{"id":4765,"date":"2019-12-13T21:42:16","date_gmt":"2019-12-14T05:42:16","guid":{"rendered":"http:\/\/shawnna.org\/?p=4765"},"modified":"2019-12-13T21:42:22","modified_gmt":"2019-12-14T05:42:22","slug":"posterior-approach-total-shoulder-replacement","status":"publish","type":"post","link":"https:\/\/shawnna.org\/?p=4765","title":{"rendered":"Posterior Approach &#8211; Total Shoulder Replacement"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">After experiencing some significant pain in my right shoulder\/arm, I decided to see my orthopedist &#8211; Dr. Keiras last September.  He took x-rays and let me know that I have bone-on-bone arthritis which is causing the pain.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I knew my granddaughter was coming so I decided to try an injection to see if that would help alleviate the pain.  Woo hoo!  The injection in mid-October allowed me to <a href=\"https:\/\/shawnna.org\/?p=4746\">travel to Denver to see Isabella<\/a> without too much pain!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I came home and the pain started up again with a vengeance.  I made another appointment for an injection in early December hoping it would get me through the holidays.  I also began doing some research on Total Shoulder Replacement surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I discovered <a href=\"https:\/\/shawnna.org\/?attachment_id=4767\">this study<\/a> by a surgeon in Kentucky who was doing these using a posterior approach which preserves the rotator cuff.  Obviously I was intrigued. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I sent Dr. Greiwe an email with my x-ray and exam reports and asked if he thought I&#8217;d be a good candidate.  He responded within a day and said he&#8217;d like to see my actual x-rays.  I obtained a CD when I received my second injection and uploaded them to his Ortholive.com portal.  <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Thursday, December 12, 2019<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I had my consultation with Dr. Michael Greiwe yesterday evening. He created an app called Ortholive.com which I used to upload the CD with all of my right shoulder x-rays (from 2015 when my local orthopedist did a &#8220;Arthroscopy, shoulder, surgical; capsulorrhaphy;<br \/>debridement; acromioplasty, subacromial decompress&#8221;) as well as the most recent x-rays from September. He reviewed everything and then we chatted via the Ortholive app on my iPhone. He was very open and honest with me and said he&#8217;s done 81 total pTSA (posterior Total Shoulder Anthroplasty) with 3 revisions; 1 due to instability, 1 due to rotator cuff problems and 1 due to stiffness. That is 3% revision rate. I did some research and found that&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4443451\/\" target=\"_blank\" rel=\"noreferrer noopener\">this study<\/a>&nbsp;USA shows a 4% all cause revision rate for standard TSA so that&#8217;s encouraging.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He did say that it is more difficult to get the stemless prosthetic aligned just right via this method but it does allow for a much easier and shorter recovery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He told me I would be a good candidate for this if I chose to as my bone structure looks good for the stemless prosthetic.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">He&#8217;s sending me a packet of information as they have done quite a few of these for out-of-state patients. They have a relationship with a small hotel close to the hospital to accommodate out-of-state patients. He said I would typically fly in Saturday or Sunday and have the surgery Monday. I would follow up with them the following Friday and then fly home.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Follow up visits will be done via OrthoLive.com portal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">I&#8217;m planning for a March surgery with him and will document updates and my experience as this unfolds.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>After experiencing some significant pain in my right shoulder\/arm, I decided to see my orthopedist &#8211; Dr. Keiras last September. He took x-rays and let me know that I have bone-on-bone arthritis which is causing the pain. I knew my <span class=\"excerpt-dots\">&hellip;<\/span> <a class=\"more-link\" href=\"https:\/\/shawnna.org\/?p=4765\"><span class=\"more-msg\">Continue reading &rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[6],"tags":[68,67,65,66,64],"class_list":["post-4765","post","type-post","status-publish","format-standard","hentry","category-my-personal-blog","tag-arthritis","tag-posterior-approach-total-shoulder-replacement","tag-ptsa","tag-total-should-replacement","tag-tsa"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/shawnna.org\/index.php?rest_route=\/wp\/v2\/posts\/4765","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/shawnna.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/shawnna.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/shawnna.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/shawnna.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4765"}],"version-history":[{"count":4,"href":"https:\/\/shawnna.org\/index.php?rest_route=\/wp\/v2\/posts\/4765\/revisions"}],"predecessor-version":[{"id":4770,"href":"https:\/\/shawnna.org\/index.php?rest_route=\/wp\/v2\/posts\/4765\/revisions\/4770"}],"wp:attachment":[{"href":"https:\/\/shawnna.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shawnna.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shawnna.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}