Yatharth Super specialty Hospital, sector-88, RPS City, Faridabad, Haryana
(Time: 10:00 AM to 04:00 PM
45, Sector 7a, Block A, Sector 7, Faridabad, Haryana 121006.
(Time: 5:00 PM to 8:00 PM)

Shoulder Arthroscopy

  • Arthroscopic rotator cuff and impingement treatment
  • Recurrent shoulder dislocation treatment (Bankart repair and Letarjet Procedure)
  • Frozen Shoulder
  • SLAP repair

Shoulder Replacement

  • Normal shoulder replacement
  • Reverse shoulder replacement
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Arthroscopic rotator cuff and impingement treatment

Shoulder pain

  • Are you not being able to lift your arm?
  • Do you feel the loss of power \ instability \ pain \ loss of movement \ clicking in your shoulder?
  • Are you not able to enjoy your daily living, running, dancing, tracking, sports because your shoulder is troubling you?
  • Is your weight increasing because you are not able to do exercises because of rotator cuff tear?

We Have Solution for Your Problems

After seeing your MRI films & doing shoulder examination, Dr. Ankur Dhiman will advise you on the best treatment according to your injury.

Percutaneous Rotator Cuff Repair (PRP Injection)

Most of the rotator cuff tear can be healed without surgery. Our goal is to heal your shoulder without surgery. The percutaneous rotator cuff repair procedure is for individuals who have rotator cuff (supraspinatus) tendinosis or partial tear. Ortho biologics treatments (PRP) use your body's own healing agents to regrow and repair damage to the rotator cuff by concentrating and focusing them at the exact site of your injury. This approach allows for natural, efficacious healing without the need for surgery.


Arthroscopic Double-row Speed Bridge Repair

This arthroscopic (keyhole) minimally invasive surgery has revolutionized the way rotator cuff complete tear can be repaired. Patients benefit from minimal blood loss and postoperative pain, faster recovery times, shorter hospital stays, and less scarring. Dr Ankur Dhiman uses biocomposite knotless swivel lock anchor and Fiber tape in DOUBLE row rotator cuff repair which has a stronger and more stable construct in comparison to conventional SINGLE row fixation. It allows pain-free shoulder mobility from the next day of surgery. The patient regains a full shoulder range of motion after 6 weeks and gets back to sports after 3 months of surgery. Subscapularis or infraspinatus tear is also repaired if present.

Advantages of Double Row Speed Bridge Rotator Cuff Repair
  • The biocomposite anchor converts into the bone after the surgery.
  • Fiber tape is much stronger then the Fiber wires in conventional anchors and chances of rotator cuff cut-through is negligible with tape.
  • Double row fixation is more strong then single-row fixation and has a bigger bone to tendon union surface area.
  • The patient can start passive range of motion exercises from the day one of surgery
  • Complete shoulder range of movement comes within 6 weeks after surgery.
  • Back to sports after 3 months of surgery.

Recurrent shoulder dislocation treatment

Do you have one of these problems?
  • Are you troubled by recurrent shoulder dislocation?
  • Do you feel instability \ pain \ loss of confidence \ clicking in your shoulder?
  • Is your weight increasing because you are not able to do exercises because of recurrent shoulder dislocation?

Causes of Recurrent shoulder dislocation

Labrum tear (Bankart tear), due to it shoulder head get the pathway to get dislocate. It need to be repaired to prevent this dislocation.

Anterior glenoid bone loss along with labrum (Bony bankart). It need to be managed with Latarjet Procedure

What will happen if we don’t treat recurrent shoulder dislocation

Recurrent dislocation of shoulder can lead to
  • Increase labrum tear (pathway for shoulder dislocation)
  • Rotator cuff tear
  • Shoulder head cartilage damage and arthritis of shoulder joint.
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We Have Solution for Your Problems

After seeing your MRI films & doing shoulder examination, Dr. Ankur Dhiman will advise you on the best treatment according to your injury

Arthroscopic Knotless Bankart Repair

This arthroscopic (keyhole) minimally invasive surgery has revolutionized the way Bankart tear can be repaired. Patients benefit from minimal blood loss and postoperative pain, faster recovery times, shorter hospital stays, and less scarring. Dr. Ankur Dhiman use biocomposite knotless suture anchor and suture tape which has a stronger and more stable construct in comparison to conventional fixation. It allows pain-free shoulder mobility from the next day of surgery.

Advantages of Knotless Suture Anchors & Suture Tape
  • The biocomposit anchor converts into the bone after the surgery
  • Suture tape is much stronger then the suture wires in conventional anchors and chances of labrum cut-through is negligible with tape.
  • The patient can start passive range of motion exercises from the day one of surgery
  • Complete shoulder range of movement comes within 3 weeks after surgery.
  • Back to sports after 3 months of surgery.

Latarjet Procedure

If in MRI and CT scan bony Bankart is More than 25%, minimally invasive arthroscopic/mini-open latarjet procedure is done.

In this procedure, we remove a piece of coracoid bone and attaching it to the front of your shoulder socket. The bone will then act as a barrier which will physically block the shoulder from slipping out of the socket, while the muscles which are transferred with the bone will give additional stability to the joint.

If there is big Hill Sachs Lesion in the MRI Remplissage procedure is done with the arthroscopic Bankart or Latarjet surgery.

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SLAP tear

It stands for superior labrum anterior and posterior tear. SLAP lesions occur generally in the throwing sports and patient complaints of pain and instability while throwing. Other reasons for SLAP tear are:

  • A motor vehicle accident
  • A fall onto an outstretched arm
  • Forceful pulling on the arm, such as when trying to catch a heavy object
  • Shoulder dislocation

In SLAP lesion fixation point of the biceps tendon and labrum is peeled off from the Glenoid margin. Early mobilization after surgery is very important for good surgical outcomes. Dr. Ankur dhiman uses suture tapes and knotless biocomposite Anchors in arthroscopic SLAP repair which is much stronger than the conventional fixation techniques and allows the patient to mobilize the arm Immediately after the surgery and return to sports is within 3 months.

Frozen Shoulder

Frozen shoulder, also called adhesive capsulitis, involves stiffness and pain in the shoulder joint. Signs and symptoms typically begin slowly, then get worse. Over time, symptoms get better, usually within 1 to 3 years.

Having to keep a shoulder still for a long period increases the risk of developing frozen shoulder. This might happen after having surgery or breaking an arm.

Diagnosis-

Frozen shoulder can usually be diagnosed from signs and symptoms alone. But imaging tests — such as X-rays, ultrasound or MRI — can rule out other problems.

Treatment of frozen shoulder includes:

Medications

It can help reduce pain and inflammation associated with frozen shoulder.

Physiotherapy

A physical therapist can teach you range-of-motion exercises to help recover your shoulder movement. Your commitment to doing these exercises is necessary to regain as much movement as possible.

Surgical and other procedures

Steroid injections- It might help decrease pain and improve shoulder mobility, especially if given soon after frozen shoulder begins.

Shoulder manipulation- This procedure involves a medication called a general anesthetic, so you'll be unconscious and feel no pain. Then the care provider moves the shoulder joint in different directions to help loosen the tightened tissue.

Surgery-if nothing else helps, surgery can remove scar tissue from inside the shoulder joint. This surgery id done by arthroscopy (key hole) surgery.

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