
Dr Dr Ram Chidambaram, founder and director of Chennai ,
Revolutionary advances in shoulder re placement using ‘Modular glenoid syst tem with VIP’ and Mixed Reality Navig
ation with HoloLens at CULTCON mee ting in Chennai.
Dr Ram Chidambaram, along with Top Global Shoulder Experts, Prof Stefan G reiner from Germany and Pro Stefano Gumina from Italy, launched a revolut ion ary technology for Shoulder Repla ceme nt surgery using Modular glenoi d syste m with VIP (Virtual Implant Po sitioning) and Mixed Reality Navigati ion with Holo Lens. Dr Ram Chidamba baram performe th e first live surgery demonstration of VIP shoulder in Mar ch 2024, and the first Mi xed Reality gu ided shoulder replacemen t using Hol oLens in India in May 2023.
These innovations were highlighted wi th re-live demonstrations of reverse sh oulder surgery performed using Arthr ex VIP system with MR navigation and HoloLens in CULTCON 2024.




CULTCON stands for Chennai Upper Li bu Unit Teaching Convention. Featur ing expert talks,Panel discussions and live d emonstrations by 2 international and 25 national faculty, the conference aims to teach and train general orthop aedic sur geons and post graduate resi dents in th e specialised field of shoul der and upper limb surgery, a novel co ncept in India.
With over 400 orthopaedic surgeons fr om all over the country in attendance, it is evident that CULTCON is taking pl ace at the right time.




Chennai Upper Limb Unit is a dedicat ed specialist centre in Alwarpet that ex clus ively caters to patients with pr oblems affecting the shoulder, elbow, wrist and ha nd. Inaugurated this year by Dr Radhakr ishnan IAS, it is the firs t of its kind in India, offering treatm ent for all kind of upp er limb trauma sports injuries and joint replacement. The patient’s well-being is at the core of Chennai Upper Limb Unit’ s philos ophy, a trait that is reflected in t he cli nic’sstate-of-the-art equipment and ph ysiotherapy services.




To patient s with problems affecting th e shoulder, elbow, wrist and hand. Ina ugur ated this year Dr Radhakrish nan IAS, it i s the first of its kind in India, offering treatment for all kinds of upp er limb trau ma, sports injuries and jo int replacement.
The patient’s well-being is at the core of Chennai Upper Limb Unit’s philoso phy, a trait that is reflected in the clin c’s state-of-the-art equipment and phys iotherap y services.
Dr Ram Chidambaram, founding direc tor of the Chennai Upper Limb Unit, is a se nior consultant shoulder & upper limb s urgeon with over 30 years of ex perience in India and the UK.
In 2011, he left behind a flourishing ort h opaedic practice in the UK’s National H ealth service and settled in Chennai. He developed an exclusive practice in sport s medicine and treating upper li mb ailm ents and is now regarded as one of the b est shoulder and upper li mb surgeons in Asia. He has perfor me d over 4,500 keyh ole surgeries, 1,100 joint replacements and 3,500 upper li mb trauma surgeries. He served as the president of shoulder and Elbow Socie ty, India for 4 consecuti ve years, from 2017 to 2021.
Dr Ram has a passion for reverse shou lder arthroplasty, a unique and novel pro cedure where the ball is replaced with a prosthetic socket and vice vers a. He is c redited with performing the first revers se shoulder replacement in South India in 2011, and the first stem less shoulder in 2012.
Regarding the Arthrex VIP system, Dr R am says ‘Shoulder replacement surg ery is a procedre to ease pain and rega in fun ction in people with severe sho ulder joi nt issues like arthritis or frac ture. Tradit ional methods sometimes struggle with precise implant placem ent. This new sy stem is a game-chan ger designed to tack le these issues, cu stomising the implane t the implant ac cording to the patient’s unique anatom y.
Regarding the new HoloLens technolog y, Dr Ram says ‘We use AI to process in formation from the patient’s CT scans to identify the best possible placement for the glenoid peg and screws. I wear the H oloLens during surgery, take ref erences from bone points, and project the 3D ho logram on patients in realti me during t he operation. This helps to further heih ten the accuracy and prec ision of my sur gery.
With robust implant placement, smal ler incisions and far less tissue dama ge, pati ents operated with this techno logy can make a much faster recovery. In fact, th ey don’t even need a sling! Patients can start moving their arm th e very next day after the operation.
Dr Ram has also made it his mission to i mprove public perception of upper li mb injuries and encourage the right w ay to seek treatment. The Chennai Up per Lim b Unit is proud to launch its n ewest feat ure – a 24-hour helpline that allows pros spective patients to call in and learn mor e about their conditions and seek secon d nd opinions, in addit ion to booking ap pointments and sche duling surgeries. H e wishes to provide the best service pos sible to every pati ent that seeks his car e, and through hi s teaching init iatives a nd clinical mile stones, he hopes to inspi re others to d o the same .
Revolutionary advances in shoulder re placement using ‘Modular glenoid syst em with VIP’and kMixed Reality Navig ation with HoloLens at CULTCON meet ing in Chennai.
Dr Ram Chidambaram, along with Top Global Shoulder Experts, Prof Stefan G reiner from Germany and Pro Stefano G um ina from Italy, launched a revolu tion ary technology for Shoulder Repl aceme nt surgery using Modular glen oid syste m with VIP (Virtual Implant Positioning) and Mixed Reality Navi gation with Holo Lens. Dr Ram Chida mbaram performe th e first live surg ery demonstration of VIP shoulder in March 2024, and the first Mixed Real ity guided shoulder replacement using HoloLens in India in May 2023.
These innovations were highlighted wi t h re-live demonstrations of reverse shoulder surgery performed using Ar threx VIP system with MR navigation and Hol oLens in CULTCON 2024.
CULTCON stands for Chennai Upper Li bu Unit Teaching Convention. Feat ur ing expert talks,Panel discussions and live d emonstrations by 2 intern ation al and 25 national faculty, the con fere nce aims to teach and train general ort hopaedic sur geons and post gra duate residents in th e specialised field of sh oulder and upper limb surgery, a novel concept in India.
With over 400 orthopaedic surgeons fr om all over the country in attendance, it is evident that CULTCON is taking pl ace at the right time.
Chennai Upper Limb Unit is a dedicat ted specialist centre in Alwarpet that e xclus ively caters to patients with prob lems af fecting the shoulder, elbow, wr ist and ha nd. Inaugurated this year by Dr Radhakr ishnan IAS, it is the first of its kind in Ind ia, offering treatment f or all kind of upp er limb trauma spo rts injuries and joint replacement. The patient’s w ell-being is at the core of C hennai Up per Limb Unit’ s philosophy, a trait th at is reflected in the clinic’sst ate-of-the-art equipment and physioth erapy services.
To patient s with problems affecting t he shoulder, elbow, wrist and hand. I naugur ated this year Dr Radhakrishi ishnan IAS, it i s the first of its kind in India, offering tr eatment for a ll kinds of upper limb trau ma, sports injuries and joint replacement.




The patient’s well-being is at the core of Chennai Upper Limb Unit’s philosop hy, a trait that is reflected in the clinc’s state-of-the-art equipment and physiot otherapy services.
Dr Ram Chidambaram, founding dire ctor of the Chennai Upper Limb Unit, is a se nior consultant shoulder & upp er limb s urgeon with over 30 years of experience in India and the UK.
In 2011, he left behind a flourishing or thopaedic practice in the UK’s Nationa l Health service and settled in Chenna i. He developed an exclusive practice in sport s medicine and treating upper limb ailm ents and is now regarded as one of the b est shoulder and upper li mb surgeons in Asia. He has performe d over 4,500 keyh ole surgeries, 1,100 joint replacements and 3,500 upper li mb trauma surgeries. He served as the president of shoulder and Elbow Socie ety, India for 4 consecutive years, from 2017 to 2021.



Dr Ram has a passion for reverse shou lder arthroplasty, a unique and novel pro cedure where the ball is replaced with a prosthetic socket and vice versa sa. He is c redited with performing the first revers se shoulder replacement in South India in 2011, and the first steml ess shoulder in 2012.
Regarding the Arthrex VIP system, Dr R am says ‘Shoulder replacement surg ery is a procedre to ease pain and rega in function in people with severe shoul der joi nt issues like arthritis or fractu re. Tradit ional methods sometimes str uggle with precise implant placement. This new sy stem is a game-changer de signed to tack le these issues, customis ing the implane t the implant accordin ing to the patient’s unique anatomy.




Regarding the new HoloLens technolog y, Dr Ram says ‘We use AI to process in formation from the patient’s CT scans to identify the best possible placement for the glenoid peg and screws. I wear the H oloLens during surgery, take ref erences from bone points, and project the 3D ho logram on patients in real ti me during the op eration. This helps to further heih ten the accuracy and prec ision of my surgery.
With robust implant placement, smal ler incisions and far less tissue dama geagle, patients operated with this tec hnology can make a much faster reco very. In fact, th ey don’t even need a sl ing! Patients can start moving their ar m the very next day after the operatio n.




Dr Ram has also made it his mission to i mprove public perception of upper li mb injuries and encourage the right w ay to seek treatment. The Chennai Up per Lim b Unit is proud to launch its newest feat ure – a 24-hour helpline that allows pros spective patients to call in and learn mor e about their con ditions and seek second and opinions, in addition to booking appointm ents and scheduling surgeries. He wis hes to provide the best service pos sible to every patient that seeks his car e, and through his teaching initiatives a nd clinical milestones, he hopes to inspi re others to do the same.