MIOT Institute of Orthopaedics

Upper Limb


MIOT’s Upper Limb Unit offers a wide range of procedures including arthroscopy (keyhole surgery), joint replacement and trauma reconstruction on the shoulder, elbow, wrist, hand and finger. Our expert surgeons perform these operations using minimally-invasive techniques wherever possible, allowing our patients to resume normal movement and activity quickly and comfortably.

Shoulder arthroplasty

Shoulder arthroplasty or replacement is done to repair a shoulder joint that has been damaged by arthritis, accidents and tumours. It is done to relieve pain that cannot be controlled with other treatments. During the procedure, the damaged joint surfaces are replaced with prostheses. The shoulder replacement procedure is a complicated one and requires experienced hands as well as specialised facilities for surgery, postoperative care and rehabilitation.

MIOT International’s surgeons perform anatomical shoulder arthroplasty, including stem-less shoulder replacement, as well as the reverse shoulder arthroplasty. The latter is a more complex procedure where the prosthesis is attached to a different set of muscles. It is done for patients with previous unsuccessful shoulder replacements, failed or neglected fracture management, very bad fractures, dislocations and bone tumours. It requires special care and is performed in only a few centres in India. Patients recover a full range of painless movements within a short time.

Elbow Arthroplasty

Elbow arthritis occurs when the cartilage is damaged or worn out, causing pain, a grating sensation, locking and stiffness. Our surgeons opt for arthroscopic surgery to explore and repair the damage that results in stiffness in the elbow. During the procedure, loose particles, inflammatory and dead tissue is removed, irregular surfaces are smoothed out and the locked area is released.

Total elbow arthroplasty is performed if the joint is severely worn out or the elbow is fractured beyond repair. Here, the damaged joint is replaced with a customised prosthesis.

Wrist and hand arthroplasty

Wrist and distal radio-ulnar joint (DRUJ) arthritis can occur as a result of wear and tear, injury or rheumatoid disease. When this causes severe pain and dysfunction, a wrist replacement surgery is often the best solution for the patient.

Finger arthritis is common in patients with rheumatoid arthritis. When the knuckle-joints are affected, patients experience severe pain and the function of the hand becomes limited. This can be helped by joint replacement, which restores mobility and relieves pain.

Treatments & Procedures

At the MIOT Institute of Orthopaedics, we offer the following treatments and procedures:

Shoulder Arthoplasty

Anatomical shoulder arthroplasty (ASA)

Reverse shoulder arthroplasty (RSA)

Shoulder arthroscopy

  • Arthroscopic capsular plication
  • Arthroscopic sub-acromial decompression
  • Arthroscopic acromio-clavicular joint excision
  • Arthroscopic calcium excision for calcific tendonitis
  • Arthroscopic capsular release for diabetic frozen-shoulder
  • Acromioclacvicular joint stabilization
  • Fixation of proximal humeral fracture
  • Hemiarthroplasty and reverse shoulder arthroplasty

Elbow arthoplasty

Elbow arthroplasty

Elbow arthroscopy

  • Arthroscopic release for post-traumatic stiff elbow
  • Arthroscopic osteocapsular arthroplasty for osteoarthritis elbow
  • Arthroscopic radial head excision
  • Arthroscopic treatment of osteochondritis dissecans
  • Fixation of elbow fracture
  • Total elbow replacement for comminuted fracture of elbow

Wrist and hand arthoplasty

Wrist arthroplasty and DRUJ replacement

Hand and finger-joint replacement

Wrist arthroplasty

  • Arthroscopic-assisted scapho-lunate repair
  • Arthroscopic excision of ganglion
  • Arthroscopic trapeziectomy

Fixation of distal radius and ulna fracture

Percutaneous scaphoid fixation and non-union surgery

Scapholunate and perilunate ligament repair

Distal radioulnar joint stabilization

Fixation of complex metacarpal and phalangeal fractures

Repair of volar plate injury and fracture dislocation of finger joints

Repair of ulnar collateral ligament injury

Repair of mallet finger