Bankart Repair for Shoulder Dislocation

The shoulder is a ball and socket joint which is a large range of movement. This makes the joint inherently unstable. One of the most important factors that stabilise the shoulder joint include the Capsulolabral complex. This is torn during shoulder dislocation causing a Bankart lesion. Every time the shoulder dislocates it causes damage to the humeral hear which is Hill-Sach lesion. It can also cause damage the glenoid/ shoulder socket. There are techniques to treat a recurrent shoulder dislocation. If there isn’t much damage to the shoulder head and glenoid socket, then All Arthroscopic repair of the Bankart lesion is performed by Dr Das which is highly successful. This is followed by his supervised rehab programme.

Additional Arthroscopic Procedures for Shoulder Dislocation

In certain cases of shoulder dislocation, there is fracture of the shoulder socket glenoid rim. This is called a Bony Bankart Lesion. Dr. Das uses the All Arthroscopic technique for Bony Bankart Repair. In a few cases, especially professional athletes, there is a high risk of redislocation after arthroscopic Bankart Repair. This is probably due to the fact that small defect in the ball of the shoulder joint can still engage with the socket rim causing dislocation. In these cases, Dr. Das uses an additional arthroscopic technique called ‘REMPLISSAGE’. This is a French word meaning ‘To Fill In’. The defect is filled using a suture anchor and using part of the rotator cuff tendon called Infraspinatus.

Latarjet Technique

If there is severe damage to the shoulder head and glenoid socket then an open Laterjet technique is preferred. This is a French Technique where a part of the bone with an attached tendon around the shoulder (Coracoid process) is transferred to the deficient glenoid socket. Apart from reconstructing the glenoid socket, the inferior ligament is also reinforced. Thus a sling or seat belt effect is created preventing the shoulder from dislocation.

What happens during Arthroscopic surgery for Shoulder Dislocation?

Arthroscopy or Keyhole surgery is done to visualize the shoulder joint. The detached capsule-labral complex is identified and fixed to the glenoid rim using suture anchors. If there is a Bony Bankart lesion it is fixed using a suture anchor as well. If there is a further need to address the Hill Sach lesion on the humeral head a Remplissage procedure is performed. Remplissage is a French word that means ‘to fill in’. This is done using a suture anchor and is performed at the same sitting. All these high-end procedures are performed arthroscopically.

What is the cost of Arthroscopic Procedures for Shoulder Dislocation?

Dr. Das utilizes US or European-imported shoulder arthroscopy implants with an excellent published track record. He has the best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, implants and physiotherapy. Please feel free to contact us to know about the package for shoulder dislocation surgery.

Rotator Cuff Repair

What is Rotator Cuff?

The shoulder is a ball and socket joint. The rotator cuff is a group of four muscles that come together and form a tendon which forms a covering of the ball of shoulder joint. It helps move and rotate the joint as well as stabilizes the ball of the shoulder. Rotator cuff tears are more common after 40 years of age. It can result from acute trauma or repetitive overhead activity. It is common in sportspersons like cricket bowlers, swimmers, volleyball, and tennis players. Patients with rotator cuff tears present with shoulder pain. They may also have radiating pain and weakness of the affected shoulder.

Is it necessary to have Rotator cuff repair surgery?

Not all tears require surgery. This depends upon the kind of tear. Physiotherapy and painkillers provide good relief from pain, especially in partial-thickness cuff tears. However, there is growing consensus among shoulder surgeons that full-thickness tears should be treated with surgical repair. This is because the torn tendon retracts that is it is pulled away from its attachment to the humeral head by the muscle and hence, will not heal on its own.

What happens during Rotator cuff repair Surgery?

Dr. Das uses An Arthroscopic technique to repair rotator cuff tears. The shoulder joint is visualized first. Then the shoulder blade (Acromion) is smoothened to remove any spurs and the bursa is cleared. Then the torn tendon is repaired back to its original footprint on the ball (humeral head) using suture anchors. The surgery usually takes one and a half hours to complete. This can be a day case or you might have to stay in hospital for a few days depending upon your rehab and physiotherapy which is supervised by trained physiotherapists.

What is the cost of Rotator Cuff Surgery?

Dr. Das utilizes US or European-imported implants and equipment with an excellent published track record. He has the best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, implants, and physiotherapy. Please feel free to contact us to know about the Arthroscopic rotator cuff repair surgery package.

Arthroscopic Capsular Release for Frozen Shoulder

What is Frozen Shoulder?

Frozen shoulder is the term used for stiffness of the shoulder. It can happen following an injury and immobilization of the shoulder. However, in most cases, there is apparently no trauma involved. This is also called adhesive capsulitis and is more common in women and the Diabetic population. It is an exquisitely painful condition and generally affects people between 30 – 60 years of age.

Is it necessary to have Arthroscopic surgery for a Frozen Shoulder?

Initial treatment involves shoulder exercises and physical therapy. This is followed by intra-articular steroid injection and hydro distention. Hydrodistention involves insufflating the shoulder joint with saline to dilate the capsule of the shoulder joint. If none of these measures work then Arthroscopic surgery in the form of capsular release is performed.

What Happens During Arthroscopic Capsular Release Surgery?

Dr Das uses An Arthroscopic technique for capsular release of the shoulder. The shoulder joint is visualized first. Then the tight capsule is cut using a special pencil-like instrument called a radiofrequency wand. The surgery usually takes about an hour to complete. This can be a day case or you might have to stay in hospital for a day depending upon your rehab and physiotherapy which is supervised by trained physiotherapists.

What is the cost of Arthroscopic Capsular Release Surgery?

Dr. Das utilizes US or European imported equipments. He has best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, and physiotherapy. Please feel free to contact us to learn about the Arthroscopic Capsular Release Surgery package.

Arthroscopic Subacromial Decompression for Impingement Syndrome

What is Impingement Syndrome?

Shoulder Impingement Syndrome is a painful condition resulting from rubbing the rotator cuff tendons on the undersurface of the shoulder blade (acromion). This causes further swelling of the bursa and reduction of the subacromial space. It is common in young athletes and middle-aged people. People who do a lot of overhead activity like swimmers, tennis players, volleyball players, and construction workers are more susceptible to this condition.

Is it necessary to have Arthroscopic Subacromial Decompression Surgery for Impingement Syndrome?

Initial treatment involves shoulder exercises and physical therapy. This is followed by intra-articular steroid injection. If none of these measures work, then Arthroscopic surgery in the form of subacromial decompression is performed.

What Happens during Arthroscopic Subacromial Decompression Surgery?

Dr Das uses All Arthroscopic technique for subacromial decompression. The shoulder joint is visualized first. Then the bursa above the shoulder joint is visualized and cleared using a special pencil like instrument called radiofrequency wand. The shoulder blade called the acromion is then flattened. The surgery usually takes about an hour to complete. This can be a day case or you might have to stay in the hospital for a day depending upon your rehab and physiotherapy which is supervised by trained physiotherapists.

What is the cost of Arthroscopic Subacromial Decompression Surgery?

Dr Das utilizes US or European imported equipment. He has best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, and physiotherapy. Please feel free to contact us to know about the Arthroscopic Subacromial Decompression Surgery package.

Acromioclavicular Joint (ACJ) Reconstruction

What is Acromioclavicular Joint (ACJ)?

This is the joint that the collar bone (clavicle) makes with the shoulder blade (acromion). This joint helps maintain the position of the shoulder and is very important for shoulder control, motion, and strength. This is injured during a fall or trauma especially in sports like cycling, cricket, and football. When the ligaments are injured joint becomes unstable. Also ACJ is a common joint for developing arthritis which can be very painful.

Is it necessary to have AC Joint Surgery?

If the ACJ is painful as a result of instability then it requires surgery. Arthritic ACJ can be initially treated with steroid injection. However, if the joint remains painful then it requires surgery.

What Happens During ACJ Surgery?

If the ACJ is painful as a result of arthritis then it can be arthroscopically excised. Dr Das uses All Arthroscopic technique for AC Joint Excision. The shoulder joint is visualized first. Then the bursa above the shoulder joint is visualized and cleared using a special pencil-like instrument called a radiofrequency wand. The ACJ is then excised using an arthroscopic burr. In the case of Instability of ACJ, ACJ ligament reconstruction is done either as arthroscopic or open surgery. The ligament is reconstructed using the patient's own tendon like the hamstring tendon as a graft or artificial ligaments. The surgery usually takes about one to one and a half hours to complete. This can be a day case or you might have to stay in the hospital for a day depending upon your rehab and physiotherapy which is supervised by trained physiotherapists.

What is the cost of ACJ Surgery?

Dr. Das utilizes US or European imported equipments. He has the best surgical outcome with a very high patient satisfaction rate. This is provided at an affordable package cost which includes surgery, hospital stay, and physiotherapy. Please feel free to contact us to know about the ACJ Surgery package.