Rotator Cuff Repair
Torn rotator cuff tendons are reattached to their bone footprint using suture anchors — restoring the shoulder's strength, stability, and the ability to lift, reach, and move without pain.
What is Rotator Cuff Repair?
Rotator cuff repair reattaches the torn tendon — most commonly the supraspinatus — back to the greater tuberosity of the humerus using suture anchors that hold the tendon against the bone while biological healing occurs. For most small to medium tears, the procedure is performed entirely arthroscopically. Suture anchors are inserted into the bone at the tendon footprint, sutures are passed through the tendon, and the two are tied together under appropriate tension. Dr. Sai Kishan performs arthroscopic rotator cuff repair at Lux Hospitals using single-row and double-row anchor configurations selected based on tear pattern, tendon quality, and the size of the repair.
Recommended for patients with a confirmed partial or full-thickness rotator cuff tear producing pain, weakness, and functional limitation — particularly those who are active, under 70, have repairable tissue quality, and have not improved after a dedicated period of conservative management.
How the Procedure Works
Anaesthesia & Setup
General or interscalene block; beach-chair or lateral position for optimal arthroscopic shoulder access.
Diagnostic Arthroscopy
The joint and subacromial space are assessed — tear size, tissue quality, biceps status, and acromial morphology are characterised before proceeding.
Subacromial Decompression
Bursectomy and acromial smoothing are performed to provide a clear operating field and remove any impinging structures above the repair.
Tendon-to-Bone Fixation
Anchors loaded with sutures are inserted at the tendon footprint; sutures are shuttled through the tendon and tied, pulling it firmly back to the bone.
Portal Closure & Sling Application
Portals are closed; a sling is applied; a structured rehabilitation protocol begins within 48 hours of surgery.
Outcomes
Who Needs This Treatment?
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Restores the structural integrity of the rotator cuff — eliminating pain and weakness
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Day-case arthroscopic procedure — small portals and same-day discharge
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Subacromial decompression performed as part of the same operative session
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Double-row repair reproduces the anatomic tendon footprint for a stronger construct
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Stops the tear from enlarging and causing progressive irreparable damage
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Over 85% of patients achieve meaningful, sustained pain relief and functional improvement
Rotator cuff repair is about restoring what the tear has taken away — the ability to sleep comfortably, to reach, to lift, to function independently. Getting that back for a patient is one of the most rewarding outcomes in shoulder surgery.
— — Dr. Sai Kishan Sirasala, Knee and Hip Joint Replacement & Robotic Surgery
Rotator Cuff Repair Cost in Hyderabad
The cost of Rotator Cuff Repair in Hyderabad at Lux Hospitals depends on the surgical approach and severity of the tendon tear. Arthroscopic rotator cuff repair generally ranges from ₹1,20,000 to ₹2,50,000, with an average estimated cost of ₹1,85,000. Mini-open or open rotator cuff repair generally ranges from ₹90,000 to ₹1,80,000, with an average estimated cost of ₹1,35,000. The final cost depends on tear size, tendon retraction, associated shoulder problems and the procedures required during surgery.
| Procedure | Approximate Cost Range |
|---|---|
| Standard full-thickness tear | ₹1,20,000 ₹2,50,000 |
| Standard cuff tear | ₹1,20,000 ₹2,50,000 |
| Large tear, open approach | ₹90,000 – ₹1,80,000 |
| Large or retracted tear | ₹90,000 – ₹1,80,000 |
The appropriate surgical approach depends on the size, location and pattern of the rotator cuff tear, tendon quality, degree of retraction and associated shoulder conditions. Arthroscopic repair uses small incisions and a camera to visualize and repair the tendon, while mini-open or open repair may be considered for selected large, retracted or complex tears. Additional procedures, such as treatment of associated biceps or labral pathology, may affect the final cost.
Factors Affecting Rotator Cuff Repair Cost in Hyderabad
The total cost of rotator cuff repair varies according to the characteristics of the tear and the surgical technique required. Important factors include:
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Size and severity of the rotator cuff tear, including whether the tear is partial-thickness, full-thickness, large or involves multiple tendons
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Degree of tendon retraction and tissue quality, particularly when the torn tendon has pulled away from its normal attachment or has significant degeneration
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Surgical approach, with arthroscopic, mini-open and open techniques having different operative requirements and associated costs
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Number of tendons involved, as tears affecting multiple rotator cuff tendons may require a more complex repair
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Condition of the shoulder joint and surrounding structures, including associated biceps tendon, labral, cartilage or acromial abnormalities that may require treatment
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Type and number of suture anchors or other fixation materials used to reattach the tendon securely to the bone
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Preoperative investigations such as shoulder X-rays, ultrasound or MRI, which help determine tear size, tendon quality and associated pathology
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Anaesthesia, operating-room charges, hospital stay, medicines, surgical consumables and postoperative physiotherapy, which can vary depending on the complexity of the procedure
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Rehabilitation requirements, including the duration and intensity of physiotherapy needed to restore shoulder movement and strength after tendon repair
Insurance Coverage for Rotator Cuff Repair
Rotator cuff repair may be covered by health insurance when medically necessary, subject to the policy's terms, exclusions, waiting periods, pre-authorization requirements and applicable procedure limits. Coverage may vary depending on the surgical approach, associated procedures and implant or fixation materials used.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Sai Kishan
Orthopaedic & Joint Replacement Surgeon
Dr. Sai Kishan Sirasala, Consultant Orthopaedic Surgeon at Lux Hospitals, Hyderabad, can evaluate patients with rotator cuff tears and determine whether surgical repair is appropriate based on symptoms, physical examination, imaging and the characteristics of the tear. During the consultation, the doctor may assess: Shoulder pain, weakness and restricted movement, including difficulty lifting the arm, reaching overhead or performing routine activities History and duration of symptoms, including whether the problem developed after an injury or progressed gradually over time Clinical shoulder examination to assess strength, range of motion, tendon function and signs of rotator cuff involvement MRI, ultrasound or X-ray findings to determine the size, location, retraction and quality of the torn tendon Number of rotator cuff tendons involved and whether the tear is associated with biceps, labral, cartilage or other shoulder abnormalities Degree of tendon retraction, muscle condition and tissue quality, which can influence whether the tendon is suitable for repair and which surgical approach may be appropriate Whether arthroscopic, mini-open or open repair is more suitable based on the tear pattern and overall shoulder condition Expected rehabilitation, sling use, physiotherapy requirements and gradual return to daily activities following rotator cuff repair
Consultation with Dr. Sai Kishan Sirasala Consultation with Dr. Sai Kishan SirasalaCommon Questions
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