
Medically Reviewed By
Dr. Deepak Garg ( Orthopaedic Oncology & Robotic Joint Surgery)
An advanced sports hip preservation treatise on Cam and Pincer morphological deformities, FADIR/FABER diagnostic clinical maneuvers, 4K hip arthroscopy labral refixation, femoroplasty osteoplasty, and capsular closure protocols.
CRITICAL CLINICAL RED FLAG: Sharp, deep groin pain exacerbated by prolonged sitting, deep squatting, or getting in and out of a car in an active individual (the "C-sign") strongly indicates mechanical Femoroacetabular Impingement and labral tear.
Femoroacetabular Impingement (FAI) is a condition of abnormal contact between the femoral head-neck junction and the acetabular rim during terminal hip motion:
Cam Deformity: Non-spherical asphericity of the anterosuperior femoral head-neck junction (Alpha angle >55° on Dunn view), causing shear delamination of acetabular cartilage.
Pincer Deformity: Over-coverage of the femoral head by the acetabular rim (cranial retroversion, coxa profunda), causing crushing of the labrum.
Mixed Impingement: Present in over 75% of symptomatic athletic individuals.
Non-contrast 3T MRI or direct MR arthrography confirms labral base detachment and chondral delamination. 3D CT reconstruction maps the exact degrees of osseous resection required at the femoral neck.
"Preserving the hip labrum through minimally invasive keyhole arthroscopy restores the critical suction seal of the joint, relieving deep groin pain and preventing degenerative hip arthritis." — Dr. Deepak Garg

Performed under traction on a dedicated radiolucent traction table:
Labral Refixation: The torn labrum is mobilized from the rim, the subchondral bone bed is decorticated, and knotless titanium/all-suture anchors secure the labrum to re-establish the suction seal.
Cam Femoroplasty: High-speed motorized burr restores the spherical femoral head-neck offset under dynamic fluoroscopic visualization.
T-Capsulotomy Repair: Routine complete capsular plication/closure prevents post-operative micro-instability.
CLINICAL CAUTION: Debriding and cutting away a torn acetabular labrum destroys the hip fluid seal, predisposing the hip to premature cartilage wear; anatomical labral refixation with suture anchors is the standard of care.
Flat-foot protected weight-bearing on crutches for 2 to 3 weeks with stationary cycling starting on Day 1. Progression to agility drills and full return to running/sports occurs at 4 to 6 months.
1. Arthroscopic hip labral repair versus debridement: A 10-year prospective randomized study — Am J Sports Med, 2021; 49(11): 2940-2950.
2. The Warwick Agreement on femoroacetabular impingement syndrome: An international consensus — Br J Sports Med, 2016; 50(19): 1169-1176.
Designed by Dr. Deepak Garg for accelerated, safe athletic recovery.

Senior Consultant & Clinical Director — Orthopaedic Oncology & Robotic Joint Surgery
MBBS (TNMC Mumbai), DNB Orthopaedics (PGI & SP Miraj), Fellowship Arthroplasty and Arthroscopy (Fortis Hospital, New Delhi), Fellowship Orthopaedic Oncology (Rajiv Gandhi Cancer Institute, New Delhi)

16+ Years Experience
Spica — Grover Hospital
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Proprietary surgical methodologies and precision protocols pioneered by our senior directors to minimize trauma, protect natural anatomy, and accelerate recovery.

Dr. Deepak Garg (Orthopaedic Surgical Oncology - RGCI Delhi Trained) and Dr. Neha Gupta (Medical Oncology) co-lead the Bone Cancer & Sarcoma Center at Spica Healthcare. Integrating intensive multi-agent neoadjuvant chemotherapy protocols (MAP: High-Dose Methotrexate, Doxorubicin, Cisplatin for Osteosarcoma; VIDE: Vincristine, Ifosfamide, Doxorubicin, Etoposide for Ewing Sarcoma) with 3D computer-navigated limb salvage surgery and modular titanium megaprosthetic joint reconstruction, 5-year survival rates exceed 75% to 80% while saving over 95% of patients from limb amputation.
Spica Healthcare — Bone and Cancer Institute, Bathinda — is South-Western Punjab's premier super-speciality centre led by AIIMS and Tata Memorial fellowship-trained directors.
Every diagnostic MRI review, surgical staging, and operation is personally directed by chief clinical specialists — Dr. Deepak Garg (Orthopaedic Oncology & Robotics) and Dr. Neha Gupta (Medical Oncology) — guaranteeing zero junior proxies.
Sub-millimeter implant positioning and soft-tissue ligament balancing ensuring patients walk comfortably within 24 hours of total knee replacement.
South-West Punjab's only dedicated centre for modular titanium megaprosthesis, saving natural limbs and functions in 95%+ of bone cancer patients.
Full cashless coverage for Ayushman Bharat (PM-JAY), Punjab Govt Health Schemes, ECHS, and 30+ private insurance networks with on-desk approvals.
Positive-pressure HEPA filtered theatres minimizing infection rates below international benchmarks with 24/7 dedicated critical care backup.
Fellowship-trained surgical directors from AIIMS & Tata Memorial providing compassionate, world-class tertiary care in super-speciality orthopaedics and medical oncology.

Senior Consultant & Clinical Director — Medical Oncology
MBBS (BFUHS Faridkot), MD Radiation Oncology (BFUHS Faridkot), DrNB Medical Oncology (Sarvodaya Hospital, Faridabad), Precision Oncology (Harvard, USA), Ex Consultant RGCI New Delhi


Senior Consultant & Clinical Director — Orthopaedic Oncology & Robotic Joint Surgery
16+ Yrs ExpSenior Consultant & Clinical Director — Orthopaedic Oncology & Robotic Joint Surgery
MBBS (TNMC Mumbai), DNB Orthopaedics (PGI & SP Miraj), Fellowship Arthroplasty and Arthroscopy (Fortis Hospital, New Delhi), Fellowship Orthopaedic Oncology (Rajiv Gandhi Cancer Institute, New Delhi)
Free OPD screening camps, director-led masterclasses, and national oncology representations by Spica Healthcare.
Real stories from patients who recovered through limb preservation surgery, 3D robotic joint replacements, and precision cancer care at Spica Healthcare — Grover Hospital, Bathinda.
Evidence-based surgical recovery roadmaps, robotic joint protocols, and precision oncology insights written by our clinical directors.