidelines to the letter can ensure smooth and faster healing.
And in case there is anything you find confusing, be sure to share it with your surgeon. They should be able to clear any doubts or issues that may derail your recovery.
If you’re in Singapore and looking for an experienced surgeon to help with AC joint reconstruction, we’ll gladly extend a helping hand. Contact us today to schedule your appointment. Call or visit us at;
Artisan Sports & Orthopaedics Surgery
290 Orchard Road,
Paragon Medical Centre #07-12,
Singapore 238859
(65) 8909 8877
https://www.artisanorthopaedics.sg/
