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Dynamic Anterior Stabilisation (DAS)

Reclaiming Shoulder Confidence: Dynamic Anterior Stabilisation (DAS) by Dr. Rohit Sane

Recurrent anterior shoulder instability is a complex problem that often follows traumatic dislocation. When standard soft tissue repairs fail or are unlikely to hold due to subtle bone loss or ligamentous laxity, alternative techniques are required. One such technique is Dynamic Anterior Stabilisation (DAS), a procedure that uses the long head of the biceps tendon to provide additional support to the front of the shoulder.

Dr. Rohit Sane brings his comprehensive understanding of shoulder instability to DAS surgery. With focused training (domestic and international), he evaluates each patient with care and performs surgical reconstruction that aligns with both the anatomy and the physical goals of the individual.

Indications for Dynamic Anterior Stabilisation

Dynamic Anterior Stabilisation is not suitable for all patients with shoulder instability. It is best used in individuals with:

  • Recurrent anterior instability without critical glenoid bone loss
  • Failed soft tissue repair where further reconstruction is needed
  • A desire to avoid bone transfer procedures
  • An active lifestyle requiring overhead movement or rotational stability
  • Clinical findings that favour soft tissue-based dynamic control

Dr. Sane uses a structured clinical examination and three-dimensional imaging to evaluate the lesion size, bone quality, and tendon position. Based on these results, he explains the DAS procedure as part of a full treatment plan, ensuring patients understand how the surgery fits into their recovery pathway.

How the DAS Procedure Works

Soft Tissue Engagement

The long head of the biceps tendon is re-routed to provide additional support at the front of the joint. This soft tissue sling becomes active during key movements, such as lifting or outward rotation, to reduce the risk of instability.

Preservation of Joint Anatomy

This approach avoids any removal or addition of bone. As a result, the natural structure of the glenoid remains unchanged, which is particularly useful if revision surgery becomes necessary in the future.

Movement-Focused Recovery

Patients are allowed to begin guided shoulder activity sooner because the sling acts only during specific phases of motion.

Dr. Rohit Sane performs the DAS procedure using arthroscopic access points.

Why Dr. Rohit Sane Is a Preferred Choice for DAS Surgery

  • Fellowship-Backed Confidence
    Trained in two international shoulder units with exposure to multiple stabilisation procedures.
  • Balanced Technique Selection
    Offers DAS alongside remplissage, Bankart, and Latarjet, choosing the most appropriate option for each patient
  • Strong Academic Foundation
    His published work in shoulder surgery and research in glenoid planning reflects careful clinical reasoning
  • Collaborative Patient Management
    Works with physiotherapists to create a progressive recovery model after DAS surgery

Explore a Targeted and Motion-Friendly Shoulder Solution

Dynamic Anterior Stabilisation offers a reliable solution for patients who need control without compromising future mobility. It is especially suited to those who wish to return to activity while avoiding more invasive bone work.

Dr. Rohit Sane combines skill, planning, and patient awareness to deliver DAS surgery with confidence and precision. Schedule your consultation to explore whether this surgical pathway is right for you.

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