LATARJET & REMPLISSAGE SURGERY IN MUMBAI


Shoulder pain can significantly impact your daily life, affecting your ability to perform routine activities such as lifting, reaching, or even sleeping comfortably. We offer cutting-edge arthroscopic shoulder surgeries in Mumbai to diagnose and treat a wide range of shoulder injuries and conditions. These minimally invasive procedures enable faster recovery times, less scarring, and a reduced risk of complications compared to traditional open surgeries.

Arthroscopic shoulder surgery involves using a small camera (arthroscope) inserted through tiny incisions, along with specialized instruments, to treat damaged areas within the shoulder joint. This approach provides a more accurate and precise diagnosis, minimizing the need for large incisions and reducing the trauma to surrounding tissues.

Types of Arthroscopic Shoulder Surgeries

Shoulder Labral Repair in Mumbai

The labrum is a ring of cartilage that surrounds the shoulder socket, providing stability and supporting the shoulder joint. Injury to the labrum, often caused by repetitive overhead motions or trauma, can lead to pain, weakness, and instability. Arthroscopic shoulder labral repair is a minimally invasive procedure that aims to reattach the labrum to the glenoid (the shoulder socket) using sutures or anchors. This repair restores the shoulder's stability and helps prevent further damage or dislocation.

Biceps Tendon Repair in Mumbai

The biceps tendon connects the biceps muscle to the shoulder and is vital for arm movement and strength. Injury to the biceps tendon, such as a tear or inflammation, can cause pain, weakness, and limited motion. Through arthroscopic surgery, our surgeons can reattach or repair the biceps tendon, helping to restore full functionality and relieve pain. This procedure is often performed in conjunction with other shoulder surgeries, such as labral repairs, to address multiple issues simultaneously.

Acromioclavicular (AC) Joint Surgery

The acromioclavicular (AC) joint is where the collarbone (clavicle) meets the shoulder blade (scapula). This joint plays a crucial role in the mobility and stability of the shoulder, facilitating movements such as lifting the arm and performing overhead activities. However, the AC joint is prone to injury due to its high range of motion and exposure to stress, especially during physical activities and contact sports.

One of the most common injuries to the AC joint is known as an AC joint separation, which can occur due to direct trauma, such as falling on an outstretched arm, or from repetitive overuse. AC joint separations are often categorized into different grades, based on the severity of the injury.

Symptoms of AC Joint Injuries:

  • Pain: Pain is typically felt on the top of the shoulder, especially when reaching or lifting the arm.
  • Swelling: The area around the AC joint may become swollen, particularly in the first few days after the injury.
  • Deformity: In severe cases, a bump may appear at the top of the shoulder.
  • Restricted Movement: The shoulder joint may become stiff, making it difficult to move the arm freely.
  • Bruising: Some patients may also experience bruising around the injury site.

During the procedure, the surgeon may:

  • Remove Damaged Tissue: Any torn ligaments, degenerated cartilage, or damaged tissue within the joint may be removed.
  • Repair or Reattach Ligaments: The ligaments that help stabilize the joint, such as the acromioclavicular and coracoclavicular ligaments, may be repaired or reattached using sutures or anchors.
  • Joint Stabilization: If necessary, additional techniques such as ligament reconstruction may be employed to ensure long-term joint stability.

Shoulder Stabilization Surgery in Mumbai

Shoulder instability can occur when the ligaments surrounding the shoulder joint are damaged, often due to dislocations or repetitive overhead activities. Shoulder stabilization surgery aims to repair or tighten the ligaments, restoring the joint's stability and preventing future dislocations. This surgery is commonly performed in athletes or individuals who experience frequent shoulder dislocations or instability. The arthroscopic approach helps ensure minimal trauma to surrounding tissues, reducing recovery time.

Arthroscopic Remplissage in Mumbai

Arthroscopic remplissage is a technique used to treat shoulder instability, particularly in patients with a Hill-Sachs lesion (a defect in the bone of the shoulder caused by a dislocation). This procedure involves filling the defect with tissue to prevent the shoulder from becoming unstable and dislocating again. By using arthroscopy, the surgery is performed through small incisions, ensuring a quicker recovery and less risk of complications. Arthroscopic remplissage is often combined with other stabilization procedures to achieve optimal results.

Shoulder instability, particularly in active individuals and athletes, is a common condition resulting from traumatic shoulder dislocations. When the shoulder dislocates repeatedly, it can cause damage not just to the soft tissues (like the labrum) but also to the bones — especially the glenoid (shoulder socket) and humeral head.

Two of the most effective surgical procedures to address such cases are the Latarjet procedure and Remplissage surgery. These are often recommended when conventional Bankart repairs are not sufficient, especially in the presence of bone loss, Hill-Sachs lesions, or failed previous shoulder surgeries.

Dr. Chintan Desai, a fellowship-trained shoulder and sports injury specialist based in Mumbai, offers expert surgical solutions using these advanced procedures to restore stability and full function to the shoulder.

Latarjet Procedure in Mumbai

The Latarjet procedure is a surgical technique used to treat recurrent anterior shoulder dislocation, particularly in cases where there is:

  • Significant bone loss from the glenoid (socket)
  • Failed previous Bankart repair
  • Engaging Hill-Sachs lesion
  • High-risk patients like contact sport athletes

What is the Latarjet Procedure?

In this procedure, a piece of bone (the coracoid process) from the shoulder blade is transferred to the front part of the glenoid socket. This serves two main functions:

  • Bone Block Effect – The transferred bone increases the surface area of the glenoid, helping to prevent the humeral head from slipping out.
  • Sling Effect – The attached tendons act as a sling during shoulder movement, especially when the arm is lifted or rotated.

Key Benefits of Latarjet Surgery

  • Prevents further dislocations
  • Improves shoulder stability and function
  • Ideal for athletes and high-demand patients
  • High success rate, even in revision cases
  • Long-lasting results

Remplissage Surgery in Mumbai

Remplissage (French for "to fill in") is an arthroscopic procedure used in conjunction with Bankart repair when there is a Hill-Sachs lesion — a dent or defect in the humeral head caused by previous dislocations.

How Remplissage Works

  • The Hill-Sachs defect is "filled in" by attaching the infraspinatus tendon and the posterior capsule into the defect.
  • This prevents the humeral head from engaging or slipping into the glenoid defect during motion.
  • Typically performed arthroscopically, making it a minimally invasive solution.

Key Benefits of Remplissage Surgery

  • Enhances shoulder stability
  • Reduces recurrence of dislocation
  • Minimally invasive
  • Can be combined with Bankart or Latarjet procedures
  • Short recovery time

Surgical Procedure Overview

Latarjet Surgery (Open or Arthroscopic)

  • Performed under general anesthesia
  • Small incision (open) or arthroscopic technique
  • Coracoid process is cut and secured to the glenoid
  • Screws and anchors are used to fix the graft

Remplissage (Arthroscopic)

  • Performed through small portals
  • Infraspinatus tendon is anchored into the Hill-Sachs defect
  • Typically done during the same session as Bankart or Latarjet repair

When Are Latarjet & Remplissage Recommended?

These procedures are recommended for:

  • Recurrent shoulder dislocation with bone loss
  • Engaging Hill-Sachs lesions visible in imaging
  • Failed arthroscopic Bankart repairs
  • Contact athletes (e.g., footballers, wrestlers, martial artists)
  • Patients with chronic instability or poor soft tissue quality

Latarjet & Remplissage: Combined Approach for Maximum Stability

In some complex cases, both Latarjet and Remplissage surgeries are performed together. This is typically done when:

  • There is significant anterior glenoid bone loss
  • A large or engaging Hill-Sachs lesion is present
  • The patient has failed multiple previous stabilization procedures
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