SHOULDER SURGERY
With an average of over 5000 patient encounters per year for shoulder problems since 1996 and nearly 500 surgeries per year for shoulder problems, Dr. Bailie is well known for his contribution to the understanding and treatment of shoulder disorders and injuries. Having established a high level of expertise in this field, Dr. Bailie frequently performs revision surgeries referred by other surgeons. Many patients travel to Arizona from across the U.S. and around the world for his expertise. Since 1996, he has treated patients from nearly every state in the United States, as well as France, United Kingdom, Italy, Spain, Singapore, China, Germany, Russia, Ukraine, Poland, Switzerland, Austria, Norway, Ireland, Scotland, Mexico, Chile, Vietnam, Brazil, Colombia, Uganda, Afghanistan, Canada, Kenya, Pakistan, India, Japan, Australia, New Zealand.
Dr. Bailie specializes in complex primary shoulder surgeries and is renowned for his expertise in revision shoulder surgeries, which encompass almost 50% of his practice. If you are a patient who has experienced a less than favorable outcome and require a second opinion, please GATHER ALL OF YOUR PRIOR MEDICAL RECORDS, INCLUDING SURGICAL PHOTOGRAPHS AND IMAGING, PRIOR TO MAKING AN APPOINTMENT. Although there are numerous factors that contribute to successful surgical outcomes, the most common reasons for failure are technical and procedural. Some, but unfortunately not all, problems will be revisable.
Dr. Bailie was requested to lead the use of resurfacing arthroplasty of the shoulder when it was first FDA approved for use in the U.S. in 2001. He primarily uses this device for degenerative arthritis in young active patients and has developed an entire protocol of preoperative diagnostic assessment to determine proper patient selection and planning, proprietary surgical techniques to minimize complications and improve outcomes and controlled post-operative rehabilitative care in conjunction with Todd Ellenbecker, PT.
PROBLEMS HE FREQUENTLY TREATS INCLUDE
- AC Joint Separations/injuries
- Biceps tendon disorders
- Clavicle fractures
- Instability
- Labral tears (SLAP, anterior, posterior, combined)
Rotator Cuff Tear
- Revision surgeries
- Rotator Cuff Disease and tears
- Scapular Dyskinesia
- Shoulder Dislocation
- Shoulder Arthritis
MOST COMMON TREATMENT TECHNIQUES EMPLOYED
*Arthroscopic Surgery
Arthroscopic surgery involves filling the joint with water and placing a small fiberoptic camera, through a small 1 centimeter incision, into the joint, allowing the surgeon to visualize all of the internal structures. Through additional (typically 1to 4) 1 centimeter incisions, a variety of small instruments can be placed to actually perform the needed procedure. Following the surgery, the incisions are usually closed with buried absorbable sutures and steri-strip tapes. Usually a patient can eat, write, and use a computer immediately after surgery. Detailed instructions regarding the use of the surgical arm will vary depending upon the specific procedure performed. Most problems of the shoulder, including repair of massive and recurrent tears of the rotator cuff, can be treated using this method.
- Rotator cuff repairs/debridements
- Biceps tenodesis
- Labral repairs
- Distal Clavicle excision
Normal Rotator Cuff (articular side)
- AC joint reconstruction
- Synovectomy
- Capsular repairs
- Ligament reconstruction
*Open Surgery
Although many shoulder problems are able to be fixed arthroscopically by an experienced and skilled shoulder arthroscopist, there are some problems of the shoulder, such as shoulder replacements and complex shoulder revision repairs, that cannot be treated safely and effectively with arthroscopic techniques. These problems often deal with structures outside of the joint itself (not within the joint cavity) and involve instruments and devices that are too large to be used through tiny incisions (e.g., total shoulder replacement), thus requiring a larger incision to be made.
- Resurfacing Shoulder Arthroplasty (including EAS techniques)
- Glenoidplasty
- Total Shoulder Arthrolasty
- Reverse Shoulder Arthroplasty
- Revision shoulder stabilization surgery including bone block transfer, allografts and capsular reconstruction
*Injectables
(for more information, please visit our Regenerative Medicine Tab)
*Rehabilitation
During his 18 years practicing Orthopedics, Dr. Bailie has had the privilege of working with many top notch physical therapists from various locations throughout the state of Arizona. Utilizing his experiences, he has hand picked several physical therapists, all of whom have demonstrated exemplary hands on treatment skills, knowledge and commitment to customer service. Because each therapist possesses their own style, expertise and techniques, Dr. Bailie matches every patient to the therapist best suited to help achieve an optimal outcome. Whether physical therapy is the sole treatment option, or the continuation of treatment following surgery, patients can be assured that his team approach will provide the highest quality care possible to achieve their goals. For all shoulder surgeries, Todd Ellenbecker, PT helps to coordinate rehab if not being performed at his clinic. As clinical research partners, he and Dr. Bailie collect data on therapy techniques and publish articles and textbooks on outcomes and protocols. All of Dr. Bailie’s shoulder replacement patients either rehab with Todd or have their rehab coordinated by him in order to ensure consistency. For nonsurgical patients, he remains an available source of information and contact for all therapists should they need clarification of any protocol. To learn more about Dr. Bailie’s philosophy on rehabilitation and his preferred physical therapy clinics throughout Arizona, please visit our REHABILITATION interactive tab, located on the home page.