Orthopedics with Joint Replacement & Sports Medicine

A professional WWE wrestler sustained a knee injury during a wrestling bout while on tour in India, resulting in acute pain, instability, and inability to continue performance. Clinical and radiological evaluation confirmed an anterior cruciate ligament (ACL) tear along with a concomitant meniscus injury.

He was evaluated by the orthopaedic team, led by Dr. Brajesh Koushle, and was advised to undergo surgical intervention to restore knee stability and enable early return to high-impact activity. Given the functional demands of a professional athlete, a minimally invasive, precision-driven approach was planned.

The patient underwent arthroscopic ACL reconstruction using an advanced Xiros ligament system, along with an all-inside meniscus repair. The procedure was performed using keyhole techniques, ensuring minimal tissue disruption and optimal anatomical restoration.

Postoperatively, the patient showed rapid recovery. Early mobilisation was initiated, and he was able to bear weight and walk on both limbs from the very next day. With structured rehabilitation, he is on track for a timely return to professional wrestling within a few weeks.

Treatment By:
Dr. Brajesh Koushle and Team

A 71-year-old female from Kazakhstan presented with persistent hip pain and a limp, significantly affecting her mobility and quality of life. She had a history of prior fracture fixation surgery of the left hip, which had failed over time, leading to joint deterioration, chronic pain, and functional limitation.

On clinical and radiological evaluation, the left hip joint was found to be severely compromised due to failed implant fixation. She was assessed by the orthopaedic team, who recommended revision hip arthroplasty as the definitive treatment, given the extent of joint damage and prolonged disability.

The patient underwent a complex revision procedure involving the removal of the existing implant with careful preservation of bone stock, followed by a revision total hip replacement. The surgery required meticulous planning and execution due to altered anatomy and previous surgical intervention.

Postoperatively, the patient demonstrated excellent recovery. Early mobilisation was initiated, and she was able to take her first steps the following day with a stable, pain-free gait. After nearly two decades of impaired mobility, she achieved independent ambulation without a limp and was discharged in stable condition.

Treatment By:
Dr. Brajesh Koushle, Dr. Gaurav Thakral, and Team

A 59-year-old female from Comoros presented with severe bilateral knee dysfunction and associated implant-related complications. She had a Grade 3 valgus deformity with advanced osteoarthritis, a failed primary total knee replacement of the left knee, and significant implant impingement at the left ankle, resulting in marked pain and restricted mobility.

She was evaluated by the orthopaedic team at Yashoda Medicity led by Dr. Brajesh Koushle and Dr. Gaurav Thakral, at Yashoda Medicity. Given the complexity of her condition and functional limitations, a comprehensive surgical plan was formulated. 

The patient underwent primary total knee replacement of the right knee, revision total knee replacement of the left knee, and removal of the impinging implant from the left ankle in the same sitting. The surgery was successfully completed with meticulous intraoperative management.

Postoperatively, the patient showed excellent recovery. Early mobilisation was initiated, and she was able to stand and walk from the first post-operative day. She was discharged in a stable condition, walking unassisted and with significant improvement in functional outcomes.

Treatment By:
Dr. Brajesh Koushle, Dr. Gaurav Thakral, and Team

First Navigation-Guided Minimally Invasive Spine Surgery at Yashoda Medicity
A patient with a spinal condition was treated at Yashoda Medicity through a navigation-guided minimally invasive spine surgery, marking the first such procedure in the state. The surgery was performed in our state-of-the-art Neuro-Spine OT, equipped with O-arm, Stealth-8 Neuronavigation, Allen table, and IONM.

The procedure was led by Dr. Dibya Jyoti Mahakul, Consultant – Minimally Invasive Neuro-Spine Surgeon, who performed the surgery with unmatched precision. Using the neuronavigation system, the team could visualize the movements of all instruments in real time, ensuring the accurate placement of implants.

The minimally invasive approach resulted in minimal blood loss and muscle damage, and the patient experienced immediate pain relief. This achievement underscores our commitment to leveraging cutting-edge technology to provide safe, precise, and effective surgical solutions for spine problems.

At Yashoda Medicity, we care about your back. When it comes to spine conditions, you’re in safe hands.

Treatment By:
Dr. Dibya Jyoti Mahakul

A 51-year-old lady with left arm pain more than neck pain of 10 years duration, with BMI 44 and a short neck nearly the chin touching the chest, was diagnosed with OPLL C3-6 with myelopathy and fixed kyphosis of 20°. MRI showed cord signal changes at C5, and CT  confirmed OPLL C3 -6 with high probability of intradural mass ( double density sign). Conventional wisdom (K line, kyphosis, anterior pathology etc.) dictated towards an anterior surgery, but possibility of dural laceration (intradural OPLL mass), with potential for other complications (cord / trachea / esophageal compression by pseudomeningole, meningitis, spinal cord hernia etc.) were discussed in detail and a decission was taken to decompress and fix from the posterior aspect. The pre-op CT angio showed B/L high-riding vertebral arteries, which precluded the  C2 screw. 
 

Per operatively, the patient was positioned prone with the head clamped and a posterior exposure done. LM screw entry points were made from C3-6, followed by grade 1 facet resection at C3-4, C4-5, and C5-6 bilaterally. Further lordosis was achieved with manipulation of the head with the head clamp and closing the osteotomy gaps. LM screws (C3-6), a laminar screw at C2, and a pedicle screw at T1 & 2 were inserted and connected with rods. 
 

C3-6 laminectomy was done, and the surgical site was closed after bone graft mixed with vancomycin was applied laterally.
 

Postoperative x-ray showed adequate lordosis (approximately 10 degrees) attainment.

The patient reported complete pain relief in the left shoulder and arm postoperatively.

Treatment By:
Dr. Ankur Goswami