Superior Capsular Reconstruction
A graft is anchored from the upper socket to the humeral head to recreate the missing superior capsule — a joint-preserving alternative for irreparable cuff tears in younger active patients.
What is Superior Capsular Reconstruction?
Superior Capsular Reconstruction is an advanced arthroscopic shoulder procedure designed for younger, active patients with massive irreparable rotator cuff tears who do not yet have arthritis severe enough for reverse shoulder replacement. A specially shaped graft — fascia lata autograft or dermal allograft — is anchored from the upper rim of the glenoid to the greater tuberosity of the humerus, recreating the absent superior capsule and preventing upward migration of the humeral head. Dr. Hithesh performs SCR in Hyderabad as a thoughtful joint-preservation alternative, restoring stability, motion and quality of life without resorting to replacement.
Reserved for younger patients with massive irreparable rotator cuff tears, no significant arthritis, intact deltoid function and functional expectations exceeding what reverse shoulder replacement could reliably deliver long-term.
How the Procedure Works
Diagnostic Arthroscopy
Standard portals confirm the cuff tear is irreparable and the joint is suitable for biological reconstruction with a graft.
Graft Preparation
A fascia lata autograft from the patient's thigh or a dermal allograft is shaped, sized and pre-loaded with sutures.
Glenoid Anchor Placement
Suture anchors are positioned along the superior glenoid rim to secure the medial side of the graft firmly.
Graft Implantation
The prepared graft is shuttled into the joint and anchored to both the glenoid and the humeral footprint securely.
Closure & Rehabilitation
Tiny portals are closed; sling support, gentle passive motion and graded strengthening guide biological graft integration over months.
Outcomes
Who Needs This Treatment?
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Joint-preserving alternative when rotator cuff repair is technically not possible
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Substantial pain relief from massive irreparable cuff tears reliably
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Restores shoulder stability and prevents proximal humeral head migration
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Improves overhead motion and active arm elevation considerably overall
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Suited to younger active patients wanting to delay replacement surgery
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Tiny keyhole portals leave minimal cosmetic scarring after wound healing
Superior capsular reconstruction has changed the conversation for younger patients with massive cuff tears. We now have a real biological option that preserves their own joint instead of jumping straight to replacement surgery.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Superior Capsular Reconstruction Cost in Hyderabad
The cost of superior capsular reconstruction in Hyderabad depends on the extent of rotator cuff damage, complexity of the tear, graft requirements, investigations required, and the care needed before and after the procedure.
For patients with a massive irreparable rotator cuff tear, especially younger patients requiring joint preservation, the approximate cost of superior capsular reconstruction ranges between ₹2,00,000 and ₹3,80,000.
| Procedure | Approximate Cost Range |
|---|---|
| Superior Capsular Reconstruction | ₹2,00,000 – ₹3,80,000 |
The final cost may vary depending on your individual condition, findings during evaluation, graft requirements, and whether any additional procedures are required.
Factors That Influence Superior Capsular Reconstruction Cost
The overall cost may depend on:
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Severity of rotator cuff tear: The size, irreparability of the tear, muscle quality, shoulder stability, and suitability for joint preservation may influence treatment planning.
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Pre-operative evaluation: Required investigations, clinical examination, X-rays, MRI scans, and medical assessments before surgery may affect the overall cost.
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Additional procedures: If procedures such as biceps tendon treatment, acromioplasty, cartilage procedures, or other shoulder interventions are required along with reconstruction, the cost may vary.
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Hospital stay and post-operative care: The duration of admission, medicines, physiotherapy, rehabilitation plan, and follow-up requirements may influence the final estimate.
Is Superior Capsular Reconstruction Covered by Insurance?
Superior capsular reconstruction may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and approval process.
Our insurance support team can assist you with checking your policy coverage, required documentation, cashless approval process, and insurance-related queries before the procedure.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Hitesh Bathini
Orthopaedic Surgeon
During consultation, Dr. Hitesh Bathini, Orthopaedic Surgeon in Hyderabad, will evaluate your symptoms, medical history, and investigation reports to determine whether superior capsular reconstruction is suitable for you. He will explain the procedure, expected outcomes, and guide you regarding the estimated cost based on your individual condition and treatment requirements.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.