Clinical cases in orthopedics

This section provides a selection of clinical cases provided by experts in orthopedics.

Want to deepen your knowledge about ACL Revision and get tips and tricks for your practice?

ACL revision, state of the art 2023
CHU, Toulouse, FRANCE
Chairman & Course Director

I am an orthopedic surgeon specialized in knee surgery. I practice at the University Hospital of Toulouse in the University Sports Clinic located in the Pierre Paul Riquet Hospital.
In addition to teaching at the Faculty of Medicine, I participate in courses for the professional societies to which I belong such as the SFA, ESSKA and SOFCOT.
My clinical activity (more than 800 surgeries per year) is exclusively focused on knee surgery. An important part of my surgeries is related to sports traumatology, in particular anterior cruciate ligament injuries (350+ ACL reconstructions per year).
My research activity is also focused on the knee. I have contributed to more than 110 publications in international journals. I am developing an à la carte approach in order to propose a personalized surgery to the patient. In the context of degenerative activity, the aim is to better analyze the variability of the anatomy in order to be able to propose prostheses adapted to the patient's anatomy. In the context of sports traumatology, it is a question of improving the dismemberment of all the lesions in order to propose an adequate therapy.
Since May 2022, I am a member of the board of ESSKA (European Society of Sports Traumatology Knee Surgery and Arthroscopy) as treasurer.

Munich, GERMANY
APHP, CHU Ambroise Paré, Boulogne-Billancourt, France
What are the different therapeutic options in case of fracture in a massive reconstruction knee prosthesis? Discover this new case involving a 69-year-old male presented by Thibaut Lucena and Kenza Limam, and put your knowledge on endoprosthetic knee replacement to the test!
Metaphyseal break of a custom-made massive knee prosthesis
Pierre Paul Riquet Hospital, Toulouse, France
Orthopaedic surgeon
Pierre Paul Riquet Hospital, Toulouse, France
Orthopaedic surgeon
Dive into this case of a 30-year-old female from Guinea who suffers from massive osteoporosis and chronic groin infection. She has been completely bent over in half for the last 10 years.
Bilateral girdlestone procedure
CHU, Toulouse, FRANCE
Chairman & Course Director

Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.

His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.

Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).

Follow Louis Dagneaux and his team on a revision knee arthroplasty in a patient with segmental metaphyseal tibial bone loss. See how bone allograft is a good option to treat these cases.

Combining allograft and tantalum cone to manage segmental metaphyseal tibial bone loss in revision TKA
CHU Montpellier, France

Discover step by step the minimally invasive posterior approach for hip replacement, which is muscle-sparing and limits the risk of dislocation.

Minimally invasive posterior total hip replacement
CHU, Toulouse, FRANCE
Chairman & Course Director

Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.

His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.

Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).

A 43-year-old woman with a history of lower limb fractures treated by casts 19 years ago, presents with knee pain. Discuss with Simone Perelli the causes of knee arthritis and the different therapeutic options.

Post-traumatic knee pain: How to treat double varus deformity?
Hospital universitari Quiron Dexeus
Orthopedic surgeon

Is robotics an added value in terms of time constraints? Etienne Cavaignac compares robotic surgery and manual surgery and shares his favourite technique. He also addresses the question of the increasing number of patients in orthopedics and how to anticipate this future challenge.

How to manage the increased number of patients to treat in the future?
CHU, Toulouse, FRANCE
Chairman & Course Director

I am an orthopedic surgeon specialized in knee surgery. I practice at the University Hospital of Toulouse in the University Sports Clinic located in the Pierre Paul Riquet Hospital.
In addition to teaching at the Faculty of Medicine, I participate in courses for the professional societies to which I belong such as the SFA, ESSKA and SOFCOT.
My clinical activity (more than 800 surgeries per year) is exclusively focused on knee surgery. An important part of my surgeries is related to sports traumatology, in particular anterior cruciate ligament injuries (350+ ACL reconstructions per year).
My research activity is also focused on the knee. I have contributed to more than 110 publications in international journals. I am developing an à la carte approach in order to propose a personalized surgery to the patient. In the context of degenerative activity, the aim is to better analyze the variability of the anatomy in order to be able to propose prostheses adapted to the patient's anatomy. In the context of sports traumatology, it is a question of improving the dismemberment of all the lesions in order to propose an adequate therapy.
Since May 2022, I am a member of the board of ESSKA (European Society of Sports Traumatology Knee Surgery and Arthroscopy) as treasurer.

In this video, Prof Etienne Cavaignac and team describe their surgical technique for primary knee arthroplasties...
Uncemented total knee arthroplasty
CHU, Toulouse, FRANCE
Chairman & Course Director

I am an orthopedic surgeon specialized in knee surgery. I practice at the University Hospital of Toulouse in the University Sports Clinic located in the Pierre Paul Riquet Hospital.
In addition to teaching at the Faculty of Medicine, I participate in courses for the professional societies to which I belong such as the SFA, ESSKA and SOFCOT.
My clinical activity (more than 800 surgeries per year) is exclusively focused on knee surgery. An important part of my surgeries is related to sports traumatology, in particular anterior cruciate ligament injuries (350+ ACL reconstructions per year).
My research activity is also focused on the knee. I have contributed to more than 110 publications in international journals. I am developing an à la carte approach in order to propose a personalized surgery to the patient. In the context of degenerative activity, the aim is to better analyze the variability of the anatomy in order to be able to propose prostheses adapted to the patient's anatomy. In the context of sports traumatology, it is a question of improving the dismemberment of all the lesions in order to propose an adequate therapy.
Since May 2022, I am a member of the board of ESSKA (European Society of Sports Traumatology Knee Surgery and Arthroscopy) as treasurer.

A 24-year-old female patient presents with hip pain. Pre-op X-rays reveal total lysis of the shelf: What causes the patient's symptoms and how would you manage this condition? The goals of this clinical case are to discuss the different indications and therapeutic options for a hip dysplasia in a young patient, as well as possible complications.
Hip dysplasia in a young woman: How should I treat?
CHU, Toulouse, FRANCE
Chairman & Course Director

Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.

His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.

Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).

This case discusses the causes of a hip pain, the different therapeutic options, and exposes the posterior mini-invasive approach.
Management of hip pain in a 68 year-old woman
Hospital Nostra Senyora de Meritxell - ANDORRA
Orthopaedic surgeon
CHU, Toulouse, FRANCE
Chairman & Course Director

Professor Reina is Head of Hip and Trauma department, of the University Hospital in Toulouse, France. He holds a PhD in Anthropobiology. He completed a fellowship in Oxford, UK and worked in Mayo Clinic, Rochester for research.

His main focus is hip & pelvis surgery. His clinical practice comprises conservative surgery, primary and complex revision total hip arthroplasty as well as trauma for complex acetabular fractures.

Board member of French Hip Knee Surgery, he is also member of the European Hip Society and the International Board of the American Association of Hip Knee Surgeons. He published more than 150 peer reviewed publications and book chapters, and lectured in various international conferences. His research interests integrate big data in orthopedics, modern care in hip surgery such as minimally invasive techniques, and musculoskeletal system’s ability to adapt to its environment (biomechanics and anthropological variability).