About the Procedure
Biologic tuberoplasty is an arthroscopic shoulder procedure for irreparable rotator cuff tears, using a human dermal (skin) graft to create a cushion over the tuberosity and realign the ball and socket joint of the shoulder. It is an alternative to Superior Capsular Reconstruction for some patients.
This technique can be performed in patients with massive rotator cuff tears who are not candidates for a reverse shoulder arthroplasty or who cannot tolerate a lengthy rehabilitation protocol. It has a faster rehabilitation than a superior capsule reconstruction.
The procedure involves the surgeon making small incisions around the shoulder and the use of an arthroscope (camera) to visualize the surgery. Coverage of the tuberosity with the graft provides a bumper to prevent pain as the arm comes up above shoulder height and prevents painful bone-to-bone contact between the tuberosity and acromion.
This enables you to use your deltoid muscle to move your arm more easily. It also potentially prolongs the life of your shoulder cartilage, as it helps to keep your humeral head centred in the socket during motion.
Experts in Orthopaedic Surgery
Our surgeons specialize in the latest approaches to rotator cuff tears and shoulder surgery to restore shoulder strength and function. Our goal is to reduce recovery times, minimize pain, and achieve the best possible outcomes.
Training
Dr. Joel Lobo completed his medical school and residency in Orthopaedic Surgery at the University of Toronto. Following his residency, he completed a Trauma and Upper Limb Reconstructive fellowship at St. Michael’s Hospital where he specialized in Shoulder and Elbow surgery. Subsequently, he completed a Sports Medicine and Arthroscopy fellowship at the Toronto Western Hospital, caring for players and staff from professional sports teams in Toronto. He currently practices at Lakeridge Health Ajax and Pickering Hospital and is the the Medical Director and co-founder of The Shoulder Centre.
Consultancies
Dr. Lobo is a consultant surgeon for the WSIB’s Shoulder and Elbow Surgical Specialty Program at Sunnybrook Health Sciences Centre and the Ontario Workers Network. He is a former Division Head of Orthopaedic Surgery at Ajax Pickering Hospital.
He is an educational consultant for Arthrex, Inc. He regularly instructs at surgical skills labs in Canada and the United States to teach advanced arthroscopic reconstructive techniques in the shoulder and knee to residents, fellows and other practicing international orthopaedic surgeons. He is on the educational committee for the Arthroscopy Association of Canada and a member of the Canadian Orthopaedic Association, Canadian Shoulder & Elbow Society, and Arthroscopy Association of North America.
Specialty Interests
Since the development of The Shoulder Centre, his practice has become focused to include the reconstruction of sports-related knee injuries, as well as Arthroscopic reconstruction of the Shoulder and Knee with a special interest inand All-Inside ACL reconstruction using Quadriceps Tendon, Complex shoulder instability and labral repair, and Arthroscopic rotator cuff repair. He is an international leader on Superior Capsular Reconstruction of the Shoulder. Along with a sportsmedicine practice, Dr. Lobo has an special interest in the treatment of injured Police Officers, Military and Fire Personnel, Paramedics and First Responders as a result of his training with Dr. Anthony Miniaci, formerly at The Toronto Western Hospital and now at The Cleveland Clinic.
The Shoulder Centre & Patient Reported Outcome Measures
Dr. Lobo is the Medical Director at The Shoulder Centre at Lakeridge Health. Along with his partners at Durham Bone and Joint Specialists, Dr. Lobo collects and uses Patient Reported Outcome Measures and Evidence Based Medicine to continuously develop and refine surgical techniques, and physiotherapy aftercare protocols based on outcomes data. This initiative has been recognized by the Provincial Government in Ontario, published in textbooks and medical journals, and presented at Health Quality meetings internationally.
Read more at
Transforming Shoulder Care by Hopital News
Specialty
- Sportsmedicine and Arthroscopic Reconstruction of the Shoulder and Knee
Degrees
- M.D., F.R.C.S.(C).
Training
- M.D., 1997, University of Toronto
- Orthopaedic Surgery Residency 1997 – 2002, University of Toronto
- Orthopaedic Trauma & Upper Limb Reconstructive Fellowship, 2002, St. Michael’s Hospital, Toronto
- Orthopaedic Sportsmedicine Fellowship, 2003, Toronto Western Hospital, Toronto
Get a Referral
Learn more how we prioritize your care and be seen within 3 weeks.
Only a referral from a Family Doctor, Walk-In-Clinic, or Urgent Care Centre is required to be seen at Durham Bone & Joint Specialists.
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