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Multi-ligament Knee Injury Treated with Arthroscopic ACL and MCL Reconstruction

Case Presentation

The medial collateral ligament (MCL) and the anterior cruciate ligament (ACL) are two important knee structures. The ACL and MCL, along with other ligaments, work together to keep the knee stable and moving properly.

The ACL limits anterior translation of the tibia onto the femur and contributes to internal and external rotation resistance when the knee is stretched. At 30 degrees of knee flexion, the MCL resists valgus stress. It also aids in reducing anterior and posterior tibia translation and rotation. 

As a result, when both ligaments are damaged, the knee might become unstable in numerous functional planes. Multiple ligament injuries are significantly more complicated than injuries that merely impact the anterior cruciate ligament or the medial collateral ligament.

Treatment for multi-ligament injuries is complex and evolving. The most common treatment for a torn ACL and MCL is surgery to repair the torn ACL, while the MCL injury is treated according to the severity of the injury. The timing of treatment is crucial when both the ACL and the MCL are torn.

Unless the ligament is only slightly ripped, most ligament tears need surgery to repair. Repair surgery, such as knee arthroscopy, may be required if conservative approaches fail. People who participate in sports or have an active lifestyle are more likely to undergo surgery. To discuss all of your choices, you should consult with an experienced orthopedic surgeon in Bhubaneswar, Odisha, like Dr. Sandeep Singh.

An Overview of the Case

Ms. Rinku Biswal, a sportswoman, consulted Dr. Sandeep Singh, one of the best ortho doctors in Bhubaneswar, Odisha. She had difficulty walking and an unstable knee. 

Dr. Sandeep Singh conducted a thorough examination of the patient and recommended an MRI scan. The imaging test revealed MCL and ACL injury.

Dr. Sandeep Singh informed the patient about the injury and the need for MCL and ACL reconstruction surgery. Further, Dr. Singh operated on the patient and performed Arthroscopic ACL and MCL reconstruction. 

The postoperative care included physiotherapy, antibiotics, and pain medications if required. This helped the patient recover quickly. The patient recovered within a few days after surgery and was pain-free and capable of resuming sports. 

After two months of ACL surgery, she won medals for her excellent performance in the field.




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Loosened Knee Fixed With Revision Knee Replacement Surgery

Surgery or a defective implant might cause knee replacement issues. One of the most severe consequences is loosening, and discomfort is the most prevalent. Bone fractures, instability, and major falls can all result from loosening. Almost every severe complication necessitates revision surgery.

Pain, poor joint function, knee instability, and swelling or stiffness in the knee joint are the most typical symptoms of a failed knee implant.

The location of the discomfort can be all over the knee (generalized) or in one specific spot (localized), and it can indicate loosening, wear, or infection. A limp, stiffness, or instability may occur from a loss in knee function. These symptoms and indicators may necessitate revision joint surgery in some patients.

Revision knee surgery using advanced procedures and materials frequently results in significant pain reduction and increased function. Revision knee replacement is a complex procedure that requires an experienced surgeon and proper preoperative preparation to obtain excellent results.

An Overview of the Case

A male patient, Mr. Raghu Nath Panigrahi, consulted Dr. Sandeep Singh, one of the best orthopedic doctors in Bhubaneswar, Odisha. The patient was having difficulty in walking and pain in the right knee. The patient had knee replacement surgery three years ago.

Dr. Sandeep Singh conducted a thorough examination of the patient and recommended an X-ray. The imaging test showed loosening of the knee.

Dr. Sandeep Singh informed the patient about the condition and the need for revision surgery. Further, Dr. Singh operated on the patient and performed revision knee replacement surgery

The patient began walking within a few hours after surgery, and within a few days, he was pain-free and capable of performing routine tasks. The postoperative care included physical therapy, antibiotics, and pain medications if required. 

Treatment and Prognosis

  • Revision knee replacement

Physical Examination & Tests

  • Right knee X-ray


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Severe Bilateral Knee Deformity Treated with Knee Replacement

Knee deformity, often known as knock knee, is a condition in which the knees bend inward and "knock" against one another, even when the ankles are apart. It applies too much force to the outside of the knee, causing pain and injury over time. Knock knee is usually bilateral, affecting both legs. 


However, in certain situations, it just involves one knee. Knee deformity is a misalignment of the kneecap that affects individuals of all ages. It can lead to knee discomfort and joint deterioration if left untreated. 


Correcting the deformity will restore knee mechanics and walking ability and lessen pain and slow the progression of a knee injury.


An Overview of the Case

A 60-year-old female patient, Suparna Ghosh, was brought to Care Hospital, one of the top orthopedic centre in Bhubaneswar, Odisha. The patient was having difficulty in walking and severe pain in both knees.


Dr. Sandeep Singh, one of the famous ortho doctor of Bhubaneswar, Odisha, attended the patient. Dr. Sandeep Singh examined the patient and suggested an X-ray, and diagnosed the condition as severe bilateral knee deformity. 


Dr. Sandeep Singh informed the patient and her relative about the condition and the need for immediate surgical treatment. Then, immediately Dr. Singh operated on the patient and performed bilateral knee replacement


After few hours of the surgery, the patient started walking and within several days got complete relief from pain and performed routine tasks efficiently. 


Knee deformity


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End Stage Arthritis Treated with Total Knee Replacement Surgery

Arthritis means inflammation of one or more of the joints. It can affect any joint in the body, but it is most common in the knee. The most common symptoms of arthritis are pain, swelling, and stiffness.


Knee arthritis can make it difficult to perform routine tasks like walking or climbing stairs. For many people, it is a major source of lost work time and severe impairment.


End-stage arthritis occurs when the articular cartilage is gradually worn away, resulting in bone-on-bone grinding of the joint surface. End-stage arthritis causes pain as well as a loss of function and movement, significantly limiting daily activities.


In the initial stage, medications and physical therapy can help to alleviate the signs and symptoms. However, when it comes to end-stage arthritis, surgical repair is the only option. 


If arthritic pain is causing disability and nonsurgical treatment is not working, the orthopaedic surgeon may suggest total knee replacement surgery. The surgeon will remove the damaged cartilage and bone and replace them with new metal or plastic joint surfaces to restore knee function.


An Overview of the Case

Mrs. Savita Mandal had end-stage arthritis in her right knee, making it difficult to walk and even bend her knee. Under Dr. Sandeep Singh, one of the best bone doctor in Bhubaneswar and team, she underwent a total knee replacement surgery. Within four hours after the surgery, she resumed walking normally and continued living a pain-free life.


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Immediate Repair of Right Leg Fracture Resulting from Road Accident

A leg fracture occurs when one of the leg's bones breaks or cracks. Fracture treatment is determined by the location and degree of the injury. A severely fractured leg may necessitate surgery to implant devices into the damaged bone to keep it aligned while it heals. A broken leg must be diagnosed and treated as soon as possible to recover fully.


Delays in diagnosis and treatment might lead to future complications, such as poor healing. Any leg fracture caused by a high-impact trauma, such as a road accident, should be treated immediately. 


A 20-year-old patient, Mr Rohit Nayak, visited our orthopaedic clinic in Bhubaneswar, Odisha, with trauma in the right leg resulting from a road accident. 


Dr. Sandeep Singh, one of the top orthopaedic surgeon in Bhubaneswar, consulted the patient. Dr Sandeep Singh recommended an X-ray and diagnosed the condition as a right leg fracture. Dr Sandeep immediately operated and fixed the fracture. The next day after the fracture repair, the patient found total comfort and started walking. 


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A Case of Severe Sports Injury to Left Knee Treated with Left Lateral Meniscus Repair Surgery

The knee is the body's largest joint made up of the four primary components bones, cartilage, ligaments, and tendons. Because the knee is a complex joint with numerous components, it is susceptible to a wide range of injuries.


Fractures, dislocations, sprains, and ligament tears are among the most frequent knee injuries. In many cases, injuries to the knee involve more than one structure. In sports, often sudden meniscal tears occur. When twisting, cutting, rotating, or being tackled, tears in the meniscus can occur.


In Odisha, a 17-year-young, state-level Kho-Kho player named Santosh Murmu experienced a severe sports injury to the left knee during a tournament. The patient was brought to CARE Super Specialty Hospital, Bhubaneshwar. Dr Sandeep Singh, one of the top orthopedist in Bhubaneswar, handled this case. 


Dr. Sandeep Singh recommended an MRI scan. An MRI showed a meniscus tear in the left knee. Further, Dr. Sandeep Singh performed a left lateral meniscus surgery on the patient. The patient was discharged with full power and control over his limb following comprehensive treatment and guided physiotherapy under Dr. Sandeep Singh's supervision.


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A Case of Avulsion of Posterior Cruciate Ligament Treated with CC Screw Arthroscopy

Knee pain is a frequent complaint among adults. Usually, it is caused by ordinary wear and tears from everyday activities such as walking, standing, bending, and lifting. A sudden injury, an overuse injury, or an underlying condition like arthritis can all cause knee pain. Treatment will differ based on the underlying cause.


Mr. Naik visited Dr. Sandeep Singh, who is considered the best orthopedist in Bhubaneswar by his patients. The patient complained of severe right knee pain. Dr. Sandeep Singh performed an X-ray scan and diagnosed the condition as avulsion of the posterior cruciate ligament. 


The PCL - posterior cruciate ligament runs through the back of the knee. Ligaments are tough tissue bands that connect bones. The PCL joins your thigh bone (femur) to your shin bone, analogous to the anterior cruciate ligament (ACL). The PCL can be torn, despite being larger and stronger than the ACL.


Based on the condition, the doctor suggested CC screw arthroscopy for complete relief. Mr. Naik decided to go forward with the CC screw arthroscopy, and after a few weeks of surgery, he found total comfort from his knee problems. He was now much more comfortable in doing routine activities and moving around.


Treatment Provided to the Patient :

CC Screw Arthroscopy

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A Case of Hip Fracture Treated with Hemi Arthroplasty

You wouldn't be able to stand, walk, run, or dance without a completely functional hipbone. As a result, when you have chronic hip pain and specific daily activities become difficult, it can feel as if your entire life is placed on hold. The ball-and-socket hip joint is designed to allow for fluid, repetitive motion, and some wear and tear. When you utilize your hip, a cushion of cartilage protects the hip bone from friction as it travels in its socket. 


The hip joint is not impervious to damage. The cartilage might wear down or be injured as a result of age and use. Hip muscles and tendons might become overworked. During a fall or other injury, the hip bone can be broken. Any of the factors mentioned above can cause hip discomfort.


A variety of factors can cause hip discomfort. Some conditions are more severe than others, which is why you should never self-diagnose and instead get medical help–especially if you have persistent pain that is interfering with your daily activities.


Mrs. Dura Nayak visited Dr. Sandeep Singh, a renowned ortho doctor in Bhubaneshwar. The patient complained of left hip pain for the last eight months. Dr. Sandeep Singh, an experienced orthopedic surgeon in Bhubaneshwar, performed an X-ray. Dr. Sandeep diagnosed the condition as a chronic hip fracture


As the hip was fractured, the doctor suggested hemiarthroplasty for complete hip pain relief. Mrs. Dura Nayak decided to go forward with the hemiarthroplasty surgery. 


After four hours of surgery, she walked comfortably and found complete relief from the hip pain within few weeks. The patient was now considerably more at ease moving around and going about her daily routine.

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A Case of Recurrent Shoulder Dislocation Treated with Arthroscopic Bankart Repair

Many people in Bhubaneshwar suffer from shoulder dislocations. The shoulder joint is a ball and socket joint, where the head of the upper arm bone attaches to the shoulder socket. The shoulder socket is shallow and thus requires additional support to prevent the shoulder bones from dislocating. The labrum is a cuff of cartilage surrounding the shoulder socket, helps serve the purpose of keeping the shoulder bones in place. It does so by forming a cup for the upper arm bone to move within. The labrum gives stability to the joint, enabling several ranges of movements.

The labrum can tear during a shoulder injury. A specific kind of labral tear that happens when the shoulder dislocates is known as a Bankart tear. Bankart tear occurs in a part of the labrum called the inferior glenohumeral ligament and is common in younger people who have a shoulder's dislocation. A Bankart tear makes the shoulder prone to repeated dislocations in people under the age of 30.


Mr. Samardeep visited Dr. Sandeep Singh, who is considered the best orthopedic doctor in Bhubaneswar by his patients. The patient complained of pain and a feeling as if his shoulder were slipping out of place. 


Dr. Sandeep Singh performed an MRI and diagnosed the condition as a bankart tear. As the shoulder had a recurrent dislocation, the doctor suggested arthroscopic bankart repair for complete relief. Mr. Samardeep decided to go forward with the arthroscopic bankart repair surgery, and after a few weeks of surgery, he found complete relief from the pain. The patient was now much more comfortable in moving around and performing his daily activities.

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A case of Osteoarthritis Treated with Total Knee Replacement

Mrs. Chanchala visited Dr. Sandeep Singh, who is considered the best orthopedic doctor in Bhubaneswar by his patients. The patient complained of severe pain in the left knee. Dr. Sandeep Singh performed an X-ray scan and diagnosed the condition as osteoarthritis of the knee. Since the knee was damaged, the doctor suggested total knee replacement for complete relief. Mrs. Chanchala decided to go forward with the total knee replacement surgery, and after a few weeks of surgery, she found complete relief from her knee pain. She was now much more comfortable in performing her daily activities and moving around.

X-ray Scan of Mrs. Chanchala's Knee

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