The Medical Challenge: “Severe Acute Flexion Deformity”
The patient had been living with Rheumatoid Arthritis for over 15 years. Due to delayed intervention, her condition progressed into a rare and extreme state:
- The Deformity: Both her knees were permanently locked in a bent position at an angle exceeding 90 degrees.
- Physical Toll: This “flexion deformity” meant she could neither straighten her legs nor bear her own weight, forcing her to crawl for several years.
- Surgical Risk: Multiple hospitals had previously declined to operate. The case was considered “inoperable” by many due to the risk of damaging major nerves and blood vessels that had shortened and shifted because of the long-term deformity.
The Robotic Solution
The surgery was led by Dr. Vivek Logani, Director of Joint Replacement at Paras Health, who utilized advanced robotic navigation to overcome the anatomical challenges.
| Feature of Surgery | Benefit to the Patient |
| 3D CT-Based Planning | Allowed surgeons to map the distorted anatomy and plan sub-millimeter cuts before the first incision. |
| Robotic Precision | Enabled the surgeon to correct the 90-degree bend with extreme accuracy, preserving as much natural bone as possible. |
| Soft-Tissue Balancing | Robotic sensors provided real-time feedback, ensuring the ligaments were perfectly balanced to allow for a natural walking gait. |
| Nerve Protection | The controlled, robotic-assisted movements minimized the risk of stretching or snapping the critical nerves and vessels behind the knee. |
Recovery Timeline
- Post-Op (Day 10): The patient achieved near-complete correction of the bend in her legs.
- 6 Weeks Later: After intensive rehabilitation and physiotherapy, she was able to walk independently without support.
- Long-Term Outlook: Doctors emphasized that while the surgery was a success, early diagnosis of Rheumatoid Arthritis remains critical to avoiding such life-altering disabilities.
Sources
- Press Trust of India (PTI): “62-year-old woman who could not stand walks again after complex surgery” (March 12, 2026)
- Hindustan Times: “Haryana woman who had to crawl for years walks again after robotic surgery” (March 12, 2026)
- Devdiscourse: “Robotic Breakthrough: Transforming Lives with Precision Knee Surgery” (March 11, 2026)
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