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Labral Debridement Surgery in India

Arthroscopic removal of torn or damaged labral tissue in shoulder or hip.

Overview

Labral debridement is a minimally invasive arthroscopic procedure designed to remove damaged portions of the labrum, which is the ring of cartilage that surrounds and deepens the shoulder or hip socket. This fibrocartilaginous structure plays a crucial role in joint stability, providing a seal that maintains negative pressure and enhances the suction effect that keeps the ball of the joint centered in the socket. When the labrum becomes torn, frayed, or degenerative beyond repair, debridement becomes necessary to alleviate pain and restore function. Dr. Kumar performs precise arthroscopic labral debridement using advanced high-definition camera systems and specialized instruments through small portal incisions. The procedure involves carefully trimming away torn or degenerative labral tissue while preserving as much healthy labrum as possible to maintain joint stability. This approach is particularly indicated for patients with extensive degenerative tears, failed previous repairs, or cases where the tear pattern is not amenable to surgical repair due to tissue quality or location. The surgery addresses not only the labral pathology but also associated conditions commonly found during arthroscopy. Dr. Kumar systematically evaluates and treats bone spurs (osteophytes) that may be impinging on the labrum, synovitis (inflammation of the joint lining), loose bodies floating in the joint, and early cartilage damage. In the shoulder, this often includes addressing subacromial impingement and rotator cuff fraying. In the hip, femoroacetabular impingement (FAI) is commonly treated concurrently with labral debridement. Patients typically experience significant pain relief following labral debridement, though outcomes depend heavily on the degree of underlying arthritis and cartilage loss. The procedure works best for patients with mechanical symptoms (clicking, catching, locking) from labral tears without severe joint degeneration. Recovery is generally faster than labral repair since no healing time is required for reattached tissue. Most patients begin immediate gentle range of motion exercises and progress to strengthening within 4-6 weeks. At Arthoscenter, Dr. Kumar achieves excellent results in carefully selected patients, with 75-85% reporting good to excellent pain relief and functional improvement. The arthroscopic approach offers advantages of minimal tissue damage, reduced post-operative pain, faster recovery, and earlier return to activities compared to open surgery. Success rates are highest in patients younger than 50 without significant arthritis who comply with rehabilitation protocols.

Symptoms & Indications

This surgery may be recommended if you experience:

Deep aching pain in shoulder or hip

Clicking or catching sensation with movement

Pain with overhead activities (shoulder)

Pain with hip flexion or rotation (hip)

Decreased range of motion

Night pain disrupting sleep

Weakness in affected joint

Failed conservative treatment

Previous labral repair that did not heal

Progressive joint dysfunction

Procedure Details

Duration

45-90 minutes

Anesthesia

General Anesthesia + Regional Block

Preparation for Surgery

MRI review to assess tear pattern and arthritis degree. Physical exam to identify mechanical symptoms.

Surgical Steps

1

General anesthesia with nerve block

2

Patient positioning (lateral or beach chair)

3

Arthroscopic portal creation (2-3 small incisions)

4

Joint inspection with HD camera

5

Identification of labral tear extent and pattern

6

Debridement of frayed/torn labral tissue with shavers

7

Smoothing of rough edges to stable rim

8

Removal of loose bodies if present

9

Treatment of associated bone spurs or impingement

10

Capsular evaluation and treatment if needed

11

Joint irrigation

12

Portal closure with sutures

Recovery Timeline

What to expect during your recovery journey

Week 1-2

Initial healing

Sling use, pain control, gentle pendulum exercises

Week 3-6

Early rehabilitation

Progressive range of motion, light activities

Month 2-3

Strengthening

Resistance exercises, functional training

Month 4-6

Return to sport

Sport-specific training, full activity clearance

Tips for Faster Recovery

Sling use for comfort first 2-3 weeks

Ice regularly to control swelling

Start gentle pendulum exercises day 1

Avoid overhead lifting for 6 weeks

Physical therapy essential for success

Gradual return to activities

Pain should improve quickly

Most return to sport 4-6 months

Outcomes better with less arthritis

May not restore normal anatomy

Good pain relief expected

Prevent future injury with proper mechanics

Frequently Asked Questions

Common questions about this procedure

Q1.What is the recovery time?

Most patients return to normal activities in 3-4 months, with full sports clearance at 4-6 months depending on arthritis severity.

Q2.What is the success rate?

80% success rate at Arthoscenter with Dr. Kumar. Outcomes better with minimal arthritis.

Q3.What is the cost?

Cost ranges ₹80,000-1.5 lakhs. PMJAY/BSKY accepted. Book ₹999 consultation.

Considering This Surgery?

Book an online video consultation with Dr. Gurudeo Kumar for just ₹999 and get all your questions answered