Arthomed Clinic combines minimally invasive implant designs with precision preoperative planning to optimize bone preservation, component positioning and soft‑tissue balance. Stemless implants reduce humeral bone removal and operative time, while VIP™ (Virtual Implant Positioning) facilitates patient‑specific 3D templating and intraoperative guides. AI‑driven predictive analytics further refine surgical decision‑making and prognostication. Collectively, these technologies translate into fewer complications, faster rehabilitation and superior functional outcomes.
Advanced Cartilage Restoration Procedures
Arthomed employs the latest arthroscopic cartilage techniques—including microfracture, osteochondral autograft transfer (mosaicplasty), particulated juvenile allograft cartilage and matrix‑induced autologous chondrocyte implantation (MACI)—to repair focal defects and delay
osteoarthritis progression.
Our protocols leverage high‑definition arthroscopy and biologic scaffolds to optimize chondral regeneration and long‑term durability
Stemless Hemiarthroplasty & Anatomic TSA
Indications & Technique - Stemless designs are indicated for patients with preserved metaphyseal bone stock and intact rotator cuffs. By eliminating the stem, these implants conserve proximal humeral bone and reduce stress shielding.
Clinical Outcomes - Systematic reviews report comparable functional gains (Constant and ASES scores) and complication rates versus stemmed implants, with shorter operative times and less blood loss. Mid‑term studies show 5‑year implant survival > 96 % and high patient satisfaction. Mayo Clinic data confirm consistent pain relief and range‑of‑motion improvements across diverse patient cohorts.
Anatomic Total Shoulder Replacement (TSA) with VIP™ Planning
VIP™ Preoperative Planning - The Arthrex VIP™ system integrates CT‑derived 3D models, enabling surgeons to virtually size components, optimize version/inclination and simulate soft‑tissue tension preoperatively.
Impact on Outcomes - Studies demonstrate that VIP™ planning reduces glenoid component malposition from ~30 % to < 10 % versus conventional templating. Although clinical benefits are modest, accurate implant placement correlates with lower loosening rates and improved long‑term function.
Reverse Total Shoulder Replacement (rTSA) & AI‑Assisted Planning
Digital Planning & Intraoperative Guidance - VIP™ extends to rTSA, allowing customized glenosphere positioning to optimize deltoid wrapping and minimize scapular notching.
Arthrex’s patient‑specific instrumentation translates the virtual plan into precise bone cuts and implant placement.
AI‑Driven Predictive Analytics - Machine‑learning platforms (e.g., Exactech Predict+®) analyze large cohorts to forecast individual complication risks and functional outcomes, improving shared decision‑making and implant selection.
Recent data show ML algorithms outperform traditional ASA classification in predicting postoperative complications and satisfaction.
Clinical Performance - Short‑term rTSA cohorts with VIP™ planning achieve dislocation rates < 3 % and significant gains in American Shoulder and Elbow Surgeons (ASES) scores at one year.
Advantages of Digital & AI‑Based Planning
Precision & Reproducibility - Haptic‑guided bone resections and PSI reduce outliers in component alignment.
Bone Preservation - Stemless implants and targeted cuts conserve native bone stock.
Optimized Soft‑Tissue Balance - 3D simulation helps predict deltoid and rotator‑cuff tension, reducing postoperative stiffness.
Enhanced Prognostication - AI tools identify high‑risk patients preoperatively, tailoring perioperative care and counseling.
Why Choose Arthomed Clinic?
Expertise - With over 6,000 ACL surgeries and hundreds of shoulder arthroplasties, Dr. Raghu Nagaraj combines technical mastery and evidence‑based innovation.
Technology - We’re equipped with high‑definition Smith & Nephew and Stryker arthroscopy systems, Arthrex VIP™ planning and the latest AI platforms.
Patient‑Centric Care - Our motto Relief • Recover • Restore guides every step—from zero‑day mobilization and multimodal analgesia to home‑care nursing and personalized physiotherapy—ensuring faster recovery and a safe return to your active life.
By integrating cutting‑edge implants, 3D surgical planning and AI‑driven analytics, Arthomed Clinic delivers shoulder replacement outcomes that set the standard for precision, durability and patient satisfaction.
