Paras Health Panchkula Detects Hidden Uric Acid Disorder During ACL Surgery, Successfully Restores Knee Stability
Paras Health Panchkula Detects Hidden Uric Acid Disorder During ACL Surgery, Successfully Restores Knee Stability
Routine ligament injury reveals undiagnosed gout; experts stress early screening for persistent joint pain
Panchkula 13 February ( Ranjeet Singh Dhaliwal ) : Persistent joint pain, repeated injuries, or delayed recovery should never be ignored, as they may indicate an underlying metabolic or systemic condition. Reinforcing this important public awareness message, Paras Health Panchkula successfully treated a 42-year-old fitness enthusiast after discovering a hidden uric acid disorder during what was initially planned as a routine ACL reconstruction surgery.
The patient, who had been living with a previously diagnosed ligament tear for nearly five years, reported worsening symptoms after twisting his right knee during a workout. MRI findings revealed a partial tear of the Anterior Cruciate Ligament (ACL) along with meniscus damage. Arthroscopic ligament reconstruction was advised to restore stability.
During the minimally invasive procedure, surgeons identified unexpected chalky white deposits inside the knee joint. Further analysis confirmed these as uric acid crystals, leading to the diagnosis of previously undetected gout. Laboratory evaluation showed elevated uric acid levels of 9.6 mg/dL, suggesting that the metabolic imbalance had been gradually weakening the ligament and cartilage structures over time.
The ACL plays a critical role in stabilising the knee joint, while the meniscus acts as a cushioning structure between the thigh and shin bones. Arthroscopic surgery, performed through small incisions using a high-definition camera, allowed precise reconstruction of the torn ligament and treatment of the meniscus, while also uncovering the crystal deposits contributing to progressive joint damage. The case highlights that not all joint injuries are purely mechanical; some may have hidden systemic causes.
Dr. Ravi Kumar Gupta, Chairman – Orthopaedics, Paras Health Panchkula, who led the surgery, stated, “This case reinforces that ligament injuries are not always purely mechanical. Metabolic conditions such as gout can silently compromise joint integrity without obvious warning signs. Identifying the uric acid crystal deposits during surgery enabled us to address both the structural damage and the root metabolic cause.”
Dr. Pankaj Mittal, Facility Director, Paras Health Panchkula, added, “Comprehensive evaluation is fundamental to effective orthopaedic care. Our approach focuses not only on repairing visible injury but also on identifying contributing medical factors that may affect long-term outcomes. Integrating advanced arthroscopic techniques with metabolic management ensured sustainable joint stability and recovery for this patient.”
The surgical team successfully completed ACL reconstruction along with meniscus repair. Post-operatively, the patient was started on medication to lower uric acid levels and advised dietary and lifestyle modifications to prevent recurrence. With a structured rehabilitation programme, he regained full range of motion within three months and has resumed regular physical activity without pain or instability. This case serves as a vital public health reminder that early diagnosis and timely intervention can prevent long-term joint deterioration and significantly improve quality of life. Paras Health Panchkula continues to strengthen orthopaedic care in the region through precise diagnosis, minimally invasive surgical expertise, and patient-centred long-term management.

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