About McLaughlin Procedure
Key Highlights
-
Effectively treats chronic, recurrent posterior shoulder instability.Addresses the underlying bone defect (reverse Hill-Sachs lesion) that causes instability.Utilizes the patient's own tissue (subscapularis tendon) for the repair, promoting natural healing.Restores shoulder stability and function, allowing a return to daily activities and sports.Offers a reliable surgical solution when non-surgical treatments have failed.
Who is this surgery for?
- Recurrent posterior shoulder dislocations or subluxations.
- A significant reverse Hill-Sachs lesion (impaction fracture) involving 20-40% of the humeral head.
- Chronic posterior shoulder instability causing pain, weakness, or a feeling of the shoulder 'slipping'.
- Failure of an adequate trial of conservative management, including physical therapy and activity modification.
- Instability that interferes with work, sports, or activities of daily living.
How to prepare
- Complete a thorough physical examination and imaging studies (X-rays, CT scan, MRI) to confirm the diagnosis and assess the bone defect.
- Discuss medical history, allergies, and current medications (including blood thinners) with the surgical team.
- Undergo pre-operative blood tests and possibly a cardiac evaluation as advised.
- Stop smoking and avoid anti-inflammatory medications (like ibuprofen) as directed to reduce surgical risks.
- Arrange for post-operative assistance at home and plan for time off work or school.
- Fast (no food or drink) for the period specified by the hospital before surgery.
Risks & possible complications
- General surgical risks: infection, bleeding, blood clots (deep vein thrombosis), or adverse reaction to anesthesia.
- Nerve or blood vessel injury around the shoulder, potentially causing weakness or numbness.
- Stiffness or loss of shoulder motion (frozen shoulder).
- Failure of the repair, leading to recurrent instability.
- Persistent pain or weakness in the shoulder.
- Rare complications like arthritis or complex regional pain syndrome.
Recovery & hospital stay
- Immediately after surgery, the arm is placed in a shoulder immobilizer or sling to protect the repair.
- Pain is managed with prescribed medications, and ice is applied to reduce swelling.
- Early, gentle pendulum exercises are started soon after surgery to prevent stiffness.
- A structured physical therapy program begins after 4-6 weeks, focusing first on restoring range of motion and later on strengthening.
- The sling is typically worn for 4-6 weeks post-operatively.
- Full recovery and return to sports or heavy labor can take 6 to 12 months, depending on progress.
- Follow-up appointments are crucial to monitor healing and guide the rehabilitation process.
-
Typical hospital stay: 2-3 days
-
Expected recovery time: 6-12 months for full activity
Frequently Asked Questions
If you are considering mclaughlin procedure in India, these questions and answers can help you make a confident, informed decision.
Popular choices for mclaughlin procedure in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform mclaughlin procedure. MediFyr helps you compare orthopedists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for mclaughlin procedure compare across other countries where we have data.
Top hospitals for McLaughlin Procedure in India
These partner hospitals in India have dedicated orthopedics teams and experience managing patients undergoing mclaughlin procedure.
Rohan Malhotra, a 28-year-old software engineer...
Rohan Malhotra, a 28-year-old software engineer and weekend cricket enthusiast, suffered a traumatic posterior shoulder dislocation during a match six months ago. Despite initial closed reduction and physiotherapy, he developed recurrent, painful episodes of his shoulder slipping out of place whenever he raised his arm to the side or reached behind his back. Simple tasks like putting on a shirt or driving became anxiety-inducing. An MRI revealed a large reverse Hill-Sachs lesion, a bony defect in the front of his humeral head caused by the initial dislocation. His orthopedic surgeon, Dr. Sharma, explained that the McLaughlin procedure was the best option to restore stability. This surgery would involve transferring the subscapularis tendon into the bony defect to act as a soft-tissue block, preventing further dislocations. Rohan underwent the arthroscopic procedure, which left him with three small scars. The initial recovery in a sling was challenging, but he was diligent with his physiotherapy, starting with pendulum exercises and gradually progressing to strengthening. Nine months post-surgery, Rohan has regained nearly full, stable range of motion. He has returned to the gym for light training and can play casual cricket without fear. Emotionally, he transitioned from feeling fragile and limited by his unreliable joint to regaining confidence in his body and his active lifestyle.
Orthopedists for McLaughlin Procedure
Explore experienced orthopedists who regularly perform mclaughlin procedure and provide pre- and post-operative care in India.
- 48 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 25 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 11 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 14 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 9 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 15 Years Experience
- Orthopedist
Miot Hospital Chennai, Chennai
- 20 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 19 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Orthopedist
Manipal Hospital Yeshwanthpur, Bangalore
- 30 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 28 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 26 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 14 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Orthopedist
Manipal Hospital Sarjapur Road, Bangalore