Arthroscopy Rotator Cuff Repair

Best Arthroscopy Rotator Cuff Repair Surgeon in Delhi – Dr. Shekhar Srivastav

Dr. Shekhar Srivastav is the senior orthopedic consultant & Robotic Knee Replacement Surgeon performing Joint Replacement & Arthroscopic Surgeries of Knee & Shoulder Joints and is HOD of the Orthopedics Department at the Delhi Institute of Trauma and Orthopaedics (DITO)Sant Parmanand Hospital. He has a keen interest in the management of Knee & Shoulder problems, Robotic Knee Replacement Surgery.

He has performed thousands of Total & Partial Knee Replacement( Primary, Revision & Unicondylar replacement) & Arthroscopic Surgeries ( ACL, Meniscus, and Cartilage surgeries). Similarly, in Shoulder, he’s an expert in performing Shoulder Arthroscopies ( Bankart repair, Arthroscopy Rotator Cuff Repair) & Shoulder replacement Surgeries ( Total & Reverse Shoulder Replacements).

Robotics Knee Replacement

 

Rotator Cuff Tear

A group of muscles surrounds the shoulder joint called the rotator cuff which is the most important muscle for the shoulder joint. These muscles can get torn due to injury in a younger individual. But this is mostly torn in elderly persons due to degeneration( wear & tear) without any significant trauma. The patient complains of pain, and weakness in his shoulder, and in long-standing cases, it can lead to arthritis of the shoulder joint.

Arthroscopic Rotator Cuff Repair

Rotator Cuff tears don’t heal by themselves. In partial or small tears conservative management can be tried. But if the problem persists or if the tear is large this requires surgical repair. Previously open surgery was done for the repair but now the complete repair can be done arthroscopically (keyhole technique). Tiny holes are made in the skin over the shoulder joint through which a small camera is inserted and repair is done. This relieves the pain and function is restored

About your shoulder

The shoulder joint is covered by layers of muscles that help you to move your arm. The deepest layer consists of three main muscles collectively known as the rotator cuff.

It serves many purposes but the main function of the cuff is to lift (elevate) your arm.

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The rotator cuff is situated underneath a bone of shoulder known as acromion. The space for the cuff is very tight and in many patients the cuff may rub on the undersurface of the acromion.

This can lead to painful inflammation, particularly with the use of an arm or at night in bed. If this rubbing of the rotator cuff underneath the acromion continues, a small hole may be torn in the rotator cuff.

arthroscopy-rotator

 

What are the symptoms?

Initially pain while using the arm or pain at night which might interfere with sleep may be the only symptom. If the tear is small then the arm may still have full function. If the tear becomes large then you may lose power in your arm, and eventually may not be lift the arm at all. In rare cases, this may lead to arthritis within the shoulder joint.

What tests are done?

The diagnosis is made on your symptoms and clinical examination which is performed by your doctor. An x-ray is done to look for any bony pathology. MRI is done to confirm the diagnosis and to determine the extent of the tear, amount of retraction, and fatty degeneration in the rotator cuff.

What is the treatment?

The treatment is done by keyhole surgery (arthroscopy). A number of small holes are made around the shoulder and the surgery is performed through these keyholes with a camera and special instruments. In the early stages of the disease, with impingement syndrome and no rotator cuff tear, the treatment is subacromial decompression.

It involves the removal of a bony spur from the undersurface of the acromion. This increases the space available for the rotator cuff and therefore the amount of rubbing on the undersurface is reduced. This allows the inflammation and pain to settle.

If the rotator cuff is torn, then more extensive surgery is required. Suture anchors are used to repairing the tears in the rotator cuff and fix them to the bone. In some cases, the surgeon may also decide to release the Biceps tendon along with repairing of torn Rotator Cuff if it is damaged. It is important to repair a torn Rotator Cuff tendon early as in long-standing cases the tendon may retract and the quality of the tendon also deteriorates thus leading to a poor outcome even after surgery. If the cuff tear is massive, repair may not be possible by any means. In these cases, a subacromial decompression is done and no other procedure is attempted.

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Patient Education

Patient Reviews

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Mr. Amarnath Sethi- Knee Replacement

I am over 70 years old and was suffering from severe Arthritis and Knee pain for eight years. But I consider myself fortunate to have met Dr. Shekhar who advised me knee replacement. After successful surgery , I regained my happiness in life .

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Mr. Suresh Chand- Total Knee Replacement

My knees were badly injured in an accident. I know about Dr. Shekhar, he and his team operated on my knee successfully, and now I am extremely happy and Thankful to Dr. Shekhar Srivastav.

Mr. Suresh Chand
Total Knee Replacement
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Mrs. Murti Devi- Total Knee Replacement

I have had an operate on my knees from Dr. Srivastav, as one of my kins recommended him.  I had so much pain in my knees, after successful surgery of Total Knee Replacement, I am satisfied with the service. Thank You Dr. Shekhar.

Ms. Murti Devi
Total Knee Replacement
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Mr. Kundan Singh- ACL Reconstruction Surgery

In 2013 My leg got injured during sports, it was an ACL Injury. I couldn’t even walk after that. Then I consulted Dr. Srivastav, he did my surgery very well and I got back to work after 2-3 weeks leaving all braces and support and after 6-7 months I could do everything that I wanted. So happy and satisfied with the treatment.

Mr. Kundan Singh
ACL Reconstruction Surgery
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Nittin Kumar Gupta- ACL Injury

I was operated by sir. In just two weeks my report was ok. Even after being overweight, I am perfectly fine. After one month of operation, I recovered perfectly well even after my heavy weight. I could walk myself in just 15 days after the operation. There is no problem at all now.

Nittin Kumar Gupta
ACL Injury
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Mr. Hari Lal-Both knee Replacement

ऑपरेशन से पहले मैं हर काम के लिए बच्चो के सहारे के मोहताज था। Tiolet के लिए भी मुझे बच्चो का सहारा लेना पड़ता था तथा दर्द के कारण  मुझे रात भर नींद नहीं आती थी। Knee Replacement के बाद मैं अपनी सभी दिनचर्या के काम बिना दर्द के बड़ी आसानी से कर लेता हूँ मेरी यह सलाह हैं कि जिस किसी को भी इस ऑपरेशन कि जरुरत है वह इसे अवश्य कराए।  मुझे तो इससे एक तरह से नई जिंदगी मिली हैं।

Mr. Hari Lal
Both knee Replacement
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Parsen Hedaoo-Arthroscopic ACL Reconstruction

This Hospital specializes in ligament injuries and Dr. Shekhar Srivastav is very skillful and experienced which I have personally seen. I had ACL reconstruction done seven months back and I am recovering at a good pace. I can notice remarkable differences in my activities with the reconstructed ligaments which have given me better stability at the knee without any pain. The Supporting staff was also amicable. My overall experience with the Hospital was excellent. I wish him all the best for the future.

Parsen Hedaoo
Arthroscopic ACL Reconstruction
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Gaurav Sharma- PCL Recovery

 I would like to Thank You and Your entire team for my speedy recovery. The way you and your staff handled my knee problem is commendable.

Gaurav Sharma
PCL Recovery
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Ms. Ankita – Ligament Surgery

I couldn’t walk normally for one and a half months. After successful treatment from Dr. Shekhar Srivastav, I am able to walk normally. I am so happy and thankful to everyone who took care of me.

Ms. Ankita
Ligament Surgery
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Varun Talwar– Arthroscopic ACL reconstruction

Thanks for being such a good doctor and allowing me to be able to get back to this normal life & for treating me in such a multi-specialty hospital having excellent Patient Care.

Varun Talwar
Arthroscopic ACL reconstruction
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Mrs. Sunita Prasad- Both Knee Replacement

I had severe arthritis in both my knees leading to pain & deformity. I had problems in performing day-to-day activities & Pain was also disturbing my sleep. My life has changed now and I become more active and mobile after the surgery.

Mrs. Sunita Prasad
Both Knee Replacement
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Mrs. Sheela – Bilateral Total Knee Replacement

पहले मैं बहुत डर रही थी ऑपरेशन करवाने से पर सर्जरी के बाद मुझे पहले से बहुत आराम आया और चलने फिरने में तकलीफ नहीं हुई, पहले मैं उठ भी नहीं पाती थी। अब मैं अपना सारा काम खुद कर लेती हूँ, डॉक्टर साहब के इलाज के बाद मुझे जो आराम मिला है, जो संतुष्टि मिली है उससे मैं ही नहीं मेरे परिवार वाले भी बहुत खुश हैं। डॉक्टर साहब का बहुत बहुत आभार।

Mrs. Sheela
Bilateral Total Knee Replacement
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Mr. Ashok Bhan – Bilateral Total Knee Replacement

मैं घुटनों के दर्द से हताश होकर संत परमानन्द हॉस्पिटल में आया था, डॉ शेखर श्रीवास्तव ने मेरे दोनों घुटनों का एक साथ इलाज करके मेरी जिन्दगी के 15-20 साल वापिस लौटा दिए। उनकी दूरदर्शिता, हिम्मत और विश्वाश को देख के मुझे बहुत अच्छा लगा।

Mr. Ashok Bhan
Bilateral Total Knee Replacement