Real Cases. Documented Outcomes.

Patient from Delhi sent MRI scans remotely. Dr. Gupta confirmed complete ACL tear with partial medial meniscus involvement. Advised travel within 7 days.

Swelling reduced, quad strength restored before surgery to optimise post-op recovery outcomes.

Hamstring graft technique. Simultaneous meniscus repair performed arthroscopically. Total OT time: 65 minutes. Discharged next day.

Phase-wise return-to-sport programme: brace-free walking at 6 weeks, jogging at 12 weeks, sport-specific drills at 5 months.

Patient from Kanpur with 3 years of bilateral knee pain. X-rays confirmed Grade IV OA with 12° varus malalignment. Deemed fit for unilateral TKR under painless protocol.

Adductor canal nerve block + periarticular infiltration protocol used eliminating opioid dependence and enabling same-day mobilisation.

Cemented posterior-stabilised implant. Deformity corrected intraoperatively. Patient walked with support 6 hours after surgery.

Discharged on Day 2. Climbing stairs independently at 6 weeks. No complications at 12-month follow-up. Contralateral knee scheduled.

Mrs. Sunita Verma (name changed), a 62-year-old homemaker from Lucknow, had been suffering from severe knee pain for over 5 years. She experienced difficulty walking, climbing stairs, sitting on the floor, and performing daily household activities. Standing X-rays confirmed Grade 4 osteoarthritis with complete cartilage loss, reduced joint space, and varus deformity, making Total Knee Replacement the most suitable treatment.

A complete pre-operative assessment was performed, including blood investigations, ECG, physician fitness clearance, diabetes and blood pressure optimization, pre-surgery physiotherapy, and detailed counselling for the patient and family. Proper planning also helped determine accurate implant size and alignment before surgery.

Dr. Kamal Kishor Gupta performed Total Knee Replacement under spinal anesthesia using a muscle-sparing surgical technique. The damaged cartilage and bone surfaces were removed, a cemented knee implant was placed, normal alignment was restored, and the procedure was completed in approximately 60 minutes with minimal blood loss.

The patient started walking with support on Day 1, practiced stair climbing on Day 2, and was discharged on Day 3. Regular physiotherapy and rehabilitation allowed her to walk independently within 4–6 weeks, and by 3 months she had returned to her normal daily routine with excellent pain relief and improved mobility.

A 24-year-old competitive club cricketer from Delhi suffered a twisting knee injury while fielding, followed by an audible pop, swelling, and instability. MRI images were shared with Dr. Kamal Kishor Gupta via WhatsApp and reviewed within 24 hours, confirming a Grade 3 complete ACL tear with partial medial meniscus injury.

As the patient wished to return to competitive cricket, arthroscopic ACL reconstruction with meniscus repair was advised instead of conservative treatment. The procedure, expected recovery timeline, rehabilitation phases, and return-to-sport goals were explained before surgery.

Surgery was performed under spinal anaesthesia using a hamstring autograft with arthroscopic keyhole technique. The torn ACL was reconstructed, the medial meniscus was repaired, and the entire procedure was completed in approximately 65 minutes. The patient started supervised mobilisation and was discharged on Day 1.

A structured, milestone-based rehabilitation programme focused on strength, balance, agility, and sport-specific training. The patient achieved brace-free walking at 6 weeks, resumed jogging at 12 weeks, and successfully returned to competitive cricket after 7 months. At the 18-month follow-up, there was no instability or re-injury.