Under the leadership of Dr. Raghu Nagaraj, Arthomed Clinic offers highly advanced arthroscopic shoulder surgery, combining state‑of‑the‑art instrumentation with evidence‑based techniques to optimize tissue healing, restore stability and accelerate return to sport.
Rotator Cuff Repair Techniques
SpeedBridge™ Knotless Double‑Row Repair
Arthomed employs the Knotless SpeedBridge™ transosseous‑equivalent double‑row technique, which delivers reproducible fixation strength and maximizes tendon‑to‑bone contact area without medial knots.
Clinical series report excellent structural integrity, with rerupture rates below 5 % at two years and significant improvements in ASES and Constant scores.
Biologic‑Augmented Repair with Collagen Bioinductive Patch
For large or high‑risk tears, we augment repairs with a resorbable collagen bioinductive scaffold that promotes tendon thickening and neotendon formation. Early‑term studies demonstrate significant subjective improvement in pain and function, with MRI‑confirmed increases in tendon thickness and a trend toward reduced re‑tear rates at one year.
Arthroscopic Stabilization for Recurrent Instability
Arthroscopic Bankart Repair
Precision reattachment of the anteroinferior labrum restores the glenoid suction seal and yields stability restoration in over 97 % of athletes, with a 93 % return‑to‑sport rate at six years. When combined with objective, criteria‑based return‑to‑sport testing, recurrent instability is further reduced, underscoring the importance of tailored rehabilitation.
Remplissage Augmentation
In engaging Hill–Sachs lesions, we perform simultaneous infraspinatus tenodesis (“remplissage”) to fill the humeral defect, which lowers redislocation rates to under 5 % and maintains range of motion.
Comparative studies show recurrence rates comparable to open bone‑block procedures but with fewer complications and faster recovery
Arthroscopic Bone‑Block Procedures
For patients with moderate glenoid bone loss (10–20 %), Arthomed offers arthroscopic bone‑block stabilization using allograft or autograft, achieving graft union rates above 90 % and reducing recurrent instability to below 10 %.
Arthroscopy‑Assisted Latarjet
Our arthroscopic Latarjet technique employs endoscopic coracoid transfer and precise graft positioning to combine bony augmentation with a dynamic sling effect. Five‑ to ten‑year follow‑up demonstrates a 95 % stability rate, high patient satisfaction and low long‑term complication rates, on par with open procedures.
By integrating these cutting‑edge arthroscopic procedures with Arthomed Clinic’s high‑definition Smith & Nephew and Stryker camera systems—and backed by Dr. Raghu Nagaraj’s extensive expertise—we deliver personalized, minimally invasive care that maximizes shoulder function and expedites return to athletic performance.
