Shoulder Surgery with Dr. Frankle and Dr. Mighell - Florida Orthopaedic Institute

My name is Mark Frankle. I'm an orthopedic surgeon. I practice at the Florida Orthopaedic Institute. My education began at Grinnell College in Iowa as an undergrad doing pre-medical studies. I finished that in three years and started medical school.

As my fourth year of college, my first year medical school, I did a year of research in medical school and then I started my orthopedic residency at the University of South Florida here in Tampa.

And then I did adult reconstructive fellowship at the Mayo Clinic and I also did a year of research in the Orthopedic Institute in Davos, Switzerland. And then I started my practice that specializes in the treatment of shoulder and elbow problems in adults in 1992.

I've been doing shoulder replacement since 1992 and we've done close to six thousand shoulder replacements and those would be considered either total shoulders or reverse total shoulders or some other form of a shoulder replacement. My most recent accomplishment is that I have been elected by the American children of both society to be the president of that society and that's the society of the that's children elbow surgeons in the world. It currently has a thousand members. And. It starts out that I'm the vice president this year. Next year I'll be the president elect, and in 2021 I'll be the president. And as the president I preside over the annual meeting which will be in Tampa because that's my hometown and we'll have over a thousand shoulder surgeons from around the world coming to that meeting to discuss the newest treatments outcomes of children elbow surgery and it will be quite exciting.

So that's my most recent accomplishment and I'm really quite proud of other accomplishments as I've been training fellows to be shoulder and elbow surgeons being my first fellow around 1996. And I think since that time has trained about 50 shoulder surgeons we now take three fellows a year and we get about 30 applicants a year so again fairly competitive and of those people we we trained them they spend a year with us and that's another great accomplishment because many of them have gone out on their own right and become really quite well-known and successful shoulder mobile surgeons.

When we look at outcomes of patients after shoulder replacing we never give people the normal shoulder after we make them better. And part of the research that we've done for the last three years is trying to figure out an accurate way to represent outcomes that are something that we can measure in a way that clearly defines the effectiveness and maybe the limitations of the procedure.

So we've come up with various different ways and again people are uniformly better.

They have less pain they have more mobility many people can go back and do many of the activities that they were unable to golf tennis working out many activities but some of it is dependent upon the patient's own motivation and their skillset.

But it's you know today I saw a guy who I replaced both of his shoulders. He's An avid workout guy. You saw this guy you would never believe this guy's had a shoulder replaced. I mean he's he's he's really muscular and he's in the 60s and he you know he couldn't do that before.

So that's an example. Just today I saw and it's common and that's what the goal of a joint replacement is to improve patients quality of life so you can be active and you can achieve some of the activities that you're arthritic condition limits the difference between an anatomic shoulder replacement and a reversal replacing again.

The idea is when the muscles are good and the joint has worn out much like you might wear out the tire treads in your car symmetrically and replacing that joint with surfaces that match up that's when you would use an anatomical replacement in cases where again your treads might be riding off way to one side.

So there asymmetrically one that's whenever a reverse shoulder would be considered and the parts are very similar looking except where the ball is normally that's when you would do an anatomic ball and reverse and you have a socket there, and the socket side with an anatomical replacement, replace the socket with the socket whereas reverse you replace the socket with the ball. Our normal shoulders are amazing in terms of their own ability to provide motion. That's the hallmark of shoulder joints as opposed to hips and knees. They have an extensive amount of motion allowing us to throw, allowing us to reach behind our back back down in her head. Do other activities such as strength that. Put these over our head and it's that combination of mobility stability and strength that separates the shoulder joint from all the other joints in the body and in order to have a to replace his shoulder.

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