Precision Surgery: Osteochondroma Proximal Tibia with Failed Primary TKR
By in Metro Heart Institute with Multispecialty, Faridabad
A 68-year-old gentleman from Iraq, Mr. Abbas Zebq Theyab Al-ledani, arrived at Metro Heart Institute with Multispeciality, Faridabad with severe knee pain and an inability to walk without support. His discomfort had gradually worsened, eventually compelling him to rely on a walker for routine movement.
Diagnosis: A Complex Combination of Issues
A thorough clinical and radiological assessment revealed a challenging combination of conditions:
- Patella dislocation
- Failure of a previously implanted knee prosthesis (failed primary TKR)
- Presence of an osteochondroma — a benign bone tumor located in the right proximal tibia
This combination made his case exceptionally complex, requiring advanced surgical planning and precision.
Surgical Excellence & Successful Reconstruction
Under the expert care of the orthopedic surgical team, led by Dr. Ashutosh Shrivastava, a carefully planned Revision Total Knee Replacement (TKR) was performed.
The procedure involved:
- Removal of the failed knee implant
- Excision of the osteochondroma from the proximal tibia
- Correct repositioning and reconstruction of the knee joint
The surgery was executed with precision to restore joint alignment, function, and long-term mobility.
Smooth Post-Operative Recovery
Following surgery, Mr. Al-ledani was closely monitored in the post-operative unit. He received:
- Tailored pain management
- Continuous physiotherapy support
- Step-by-step mobility training to regain confidence
His recovery progressed steadily, and he showed significant improvement in walking ability and knee stability.
A Positive Outcome
Upon discharge, Mr. Al-ledani was:
- Medically stable
- Pain significantly reduced
- Ambulating with improved comfort
- Fit to resume daily activities with ongoing physiotherapy guidance
This case highlights the expertise of Metro Hospital, Faridabad, in managing complex knee revision surgeries combined with bone tumors—restoring mobility, comfort, and quality of life.
