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When it comes to mobility, there is no room for compromise. Whether you are a young athlete looking to return to the field or an individual struggling with chronic joint pain, the quality of surgical intervention defines your quality of life.

At Inova Hospital (Lazimpat) and Bir Hospital, Dr. Sudip Khanal (MS Orthopedics, Arthroscopic Surgeon) is at the forefront of providing world-class orthopedic solutions. Below, we explore four recent complex cases that highlight the advanced surgical techniques now available in Kathmandu.


1. Revision ACL Reconstruction with LET

Primary ACL surgeries can sometimes fail due to trauma or biological factors. For 18-year-old Salin Pariyar, a Revision ACL Reconstruction was necessary.

ACLR

To provide extra stability and prevent future graft failure, Dr. Khanal performed a Lateral Extra-articular Tenodesis (LET). This procedure reinforces the knee’s rotational stability, making it a gold standard for “revision” cases and high-demand athletes.


2. High Tibial Osteotomy (HTO) with Meniscus Root Repair

For patients with knee malalignment (bowed legs) and meniscus damage, a total knee replacement isn’t always the first answer.

Dr. Khanal recently performed a High Tibial Osteotomy (HTO) combined with a Meniscus Root Repair and Centralization. This “joint-preserving” surgery shifts the weight off the damaged side of the knee, allowing the patient to keep their natural joint for much longer.

“It does not matter how slowly you go, so long as you do not stop.” — A mantra we embrace for every patient’s recovery journey.


3. Arthroscopic ACL Reconstruction (Hamstring Graft)

Arthroscopic surgery, or “keyhole surgery,” is the preferred method for ACL repairs due to smaller incisions and faster recovery.

In the case of 20-year-old Asbin Chaulagain, Dr. Khanal utilized a Hamstring Autograft. Using the patient’s own tissue ensures high biocompatibility and a robust recovery, getting the patient back to their daily activities with minimal scarring.


4. Tibiotalarcalcaneal (TTC) Arthrodesis

Complex ankle and hindfoot deformities or severe arthritis require a high level of precision. Tibiotalarcalcaneal Arthrodesis is a fusion procedure used to stabilize the ankle and the heel bone (calcaneus).

As seen in the case of Sanjaya Khadka (36/M), Dr. Khanal used an intramedullary nail and specialized screws to provide rigid fixation. This procedure is life-changing for patients suffering from chronic, debilitating ankle pain, providing a stable, pain-free platform for walking.


Why Choose Dr. Sudip Khanal at Inova Hospital?

  • Dual Expertise: Serving at Bir Hospital (the nation’s oldest medical institution) and Inova Hospital, Dr. Khanal combines public-sector experience with private-sector personalized care.
  • Specialized Training: Expert in Arthroscopic Surgery and complex limb reconstructions.
  • Modern Facilities: Inova Hospital in Lazimpat is equipped with the latest diagnostic and surgical technology.

Book Your Consultation

If you are experiencing knee instability, chronic joint pain, or require a second opinion on a previous surgery, consult with the expert.

Contact Information:

Who is the best surgeon for Revision ACL in Kathmandu?

ACLR

Dr. Sudip Khanal (MS Orthopedics) is a leading expert in Revision ACL Reconstruction at Bir Hospital and Inova Hospital, specializing in advanced techniques like Lateral Extra-articular Tenodesis (LET) for high-stability results.

What is High Tibial Osteotomy (HTO) and can it prevent knee replacement?

Yes, HTO is a joint-preserving surgery that realigns the knee to shift weight from damaged areas to healthy ones. It is an excellent option for younger, active patients in Nepal looking to delay or avoid a total knee replacement.

Does Dr. Sudip Khanal perform keyhole (Arthroscopic) surgery?

Yes, Dr. Khanal is a specialist Arthroscopic Surgeon. He performs minimally invasive ACL reconstructions using hamstring grafts, which results in smaller scars, less pain, and faster recovery times.

What is Tibiotalarcalcaneal (TTC) Arthrodesis?

TTC Arthrodesis is a complex ankle fusion procedure used to treat severe arthritis or deformity. Dr. Khanal uses specialized intramedullary nails to stabilize the ankle and heel, restoring the ability to walk without pain.

Where can I consult with Dr. Sudip Khanal in Lazimpat?

You can book a consultation with Dr. Sudip Khanal at Inova Hospital, Lazimpat, or visit him at his clinical practice in Bir Hospital, Kathmandu.

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