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Clinical Case Study

Total Knee Replacement Surgery

How a 50-Year-Old Patient Walked Again Without Knee Pain

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50-Year-Old Female, Homemaker
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Lucknow, India
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Apollomedics, Lucknow
50 Yrs Patient Age
Grade 4 Knee Condition
60 Min Surgery Time
Day 3 Discharge
3 Months Full Activity
18 Months Follow-Up Zero Re-Injury
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Patient Background

Mrs. Sunita Verma (name changed for privacy), a 50-year-old homemaker from Lucknow, had been suffering from severe knee pain for more than 5 years. Her pain was worse in the mornings and after climbing stairs. She found it hard to sit on the floor, walk long distances, or even do daily puja and household work without support.


Patient DetailInformation
Age62 Years
GenderFemale
CityLucknow
Main ComplaintSevere knee pain, difficulty walking and climbing stairs
Duration of Problem5+ Years
Prior TreatmentPainkillers, physiotherapy, knee brace
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How the Patient Found Dr. Gupta

Mrs. Verma's son searched online for a knee specialist and found reviews for Dr. Kamal Kishor Gupta, who is known and trusted as the best Orthopedic Doctor in Lucknow. Many patients had shared their knee replacement success stories, and this gave the family confidence to book a consultation at Apollomedics Hospital.

The family also learned that Dr. Gupta holds international fellowships in orthopedic surgery, which added to their trust. Patients across India, including from Delhi and Hyderabad, travel to Lucknow to consult him, as he is widely regarded as the best Orthopedic Doctor in Lucknow for complex knee and joint problems.

My knee pain had made my life very difficult. Dr. Gupta and his team explained everything clearly in Hindi, and I felt at ease before the surgery itself. โ€” Mrs. Sunita Verma, Patient

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Diagnosis and X-Ray Findings

Dr. Gupta first examined the knee and ordered a standing X-ray of both knees. The X-ray and clinical tests showed the following:


Grade 4 Osteoarthritis
Complete wearing away of knee cartilage (bone rubbing on bone).
Varus Deformity
Knee bent outward (bow-leg shape).
Reduced Joint Space
Reduced joint space on the inner side of the knee.
Loss of Normal Alignment
Loss of normal knee alignment affecting walking pattern.
No Infection or Ligament Damage
No infection or major ligament damage found.
Key Advantage: Because the diagnosis was confirmed early with clear imaging, Dr. Gupta could plan the correct implant size and alignment before surgery, reducing surgery time and improving accuracy.
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Pre-Surgery (Pre-Op) Preparation

Before the surgery date, the patient went through a short preparation phase to make the surgery safer and recovery faster:


  • 01
    Complete Health Check-Up
    Blood tests, ECG, and fitness clearance from physician.
  • 02
    Diabetes and Blood Pressure Control
    Diabetes and blood pressure brought under control.
  • 03
    Pre-Surgery Physiotherapy
    Physiotherapy to strengthen leg muscles.
  • 04
    Detailed Counselling
    Counselling session with patient and family about the procedure.
  • 05
    Hospital Admission
    Admission one day before surgery for final preparation.
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The Surgery in Detail

Dr. Gupta performed the Total Knee Replacement surgery using modern surgical technique to protect surrounding muscles and reduce blood loss.


01
Spinal Anesthesia
Spinal anesthesia given so the patient remained comfortable and pain-free.
02
Removal of Damaged Surface
Damaged cartilage and bone surface removed carefully.
03
Joint Resurfacing
Knee joint resurfaced with a metal and plastic implant matching the patient's bone size.
04
Alignment Correction
Correct alignment restored to fix the bow-leg deformity.
05
Implant Fixation
Implant fixed securely and joint movement tested on the table.
06
Wound Closure
Wound closed with care to support faster healing.

Type of SurgeryTotal Knee Replacement (TKR)
AnesthesiaSpinal Anesthesia
Surgery TimeApproximately 60 Minutes
Blood LossMinimal, blood-saving technique used
Implant TypeStandard cemented knee implant
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Recovery and Rehabilitation (Post-Op)

Recovery after Total Knee Replacement follows a clear, step-by-step timeline. Mrs. Verma's recovery matched this standard protocol closely.


TimelineWhat Happened
Day 1Patient stood up and started walking with support
Day 2Patient practiced climbing stairs with the physiotherapist
Day 3Patient discharged from hospital, walking with a walker
2 WeeksStitches (sutures) removed, wound fully healed
4-6 WeeksPatient started walking independently without support
3 MonthsPatient returned to full daily activity, including light household work

Regular physiotherapy exercises, knee bending practice, and short walks were the main focus during recovery. The family was guided with clear home-care instructions in simple Hindi and English.

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Clinical Outcome

95% Pain Relief
110ยฐ Knee Bending
Excellent Patient Satisfaction

At the 3-month follow-up, Mrs. Verma was walking without any support, climbing stairs comfortably, and had returned to her normal daily routine, including sitting for short periods and light household work. Her knee alignment was corrected, and she reported no pain during regular movement.

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Key Clinical Decisions That Helped

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Early and Accurate Diagnosis
Early and accurate diagnosis using X-ray, avoiding delay in treatment.
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Pre-Surgery Health Optimization
Careful pre-surgery health optimization to reduce surgery risk.
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Precise Implant Planning
Precise implant sizing and alignment planning before surgery.
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Muscle-Sparing Technique
Muscle-sparing surgical technique for faster healing.
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Structured Physiotherapy
Structured, closely monitored physiotherapy after surgery.
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Clear Communication
Clear communication with patient and family at every step.
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About Dr. Kamal Kishor Gupta

Dr. Kamal Kishor Gupta
Recognized as the Best Orthopedic Doctor in Lucknow ยท Apollomedics Super Speciality Hospital, Lucknow
FellowshipFIAA, Singapore
MembershipMRCS, Edinburgh
DiplomaFIFA Diploma in Football Medicine, Barcelona
HospitalApollomedics Super Speciality Hospital, Lucknow
ContactWhatsApp: +91-85889-53161
Knee Replacement ACL Reconstruction Sports Injuries Joint Preservation
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Apollomedics Super Speciality Hospital, Lucknow

The surgery was performed at Apollomedics Super Speciality Hospital, Lucknow, which is equipped with a modern joint replacement unit, dedicated physiotherapy center, and a specialized post-surgery care team.


Operation Theatre
Advanced operation theatre for joint replacement surgeries
Physiotherapy Support
In-house physiotherapy and rehabilitation support
Emergency Care
24x7 emergency and nursing care
Accessibility
Easy accessibility for patients across Lucknow and nearby cities

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Apollo Medics Hospital Kanpur - Lucknow Rd, Sector B, Bargawan, LDA Colony, Lucknow, Uttar Pradesh 226012 +91 85889 53161 kamal.kgmu@gmail.com
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