Nonagenarian undergoes keyhole surgery at city hospital

A 97-year-old patient successfully underwent a minimally invasive arthroscopic procedure to treat a rotator cuff tear using a biodegradable balloon spacer. The surgery was performed under a regional nerve block to avoid the risks associated with general anesthesia in an elderly patient.
Why it matters
This demonstrates advancements in geriatric orthopedic care, allowing for effective treatment of complex injuries in frail patients.
A 97-year-old man underwent a keyhole (arthroscopic) procedure at Rela Hospital to receive a fully biodegradable balloon spacer for a massive, irreparable rotator cuff tear. Given his advanced age and frail cardiac condition, surgeons avoided general anaesthesia and performed the procedure under a regional nerve block, with the patient remaining awake throughout the surgery.
According to a press release, the nonagenarian sustained a tear in the rotator cuff of his left shoulder following a fall at home and experienced persistent pain for nearly a month.
The rotator cuff comprises four muscles and tendons that surround the shoulder joint. These structures facilitate movements such as lifting and rotating the arm.
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