ABOUT

Dr. Prashant Parate

Shoulder and knee surgeon in Pune and PCMC. Fellowship-trained in arthroscopy and sports medicine, with a practice spanning sports injuries, ligament and tendon reconstruction, joint preservation and joint replacement.

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Qualifications and training

Year	Qualification
2016	Fellowship in Shoulder and Knee Surgery Thammasat University Hospital, Thailand
2012	DNB Orthopaedics Bhatia Hospital, Mumbai
2010	Diploma in Orthopaedics Sancheti Institute for Orthopaedics and Rehabilitation, Pune
2005	MBBS Government Medical College, Nagpur

Postgraduate orthopaedic training began in 2008. Maharashtra Medical Council Registration No. 2006042129.

Lifetime shoulder and knee care

Dr. Prashant Parate treats young athletes with sports injuries, working adults with shoulder or knee problems, and older patients with arthritis or advanced joint damage. These are not separate practices. They are different stages of the same patient journey, and the aim is to remain a patient’s shoulder and knee specialist throughout it.

Treatment is selected according to diagnosis, age, activity level, occupation, functional needs and personal goals. The objective is not to treat an MRI or X-ray finding. It is to understand how the condition affects the patient and recommend the most appropriate path towards meaningful and lasting recovery.

Areas of expertise

Shoulder

Recurrent shoulder dislocation and instability, Bankart lesions, instability with bone loss, rotator cuff tears including massive and complex tears, failed previous cuff repair, frozen shoulder, impingement, biceps tendon disorders, AC joint injuries, sports-related shoulder injuries, shoulder arthritis, and primary and reverse shoulder replacement.

Surgical work includes shoulder arthroscopy, arthroscopic stabilisation, Bankart repair, remplissage, Latarjet, rotator cuff repair, complex cuff mobilisation and partial repair, tendon transfer procedures, and shoulder replacement where appropriate.

Knee

ACL injuries and reconstruction, revision ACL reconstruction, meniscus tears and meniscus repair including root repair, multi-ligament knee injuries, PCL and collateral ligament injuries, arthroscopic fixation of bony avulsions, patellar instability and MPFL reconstruction, cartilage injuries, sports-related knee injuries, early knee arthritis, realignment and joint preservation procedures, and conventional and robotic-assisted knee replacement.

Wherever medically appropriate, the aim is to preserve the patient’s own meniscus, cartilage, ligaments and joint before progressing to replacement.

A diagnosis-first approach

A scan alone should not decide treatment. MRI and X-ray findings have to be interpreted alongside symptoms, clinical examination, age and activity level, occupation and sporting demands, previous treatment, joint stability, muscle strength and movement, the quality of remaining cartilage and tissue, and the patient’s own expectations.

Two patients with near-identical MRI findings may need entirely different treatment. One may do well with rehabilitation and activity modification. The other may benefit from surgery because of repeated instability, progressive weakness, mechanical locking, or a repairable injury that will worsen if left.

Surgery is not always the first answer

A central principle of this practice is that surgery should be recommended only when it offers a meaningful advantage over non-surgical treatment. Many shoulder and knee conditions are managed initially with appropriate physiotherapy, activity modification, strength and movement correction, medication where necessary, injections in selected conditions, and planned review.

When surgery is advised, patients receive a clear explanation of what is damaged, whether it can improve without surgery, what may happen if treatment is delayed, the surgical and non-surgical options available, the benefits and limitations of each, the expected recovery, the rehabilitation required, and the likely return to work, daily activity and sport.

Joint preservation before joint replacement

Dr. Prashant follows a joint-preservation-first philosophy, particularly in younger and physically active patients. That may mean repairing rather than removing the meniscus, restoring ligament stability, preserving viable rotator cuff tissue, correcting abnormal joint mechanics through realignment, protecting remaining cartilage, and building strength and movement through rehabilitation, with the aim of delaying or avoiding joint replacement where that is realistic.

Preservation is not appropriate in every situation. Where arthritis or structural damage has progressed beyond a repairable stage, replacement provides more reliable pain relief and function. That recommendation is based on the condition of the joint, the severity of symptoms and the patient’s functional requirements, rather than on age alone.

Complex and revision surgery

Dr. Prashant has a particular interest in conditions requiring detailed assessment and individualised surgical planning: failed or recurrent shoulder instability, instability with glenoid bone loss, massive and irreparable rotator cuff tears, failed previous cuff repair, revision ACL reconstruction, multi-ligament knee injuries, combined ligament and meniscus injuries, and patellar instability with associated deformity.

Revision surgery has to be planned around the reason the first operation failed, the quality of remaining tissue, previous implants and tunnels, bone loss, joint alignment and the patient’s functional needs. Repeating the original procedure without establishing why it failed tends to produce the same result.

Building arthroscopy services

Alongside clinical practice, Dr. Prashant Parate has contributed to the development of arthroscopy and sports injury services at several institutions.

At MGIMS, Sevagram, he helped establish arthroscopy work and trained orthopaedic residents in clinical assessment, surgical planning and the management of shoulder and knee disorders. He later contributed to the development of the arthroscopy department at Alexis Multispeciality Hospital, Nagpur.

That work involved developing clinical pathways, selecting equipment, coordinating surgical teams, standardising rehabilitation protocols, and creating systems for managing complex shoulder and knee conditions. At Sainath Hospital he continues to develop the arthroscopy department through patient care, surgical education, fellowship training and structured treatment protocols.

Teaching and academic work

Teaching has been a consistent part of Dr. Prashant’s professional work. At MGIMS, Sevagram, he trained orthopaedic residents in clinical examination, decision-making and surgical planning, and conducted cadaveric workshops in shoulder and knee surgery giving residents and practising surgeons practical exposure to surgical anatomy, arthroscopic portal placement and commonly performed procedures.

At Sainath Hospital he currently trains two MUHS fellows in the arthroscopy department, covering shoulder and knee arthroscopy, sports injuries, surgical planning, perioperative care and postoperative rehabilitation.

He served as Organising Secretary of the Nagpur Arthroscopy Meet, and has been invited faculty at several shoulder and knee conferences, most recently the Stryker Arthroscopy Summit, Pune Chapter, in 2026. He has published in Arthroscopy Techniques.

Publications, presentations and teaching

Rehabilitation is part of the treatment

A technically successful operation can still produce a poor result if rehabilitation is inappropriate, delayed or too aggressive. Equally, well-planned rehabilitation helps many patients avoid unnecessary surgery altogether.

The plan is matched to the exact injury, the procedure performed, tissue healing requirements, muscle strength and movement control, the patient’s occupation and sporting expectations, and progress at follow-up. Recovery timelines are explained realistically, including the fact that biological healing cannot be accelerated even when pain settles early.

Four questions every patient should have answered

Shoulder and knee problems are confusing largely because patients receive conflicting advice. One doctor recommends immediate surgery, another advises waiting. Online information gives general guidance but cannot account for an individual examination, tissue quality, activity level and goals.

Patients are encouraged to ask questions and to understand the reasoning behind a recommendation before choosing treatment.

Treatment philosophy

1. Establish the correct diagnosis before recommending treatment.
2. Do not advise surgery when appropriate non-surgical treatment is likely to work.
3. Preserve the natural joint whenever medically appropriate.
4. Explain every reasonable option, including its limitations.
5. Treat the patient’s goals and functional needs, not only the MRI or X-ray.

Where Dr. Prashant Parate consults

Hospital	Days and timing	Appointments
Sainath Hospital Moshi, Pimpri-Chinchwad	Monday to Friday, 10 am to 4 pm Saturday, 10 am to 12 noon	86000 05886
Jupiter Hospital Baner, Pune	Monday to Saturday, 5.30 pm to 6.30 pm OPD 5	020 2799 2150

At Sainath Hospital, care is provided for patients from Moshi, Chikhali, Bhosari, Nigdi, Ravet, Chakan and the wider Pimpri-Chinchwad area. At Jupiter Hospital, from Baner, Balewadi, Aundh, Wakad, Hinjawadi, Pashan and Bavdhan.

Full addresses, directions and what to bring

Maharashtra Medical Council Registration No. 2006042129.