Diagnosis
Right knee - ACL, both menisci, cartilage
Case Study · ACL & Meniscal Reconstruction
How H.A.A. rebuilt a fully torn ACL and got back to MMA training in 16 weeks.
At 23, MMA fighter H.A.A. tore his right ACL, both menisci and the cartilage over his medial femoral condyle in a single injury. OSSO fixed all four in one arthroscopic procedure, repairing the menisci rather than removing them. Sixteen weeks later: pain 1/10, full range of motion, back in supervised training.
- Pain Reduction*
- 86%
- Weeks Treatment
- 16
- Single-Stage Surgery
- 1
- Knee Flexion Gain
- +25°
Patient Profile
H.A.A., 23 · MMA Fighter
Three months earlier, H.A.A. injured his right knee during play. It swelled, gave way, and wouldn't bend past 90°. No running, no pivoting, no fighting. MRI: complete ACL rupture, both menisci torn, cartilage lesion on the medial femoral condyle. Referred to OSSO by Ashwin Hoon.
Prior Recommendation
Surgery recommended
OSSO Protocol
ACL reconstruction, meniscal repair, BMAC cartilage, rehab
Duration & Outcome
16 weeks · Returned to supervised MMA training
The Full Journey
From a knee that gave way to agility drills H.A.A.'s 16 weeks with OSSO.
A complete look at how H.A.A. came to OSSO, what the surgery and the rehabilitation actually involved, and where he is now.
Chapter One
How H.A.A. found OSSO
The injury happened during play and never settled. Three months on, the knee was still swollen, still giving way, and moving through barely 10° to 90°. His quadriceps had shut down, walking was difficult, and running, jumping and pivoting were out of the question which, for a fighter, is the whole sport. At 23, with a career built on that knee, waiting any longer wasn't an option. The MRI that followed didn't stop at the ligament, it showed both menisci torn and a cartilage lesion on the medial femoral condyle as well, far beyond what the injury first looked like. He had already been told he needed surgery. What he had not been told was what kind, or what would happen to the rest of the joint. Ashwin Hoon sent him to OSSO.
Treatment Timeline
The 16-week protocol, phase by phase.
Every OSSO plan is built around the individual knee here is exactly how H.A.A.'s unfolded.
Week 0–2
Protect & Move
Pain and swelling control, protected weight-bearing, and early range-of-motion work.
Week 3–6
Motion & Activation
Progressive range of motion, gait correction and targeted muscle activation.
Week 7–12
Strength & Control
Quadriceps strengthening, proprioception and balance training.
Week 13–16
Agility & Sport Prep
Functional strengthening, agility drills, and the start of sport-specific rehabilitation.
Week 16 →
Return to Sport
The advanced return-to-sport programme continues.
The Measured Difference
Before treatment vs. Week 16.
Clinical measurements taken at intake and at the close of the 16-week protocol. Recovery after ACL reconstruction with meniscal and cartilage repair varies from patient to patient; clearance for unrestricted competition typically follows at 9–12 months.
Baseline - Week 0
A knee that would not hold.
- Pain score (VAS 0–10)
- 7
- Knee range of motion
- 10°–90°
- Lachman test
- Grade II–III
- Joint effusion
- Moderate
- Function
- No run, jump, pivot
Week 16 - Close of Protocol
Stable, and back in training.
- Pain score (VAS 0–10)
- 1
- Knee range of motion
- 0°–135°
- Lachman test
- Grade 0–I
- Joint effusion
- None significant
- Function
- Agility drills
What Patients Say
"After months of battling frozen shoulder and meeting multiple doctors across various hospitals, I had almost given up hope on finding genuine, patient-first care."
"After five years of struggling with left knee pain and almost giving up, OSSO's integrated plan with PRP and physiotherapy gave me 60–70% improvement in just two months.
I've had a back issue and an ACL tear from football… I didn't realise how much I needed ortho + physio working together until I came to OSSO."
My son joined OSSO post-knee surgery… the doctors' structured approach, the physio's positive attitude, and supportive staff made his recovery safe and effective."
Treatments Used in This Case
Repair first, replace last.
Some injuries do need the operating theatre. What changes is what happens once you are in it - every structure that could be preserved in this knee was preserved rather than removed.
ACL Reconstruction
Arthroscopic reconstruction of the ruptured ligament using the patient's own tissue, restoring the knee's primary stabiliser.
Meniscal Repair
The medial and lateral meniscal tears were repaired rather than trimmed away, preserving native tissue and protecting the joint long term.
Cartilage Repair
The cartilage lesion on the medial femoral condyle treated biologically using Bone Marrow Aspirate Concentrate.
Rehabilitation
Supervised physiotherapy 3–5 sessions a week, tapering with progress, plus daily home exercise, cycling and balance work.
Treating Clinician
Meet the surgeon who led H.A.A.'s case.
Head of Orthopedics · Regenerative Specialist
Dr. Karan Raj Jaggi
MBBS (Gold Medalist), MS (Orthopaedics), DNB (Orthopaedics), MCh (Regenerative Orthopaedics, UK) | India's First MACI-Certified Orthopaedic Surgeon
Triple board-certified and internationally trained, Dr. Jaggi super-specialises in regenerative orthopedics, sports injuries and joint preservation. He has performed thousands of PRP, GFC and BMAC procedures, he is a firm believer that biology, applied precisely, can do what surgery used to.
Trained & worked at prestigious institutions in India and the UK, including Maulana Azad Medical College (Gold Medalist)- Sub-specialty training in regenerative orthopaedics, PRP, GFC, BMAC and biologic therapies
- Known for honest case selection - recommending regenerative therapy only when evidence supports it
Frequently Asked Questions
Your injury deserves a second opinion on what surgery should actually do.
Every joint has a story. Every treatment plan should be built for one person, not a protocol. Book an OSSO 360° assessment and find out what's realistic for you.
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