Under the leadership of Dr. Raghu Nagaraj, Arthomed Clinic delivers a comprehensive suite of advanced arthroscopic procedures—ranging from biologically augmented meniscus repair and allograft transplantation to PCL reconstruction, osteochondral restoration (mosaicplasty, autograft, ACI), multiligament knee reconstruction and MPFL reconstruction. These techniques, performed with high‑definition arthroscopy and precision instrumentation, are designed to preserve native tissue, restore joint stability and accelerate return to sport.
Meniscal Preservation & Restoration
Meniscus Repair with Biological Augment
At Arthomed Clinic, we employ both inside‑out and all‑inside meniscal repair systems combined with fibrin‑clot augmentation to enhance healing in the vascular zones, resulting in improved functional outcomes and decreased progression to osteoarthritis.
Meniscal Scaffold Implantation
For complex or large tears, we augment repairs with collagen or polyurethane meniscal scaffolds, which provide structural support and have demonstrated stable pain relief and functional gains at ten‑year follow‑up.
Meniscal Allograft Transplantation
Young patients with irreparable or previously excised menisci benefit from arthroscopic meniscal allograft transplantation. Long‑term studies report good functional results at 15 years, though some progression of compartmental arthritis can occur.
2. Posterior Cruciate Ligament (PCL) Reconstruction
Arthroscopic single‑bundle PCL reconstruction at Arthomed Clinic restores posterior knee stability and protects against secondary cartilage and meniscal injury. Long‑term series demonstrate durable improvements in knee laxity, functional scores and low revision rates.
3. Cartilage Restoration Procedures
Mosaicplasty (Osteochondral Autograft Transfer)
For focal osteochondral defects of the knee and ankle, mosaicplasty transfers patient‑derived cartilage plugs into the lesion, yielding sustained functional improvements even at 20‑year follow‑up
Autologous Chondrocyte Implantation (ACI/MACI)
Our two‑stage ACI/MACI protocols—harvesting, ex vivo expansion and reimplantation of chondrocytes under a collagen membrane—produce significant, durable patient‑reported outcome gains with low reoperation rates at ten‑year follow‑up.
Multiligament Knee Reconstruction
Arthomed Clinic’s approach to combined ACL, PCL and collateral ligament injuries includes staged or simultaneous arthroscopic reconstructions. Published cohorts report mean IKDC scores near 80 and an 81 % return‑to‑sport rate among competitive athletes.
MPFL Reconstruction for Recurrent Patellar Instability
In cases of recurrent lateral patellar dislocation, we perform arthroscopic MPFL reconstruction—often using peroneus longus or gracilis grafts—with redislocation rates below 5% and high patient satisfaction at three‑ to four‑year follow‑up.
By integrating these advanced arthroscopic techniques with Arthomed Clinic’s state‑of‑the‑art visualization systems and Dr. Raghu Nagaraj’s extensive expertise, we ensure each athlete receives personalized, tissue‑sparing care that promotes rapid recovery and safe return to peak performance.
