ACL Reconstruction Surgery
Complete ACL Tear with Medial Meniscus Involvement β Grade 3
Male, Cricket Player
Competitive Cricket
+ Meniscus Involvement
Arthroscopic Surgery
Next Day After Surgery
Zero Re-Injury
Patient Background & Presentation
The patient was a 24-year-old male competitive cricket player from Delhi. He had been playing cricket since childhood and was a regular member of a local club team. During a high-intensity match, while attempting a quick single run, he planted his right foot awkwardly and twisted his knee. He immediately heard and felt a loud 'pop' inside his knee, followed by intense pain and a sudden feeling of instability β as if the knee had given way completely.
Within minutes, significant swelling developed around the joint. The patient was unable to continue playing and required assistance to leave the field. Over the next 24 hours, the swelling increased further, the knee became stiff and painful to bend, and he was unable to bear his full body weight without support.
He initially consulted a local doctor in Delhi who suggested rest, ice, and painkillers. After two weeks with minimal improvement, the patient was referred for an MRI scan. The MRI results alarmed him β he was told he likely needed surgery but was uncertain about who to trust and where to go for treatment that would actually get him back to cricket.
| Patient Detail | Clinical Information |
|---|---|
| Age | 24 Years |
| Gender | Male |
| Occupation | Competitive Cricket Player |
| City | Delhi, India |
| Dominant Limb | Right |
| Affected Knee | Right Knee |
| Duration of Symptoms | 3 Weeks Before Consultation |
| Previous Treatment | Rest, Ice, Painkillers Only |
| Main Concern | Return to Competitive Cricket |
How the Patient Found Dr. Kamal Kishor Gupta
After receiving his MRI report, the patient searched online for an expert opinion on ACL Reconstruction Surgery in Lucknow and found Dr. Kamal Kishor Gupta, Senior Orthopedic Surgeon at Apollomedics Super Speciality Hospital, Lucknow. He was specifically looking for a doctor who was not just experienced in knee surgery but who had a dedicated background in sports medicine β someone who would understand the pressures of returning to competitive sport, not just walking normally.
Dr. Gupta's profile stood out for several reasons: his FIFA Medical Diploma from Barcelona (the same qualification held by doctors who treat professional football players worldwide), his Fellowship in Arthroscopy & Arthroplasty from Singapore General Hospital, and his MRCS qualification from the Royal College of Surgeons, Edinburgh. These international qualifications, combined with over 580 five-star Google reviews and a 4.9-star rating, gave the patient confidence.
Most importantly, the patient discovered that Dr. Gupta offers a free MRI review service via WhatsApp β patients from anywhere in India can send their scans and receive a personal clinical assessment within 24 to 48 hours, without any fee or registration.
I did not want to travel all the way to Lucknow and then be told something I already knew. Dr. Gupta's WhatsApp review saved me time and gave me real answers before I even left Delhi.
MRI Review & Clinical Diagnosis
The patient photographed his MRI films and shared them with Dr. Kamal Kishor Gupta via WhatsApp. Within 36 hours, Dr. Gupta personally reviewed the scans and responded with a clear, detailed explanation β in plain language, not complicated medical terms.
Pre-Operative Phase β 3 Weeks Before Surgery
A critical and often overlooked part of ACL surgery is what happens before the operation. Dr. Gupta prescribed a structured 3-week pre-operative physiotherapy programme before scheduling surgery. This approach β called 'prehabilitation' β is well-established in sports medicine but is not followed by all surgeons.
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01Reduce Joint SwellingSwelling stiffens the knee and weakens the muscles around it. Reducing it before surgery makes the operation technically easier and recovery smoother.
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02Restore Quadriceps ActivationAfter an ACL tear, the brain partially 'switches off' the quadriceps muscle as a protective reflex. Restoring this neuromuscular connection is essential before surgery.
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03Maintain Full Range of MotionLosing extension before surgery makes it very hard to regain after. The physiotherapy prevented this.
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04Psychologically Prepare the PatientThe programme helped the patient understand his knee, feel more in control, and arrive at surgery with a positive, active mindset β which research shows improves outcomes.
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05Reduce Risk of Post-Op StiffnessEntering surgery with a stiff knee dramatically increases the risk of post-operative stiffness (arthrofibrosis). Pre-op physio minimised this risk.
Arthroscopic ACL Reconstruction β Procedure in Detail
The surgery was performed at Apollomedics Super Speciality Hospital, Lucknow. Dr. Kamal Kishor Gupta performed the operation using a fully arthroscopic (keyhole) technique. Spinal anaesthesia combined with a femoral and sciatic nerve block was used β avoiding general anaesthesia, reducing nausea, and providing excellent pain control for 12β18 hours post-surgery.
For a 24-year-old competitive athlete, Dr. Gupta selected a hamstring graft (semitendinosus + gracilis tendons) β approximately 8.5mm diameter β before the arthroscopic reconstruction began.
Both the ACL and the meniscus were repaired in a single 65-minute arthroscopic procedure. No additional incisions. No second surgery. Back to the ward the same day.
Post-Operative Rehabilitation β Phase by Phase
Rehabilitation after ACL reconstruction is just as important as the surgery itself. Dr. Kamal Kishor Gupta designed a personalised, cricket-specific rehabilitation protocol for this patient β structured in four phases over 7 months.
| Return-to-Sport Test / Criterion | Result at Clearance |
|---|---|
| Quadriceps Limb Symmetry Index (LSI) | β 94% β Passed |
| Hamstring Limb Symmetry Index (LSI) | β 93% β Passed |
| Single-Leg Hop Test (for distance) | β Passed |
| Triple Hop Test | β Passed |
| Side-Step Agility Test | β Passed |
| Pivot / Rotational Stress Test | β Negative β No Instability |
| Full Range of Motion | 0Β°β135Β° (Normal, Symmetric) |
| Psychological Readiness (ACL-RSI Score) | Score > 75 β Cleared |
| Pain During Sport Drills | None Reported |
| Dr. Gupta Clinical Sign-Off | β Cleared for Full Competitive Play |
Clinical Outcomes & Follow-Up
| Timeline | Outcome |
|---|---|
| Day 1 Post-Surgery | Discharged home walking with crutches and brace |
| Week 2 | Swelling controlled, knee ROM 0Β°β90Β°, straight leg raises achieved |
| Week 6 | Walking brace-free with normal gait, no pain at rest |
| Week 12 | Jogging commenced on straight track, strength testing passed |
| Month 5 | Cricket-specific footwork and fielding drills commenced |
| Month 6.5 | Formal return-to-sport testing β all criteria met |
| Month 7 | Returned to full competitive cricket β first match played |
| Month 18 | Follow-up MRI and clinical review β graft intact, full function, no re-injury |
Patient returned to competitive cricket at 7 months post-surgery with full range of motion and no re-injury on follow-up at 18 months. Graft integrity confirmed on MRI.
Key Clinical Decisions That Made the Difference
This case demonstrates several important clinical decisions that contributed to the successful outcome. Each reflects Dr. Gupta's training in international sports medicine and his understanding of what young athletes need to return to sport safely.
About Dr. Kamal Kishor Gupta
| MBBS | India |
| MS Orthopaedics | Master of Surgery, India |
| FIAA β Fellowship in Arthroplasty & Arthroscopy | Singapore General Hospital, Singapore |
| MRCS β Member of Royal College of Surgeons | Royal College of Surgeons, Edinburgh, UK |
| FIFA Medical Diploma in Sports Medicine | Barcelona, Spain |
| Clinical Experience | 12+ Years |
| Previous Hospitals | Singapore General Hospital; Fortis Escorts, Faridabad |
| Google Reviews | 580+ Reviews | 4.9-Star Average |
Apollomedics Super Speciality Hospital, Lucknow
Dr. Gupta practices at Apollomedics Super Speciality Hospital β one of North India's most advanced tertiary care hospitals. Patients from Delhi, Kanpur, Varanasi, Gorakhpur, Agra, and across India regularly travel to Lucknow for treatment.
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