The process of rehabilitation is dependent on the severity of your injury and should be discussed with your health care provider.

One of our surgeons has performed more than 1000 procedures over the past 11 years.

With autologous tissue the rate of rupture is 12.5% at five years after surgery.

In this surgeon’s series, the rate of rupture of the JewelACL is much lower at 4.8% at five to eight years after surgery, and 6% at 10 years after surgery.

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This procedure has common risks to other surgical procedures including those of ACL reconstruction.

• Re-rupture of the implant in a second trauma
• Infection leading to the removal of the implant
• Limitation on knee range of movement, which can be due to a technical error

Please see the answers above but here is a checklist:

• Stock of over-the-counter painkillers
• Raise seat heights to help with standing up
• Loose clothing
• Consider long-handled combs, brushes, sponges
• Help at home
• Food you can eat one-handed initially
• Respite if you are a carer
• Time off work
• Music, movies, audiobooks, podcasts lined up
• Well-stocked freezer (or helpful partner) healthy food and the occasional treat!
• Help with transport
• Realistic about recovery time
• Prepared at home to follow exercise programme.

And you’re ready!

This does vary a lot with the care system. Please ask your surgeon before arranging the operation date.

This does vary depending on your hospital system. Before going home you should have advice on the early stages and how to protect your arm with the sling and/or cushion. You should have a booking for a first physiotherapy session. Overall you will have a course of physiotherapy sessions that will be more frequent in the early stages and be needed less often as you progress. You will also have a post-operation follow-up with your surgeon.

The best thing you can do is to follow the advice of your physiotherapist, make sure you can rest and don’t try to push the recovery. Pain is a warning signal. One excess strain can undo the surgical repair permanently.

Before the operation make sure you will have help at home for the everyday tasks such as cooking and cleaning. Make sure you have leave planned from your work. If your job is physical you will probably be off work for 3-6 months. If your job is desk-based, don’t think that you can be a “work-hero” working on the computer from home. Usually for 6 weeks your arm can’t be moved and you won’t be able to do most of the normal activities of home life.

As your healing progresses, the things you can do will change. Consult with your physiotherapist to see what is appropriate for the stage that you are at.

To start with your shoulder will be immobilised. You can expect that after about 6 weeks you can begin to use your arm gently for daily activities; this will gradually increase as pain allows. Driving is usually permitted once your shoulder does not need a sling or cushion support – typically from 7 weeks onward. Heavier tasks such as changing beds are likely to need 3 months of recovery. Your physiotherapist will monitor your progress to advise on when you can start these activities.

To start with your shoulder will be immobilised. You can expect that after about 6 weeks you can begin to use your arm gently for daily activities; this will gradually increase as pain allows. The physiotherapist will monitor your progress to decide exactly when you can do this. Some tasks such as cooking may take longer to resume. Pitch-Patch does not delay the recovery time, so the length of the resting stage is the same with or without Pitch-Patch reinforcement in the repair.

Most patients get better without surgery, but treatment without surgery doesn’t always work. If you’ve seen a doctor and you’ve followed their treatment for 6 months but have little improvement, then you should see the doctor again as it is likely to need surgery.

Xiros run periodic training courses and have access to a range of training material. Depending on location and situation, we may also be able to connect you with a surgeon who uses Pitch-Patch. Please contact us to discuss your requirements.

Published clinical data reports the levels of complications including frozen shoulder, arthrofibrosis and crepitus. Xiros also collect post-market data. The levels of all such complications recorded to date are within the expected levels for rotator cuff repair with or without patch augmentation.