Arthroscopic Surgery

Minimally invasive keyhole procedures for shoulder, elbow, and knee joints offering faster healing and minimal tissue disruption.

1 Sub-Categories 10 Procedures

Overview & Clinical Philosophy

Arthroscopy, commonly known as keyhole surgery, represents one of the greatest advancements in modern sports medicine and orthopaedics. Rather than making large open incisions that cut through overlying muscles, the surgeon inserts a high-definition 4K camera (arthroscope) and precision micro-instruments through tiny 4 to 5 mm skin portals. This allows direct, magnified visualization of intra-articular structures, enabling meticulous anatomical repairs with minimal blood loss, minimal post-operative pain, and rapid return to active life. Dr. Nihar Modi performs advanced arthroscopic procedures across the shoulder, elbow, and knee joints.

Common Indications for Surgery

Persistent joint pain that has not responded to physical therapy, medications, or rest

Catching, clicking, popping, or mechanical locking sensations within the shoulder, elbow, or knee

Joint swelling, recurrent effusions, or fluid buildup following sports or physical activity

Instability or a feeling that the joint is slipping out of its normal anatomical alignment

Stiffness or loss of normal joint range of motion following previous trauma or inflammation

Surgical Portfolio

Surgical Procedures & Sub-Specialties

Explore our full surgical portfolio under Arthroscopic Surgery, detailed by clinical indications and surgical techniques.

Minimally Invasive Arthroscopic Procedures

10 specialized procedures

10 Procedures

Specialized keyhole joint procedures across shoulder, elbow, and knee restoring anatomy with minimal surgical trauma.

Shoulder arthroscopy

Multi-portal

Indication: Rotator cuff tears, labral tears (Bankart/SLAP), impingement, biceps tendonitis, and frozen shoulder.

Technique: Multi-portal keyhole visualization of the glenohumeral joint and subacromial space using specialized suture passers and anchors.

Elbow arthroscopy

Precise

Indication: Elbow contracture, osteophytes, loose bodies, osteochondritis dissecans (OCD), and synovitis.

Technique: Precise portal access through anterior and posterior safe zones to decompress the joint and excise bone spurs.

Knee arthroscopy

Two

Indication: Meniscus tears, ACL/PCL tears, cartilage defects, loose bodies, and patellar tracking issues.

Technique: Two or three tiny portals around the patellar tendon providing complete inspection and repair of the knee compartments.

Arthroscopic ligament reconstruction

Endoscopic

Indication: Cruciate ligament tears (ACL/PCL) and extra-articular augmentations.

Technique: Endoscopic tunnel drilling and anatomical graft passage under continuous 4K camera monitoring.

Arthroscopic meniscus repair

All-inside,

Indication: Traumatic meniscal tears in vascular red-red and red-white zones.

Technique: All-inside, inside-out, and outside-in suture repair preserving native shock-absorbing tissue.

Arthroscopic cartilage procedures

Chondroplasty,

Indication: Focal full-thickness cartilage defects and chondral flaps.

Technique: Chondroplasty, microfracture, and biologic scaffold placement through keyhole instruments.

Arthroscopic loose-body removal

Complete

Indication: Floating bone or cartilage fragments causing painful joint locking.

Technique: Complete compartment inspection and extraction using specialized grasping forceps.

Arthroscopic debridement

Gentle

Indication: Inflammatory synovitis, fibrous impingement, or frayed soft tissue borders.

Technique: Gentle mechanized shaving and radiofrequency coblation of unstable tissue margins.

Arthroscopic capsular release

Circumferential

Indication: Severe joint contractures (frozen shoulder or stiff elbow).

Technique: Circumferential division of scarred capsule under direct magnified visualization, protecting adjacent nerves.

Arthroscopic synovectomy

Thorough

Indication: Inflammatory rheumatoid arthritis, pigmented villonodular synovitis (PVNS), or recurrent synovitis.

Technique: Thorough removal of diseased hypervascular synovial tissue across all joint recesses.

Pre-Operative Evaluation & Diagnostics

Arthroscopic evaluation begins with a detailed non-invasive diagnostic workup: specialized provocative clinical tests to isolate the injured ligament or tendon, followed by dedicated high-resolution 3T MRI to confirm internal derangements. Diagnostic arthroscopy also serves as the ultimate gold standard, allowing direct microscopic inspection and mechanical probe testing of cartilage firmness, ligament tension, and labral attachment.

High-Resolution 3T MRI

Dynamic Plain Radiographs

Targeted Clinical Provocation

Recovery & Rehabilitation Roadmap

Because arthroscopic surgery does not cut through major muscle bellies, post-operative recovery is significantly faster and less painful than open surgery. Most procedures are performed on a day-care basis (home the same day). Dressing removal occurs within days, and early protected range of motion begins immediately, transitioning into sports-specific conditioning under guided physiotherapy.

* Note: Every surgical recovery plan is personalized based on your specific tissue biology, repair strength, and occupational or athletic demands.

Frequently Asked Questions

Related Patient Education & Clinical Resources

Evidence-Based Blog Guides

Associated Conditions Treated

Consult Dr. Nihar Modi for
Arthroscopic Surgery in Mumbai

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