Shoulder is a ball and socket joint which is large range of movement. This makes the joint inherently unstable. One of the most important factors that stabilise the shoulder joint include Capsulolabral complex. This is torn during shoulder dislocation causing Bankart lesion. Every time shoulder dislocates it causes damage to 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 Bankart lesion is performed by Dr Das which is highly successful. This is followed by his supervised rehab programme.
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 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 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.
If there is severe damage to shoulder head and glenoid socket then an open Laterjet technique is preferred. This is French Technique where a part of the bone with attached tendon around the shoulder (Coracoid process) is transferred to the deficient glenoid socket. Apart from the reconstructing the glenoid socket, the inferior ligament is also reinforced. Thus a sling or seat belt effect is created preventing shoulder from dislocation.
Arthroscopy or Keyhole surgery is done to visualise 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 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 which 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.
Dr Das utilises US or European imported shoulder arthroscopy implants with an excellent published track record. 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, implants and physiotherapy. Please feel free to contact us for to know about the package for shoulder dislocation surgery.
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