NICHOLAS HORANGIC is a M.D. and Orthopedic Surgeon providing shoulder surgery services in MANCHESTER, NH. NICHOLAS treats rotator cuff tears, shoulder arthritis, labral injuries, and other conditions requiring Rotator Cuff Repair, Labrum Repair, Shoulder Replacement, SLAP Repair.
An Orthopedic Surgeon completes a 5-year surgical residency after medical school, specializing in the musculoskeletal system — bones, joints, ligaments, tendons, and muscles. They diagnose and treat shoulder injuries and conditions through both surgical and non-surgical methods, including total rotator cuff repair, ACL reconstruction, and arthroscopic procedures.
Reach NICHOLAS HORANGIC at (603) 695-2500 to discuss rotator cuff repair or other shoulder procedures.
Rotator cuff repair reattaches torn tendon to the humeral head using suture anchors, most often through an arthroscopic approach. The procedure relieves pain, restores overhead strength, and prevents further tear progression. Success rates reach 85-95% for small-to-medium tears when combined with dedicated rehabilitation.
Labrum repair surgery reattaches the torn fibrocartilage rim of the shoulder socket using arthroscopic suture anchors. The procedure stabilizes the joint, eliminates catching and clicking, and allows return to overhead sports. Bankart repair addresses anterior instability, while posterior and combined repairs target multi-directional damage.
Shoulder replacement (arthroplasty) replaces damaged bone and cartilage with metal and polyethylene components. Anatomic replacement preserves the natural ball-and-socket orientation, while reverse replacement switches them for patients with deficient rotator cuffs. Modern implants provide 15-25 years of reliable pain relief.
SLAP repair addresses tears at the top of the shoulder labrum where the biceps tendon attaches (Superior Labrum Anterior to Posterior). The arthroscopic procedure uses suture anchors to reattach the torn labrum and stabilize the biceps anchor. Treatment options include repair, biceps tenodesis, or debridement based on tear type and patient age.
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Verify to connect your Google Reviews →Average rotator cuff repair in MANCHESTER: $32,000 vs national average $28,000
Costs vary by provider, insurance, and case complexity. Contact NICHOLAS HORANGIC at (603) 695-2500 for a consultation.
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