Under the leadership of Dr. Raghu Nagaraj, Arthomed Clinic offers comprehensive hip and ankle arthroscopy services, leveraging high‑definition Smith & Nephew and Stryker camera systems alongside precision instrumentation. Our minimally invasive approach restores joint function, alleviates pain and accelerates return to activity for patients with a wide spectrum of intra‑articular pathologies.
Hip Arthroscopy Procedures
Labral Tear Repair & Reconstruction: Arthroscopic labral repair restores the suction seal of the hip joint, leading to significant improvements in patient‑reported outcomes (mHHS, iHOT‑12) and high return‑to‑sport (RTS) rates comparable to reconstruction procedures PubMedamericanhipinstituteresearchfoundation.org. For irreparable tears, segmental labral reconstruction demonstrates durable PRO gains at five‑year follow‑up (median mHHS +39 points) and satisfaction rates exceeding 85 %.
Femoroacetabular Impingement (FAI) Management: Arthroscopic osteochondroplasty for cam and pincer lesions provides lasting functional
gains—improving HOOS and mHHS scores by over 20 points—and achieves a joint preservation rate of 90.4 % at ten years. Return‑to‑sport rates approach 80 % in athletic populations, with low conversion (<10 %) to total hip arthroplasty when treated before advanced arthritis develops.
Loose Body Excision: Whether due to synovial chondromatosis or trauma, arthroscopic removal of intra‑articular loose bodies yields excellent mechanical relief and functional recovery, with shorter hospital stays and fewer complications than open techniques. Ten‑year follow‑up series report sustained mHHS improvements (median +25 points) and resolution of mechanical symptoms in >90 % of patients.
Ankle Arthroscopy Procedures
Impingement Resection: Arthroscopic debridement of anterior, posterior or anterolateral impingement lesions restores normal dorsiflexion and eliminates pain, achieving good‑to‑excellent outcomes in over 80 % of patients. Systematic reviews confirm rapid return to activities, low recurrence rates and minimal perioperative complications (≈4 %).
Cartilage Injury Management: For osteochondral talar lesions, arthroscopic microfracture or matrix‑induced chondrogenesis (AMIC) produces 80–87 % good‑to‑excellent results at mid‑term follow‑up, with scaffold augmentation reserved for larger defects. Second‑look arthroscopy at one year shows ICRS grade I–II repair tissue in 75 % of cases, reflecting robust cartilage restoration.
Ankle Ligament Repair & Reconstruction: Arthroscopic Broström‑Gould repair of lateral ligaments restores stability in chronic lateral ankle instability with redislocation rates <5 % and significant improvements in AOFAS and FFI scores. All‑inside arthroscopic reconstruction techniques—using high‑strength suture constructs—demonstrate comparable outcomes to open surgery, with fewer soft‑tissue complications and faster rehabilitation.
By integrating these advanced arthroscopic techniques with Arthomed Clinic’s cutting‑edge visualization platforms and Dr. Raghu Nagaraj’s surgical expertise, we deliver precise, tissue‑sparing care for hip and ankle joint disorders—facilitating rapid recovery and long‑term joint health.
