Published: Nov 26, 2018
Updated: Mar 18, 2026

Injuries to the Anterior Cruciate Ligament (ACL) are one of the most common orthopedic injuries experienced by both amateurs and professionals participating in competitive sports; therefore, ACL injuries pose a major risk to athletes who are active in soccer/football culture. An ACL injury can occur when pivoting, twisting, turning, or changing direction at increased speed, or during high-impact efforts (e.g., jumping, beginning or stopping, or changing direction). For a majority of athletes, especially elite-level athletes, an ACL tear that goes untreated or poorly treated often has detrimental effects on both their performance and the length of their career.
This case study discusses the patient, Keagen Zulu, a 28-year-old professional football player from Zambia, who received his ACL reconstruction surgery in India.
Keagen, who was an active soccer player, sustained an ACL injury in May 2017 while playing soccer. An initial MRI showed a partial tear of the ACL, and like many of the athletes with similar injuries, he was put on a course of non-surgical treatment. Keagen participated in several months of physiotherapy and within an exercise program designed to strengthen the muscles surrounding his knee (i.e., his hip and leg), which, in mild instances, has had some success with most other athletes. Despite consistent efforts on his end, Keagen continued to have symptoms of chronic pain, instability, and restricted functional mobility.
Due to a lack of improvement in his condition, Keagen was unable to return to the field and remained off for more than 1 year. In addition to the significant negative ramifications for both his physical health and professional career as a result of injury and inactivity, Keagen was also unable to find proper surgical treatment resources due to the absence of advanced surgical facilities in his country; therefore, Keagen's physiotherapy provider, Nimrod, pursued additional options for the risk of his continued inactivity.
Exploring Treatment Options from Overseas, as a result of previous research, recommendations, and Connections by the Football Association through MediGence, indicated that an ACL Repair would be required based on the Evaluation from Keagan's doctor, physical therapist, and other Medical Professionals Associated with the Football Association. Although there were delays relating to the Approval Process and Paperwork Associated with Keagan's professional Football Career, after weighing the long-term consequences of the recommendation, Keagan's Football Association finally agreed on an ACL Repair.
India is known for having Excellent Orthopaedic Physicians and Hospitals and providing Competitively Priced Orthopaedic Treatments Worldwide. It was therefore decided that Keagan would undergo surgery at Aakash Healthcare Centre (hospital) in Delhi NCR, with renowned orthopaedic surgeon Dr Ashish Chaudhary.
Keagan arrived in India with his Physical Therapist in November 2018. During the Pre-Op Assessment, MRI, and Blood Tests were performed prior to the Procedure to assist in determining how the Surgery was to Occur Based on the Type and Extent of the Injury.
Keagan's ACL Repair Surgery took Place on November 20, 2018. The procedure was Performed Without any Problems due to the Professionalism of the Surgical Staff. Keagan was Monitored closely in Recovery and showed Stable Recovery. The Day After Surgery, he was allowed to take his First Steps, assisted with a Walker, as this is one of the most important parts of the Rehabilitation Process. After being hospitalised due to an injury, he was released after receiving quick and effective medical treatment within two days.
Keagen was placed on a structured rehabilitation program after his surgery that included a daily physiotherapy session. During physiotherapy, the focus was on helping him regain strength, flexibility, and mobility in his knee. He was advised not to engage in any strenuous physical activity, especially sports, for at least two months to aid the proper repair of the injured area.
With frequent physiotherapy treatment and following medical advice, Keagen began to see a dramatic improvement in his condition. Not only had he significantly reduced his pain, but he had also progressed steadily in his knee mobility, giving him confidence that he would be able to return to professional football.
Keagan Zulu's story illustrates how important it is to receive timely medical intervention, knowledgeable healthcare providers, and structured physiotherapy rehabilitation programs to assist persons who have sustained anterior cruciate ligament (ACL) injuries. The high level of success he achieved with his treatment in India demonstrates that India can provide orthopaedic patients with high-quality medical care at a reasonable cost. This case provides athletes with another example of how, with the right medical assistance and the desire to return to their best possible performance, a complete recovery and a return to peak performance are possible.

With over 18 years of distinguished clinical experience, Dr. Vijita Jayan is a highly accomplished Clinical Director and Rehabilitation Specialist, renowned for her expertise in neuro-rehabilitation, functional recovery, and mobility-dependent case management. Her extensive practical knowledge enables her to design and implement individualized, evidence-based rehabilitation protocols that consistently yield measurable patient outcomes. A prolific researcher and academic writer, she has authored numerous peer-reviewed articles and research papers, significantly advancing the field of rehabilitative medicine. The recipient of multiple prestigious accolades, Dr. Jayan is widely regarded as one of the foremost authorities in Physical Medicine and Rehabilitation, continually shaping neuro-rehabilitative care through research, innovation, and clinical excellence.

Dr. Vishwas Kaushik, an accomplished Belgorod State University graduate with an MBBS, is known for his impactful contributions to healthcare. Driven by a passion for global well-being, he seamlessly led domestic operations at VMV Group of Companies and orchestrated success at Clear Medi Cancer Centre. His adept team management and operational skills have positioned him as a luminary in healthcare tourism, shaping a future where compassionate, world-class medical care knows no boundaries.





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