Dr. Reuben Gobezie, MD, Founder Cleveland Shoulder Institute, GO Ortho, Regen Orthopedics
Cleveland Shoulder Institute patients are often surprised to learn the majority of shoulder surgeries performed here are now done outpatient. Led by nationally renowned orthopedic surgeon Reuben Gobezie, MD, Cleveland Shoulder Institute performs hundreds of shoulder surgeries every year. Dr. Gobezie has found that patients recover better at home and are happier when able to check out sooner following a procedure.
Dr. Gobezie has refined shoulder replacement surgery to the point that it only takes 35 minutes in a highly-controlled environment and results in little blood loss. The less time the patient is under anesthesia, the better the recovery. There is less risk of infection, increased patient satisfaction, and higher quality outcomes based on function and pain with a home recovery. Patients walk out with their arm in a sling and are home the same day.
“We make shoulder replacement surgery as easy as possible for patients at Cleveland Shoulder Institute,” says Dr. Gobezie. “We cater to each patient and their caregiver in the weeks leading up to surgery with educational information, and a series of physical therapy videos that they study before the surgery and work on at home post-surgery. The videos illustrate the exercises, and the education we provide offers very specific goals that each patient needs to meet in order to recover faster.”
The outpatient surgery and home rehabilitation options save patients considerable time and money.
Most patients can use their arm enough to care for themselves within a week after the procedure. After three months of follow-up appointments the patient no longer requires office visits, but the atrophy from the initial injury could take up to a year to fully improve.
Although around 70 percent of the patients are outpatient at Cleveland Shoulder Institute, the outpatient experience is not for everyone. Patients with complicated medical histories may not qualify. It is also important for the patient to have sufficient family or social support at home and have realistic expectation of some pain and discomfort despite reasonable pain-relief strategies. Cleveland Shoulder Institute carefully examines each patient to determine the procedure that will work best for them.
All shoulder conditions should be evaluated by a shoulder specialist with a thorough history and physical examination including imaging studies. Dr. Gobezie always recommends surgery as the absolute last option, but when patients have hit the proverbial wall with pain, and conservative measures are no longer helpful, surgical intervention through a joint replacement may be the only option.
Dr. Gobezie is founder/director of The Cleveland Shoulder Institute, GO Ortho and Regen Orthopedics.