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Arthroscopy or Open procedure
My dad has a grade 3 AC shoulder dislocation. He is a 56 years old male patient with a history of 2 heart attacks. One doctor has recommended a arthroscopy procedure and another doctor has recommended an open procedure. Which do you think is appropriate considering his age and cardiac status?
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Hi it all depends on how is his clinical scenario. In ac joint dislocation there are grade 3 a and grade 3b. Grade 3a can be treated without surgery and grade 3 b can also be treated without surgery if the activity level is not demanding and age is high. In athletes and young grade 3 b requires surgery. I can share you pics of my operated cases and help you treat your Relative.
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Please video consult me for genuine opinion.
https://www.practo.com/jaipur/doctor/dr-sachin-jain-orthopedist
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Mini open A’scopic assisted AC joint reconstruction with Semi T and dog bone.
Depends on clinical examination and images
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Considering his age and heart status, I would suggest non-operative.. Grade 3 AC joint dislocation is a grey zone which can be managed operative or non-operatively. Please share Xray n problems that your father is encountering.
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Consult directly with me on Practo for detailed discussion on treatment via chat/ audio/ video by the following link:-
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Grade 3 AC dislocations in a cardiac patient should be treated without operation. In three months time, he will be back to his normal life
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Arthroscopy
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Dr. Bharani Kumar Dayanandam
Orthopedist
29 yrs exp
Chennai
In the first instance need to know his main complaints . Not all patients with Type 3 AC joint injury need surgery . If survey is planned would recommend arthroscopic AC joint reconstruction
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Dr. Harmesh Kapoor
Orthopedist
26 yrs exp
Delhi
Grade 3 AC joint dislocation should be managed without operation .
He would not have any problems.
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Dr. Mohit Garg
Orthopedist
6 yrs exp
Bathinda
Both are good methods
Depends upon expertise of doctor rather than technique
Otherwise arthroscopic is always better if done by expert
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.