Clinical cases in orthopedics

Explore a selection of clinical cases focused on discussion and shared experiences. Your comments and insights are encouraged! Use this section to share your experiences or pose questions to your peers. Please log into your free PCO account to contribute.

A 33-year-old male long jump parasport athlete with a transtibial amputated leg suffered an ACL rupture from knee hyperextension, presenting a positive Lachman test and no frontal plane laxity. This case aims to discuss therapeutic options for ACL reconstruction, patient positioning, and graft choice.

Management of an ACL reconstruction in a professional disabled sport with transtibial amputation​
Etienne Cavaignac, Thibaut Lucena , Alexandre Le Guen

A professional rugby player who underwent ACL reconstruction with fascia lata (Mc FL) a few years ago​, presents with knee torsional trauma.
After looking at the X-ray, MRI and pre-op testing, what can you say about this multiligament knee injury? What's the best course of action and how would you approach this case?

Management of a multiligament knee injury in a high-level pivoting sport athlete
Etienne Cavaignac

The goals of this clinical case are to discuss the different therapeutic options in the case of a 30-year-old woman with hip pain despite having had hip arthroscopy.

Management of hip pain in a 30-year-old woman
Pierre Laboudie

The goals of this clinical case are to discuss the different therapeutic options in case of acetabular loosening in total hip arthroplasty, to propose an innovative technique, and to see outcomes after revision hip surgery.

Management of an acetabular cup loosening with severe bone loss
Nicolas Reina, Nicolas Vari

A 68-year-old woman has been suffering from mechanical bilateral knee pain for the past 6 years. The x-rays reveal complex right knee arthritis with ligament deficiency. How would you classify it and how would you manage this condition?

Management of complex knee arthritis with ligament deficiency
Laurent Bedes

What are the therapeutic options in case of spontaneous pathological diaphyseal fracture of the right femur leading to the diagnosis of a dedifferentiated chondrosarcoma in a 52 year-old man? How would you manage this clinical case?

Dedifferentiated chondrosarcoma
Louis Courtot, Kenza Limam

Frane Bukvić presents the case of a 34-year-old orthopaedic surgeon​ suffering from a symptomatic chondral ‘kissing’ lesion of patella and trochlea... How would manage this condition?

Management of chondral ‘kissing’ lesion of patella and trochlea
Frane Bukvić

The goals of this clinical case are to discuss the different therapeutic options in case of vicious callus of the proximal tibia, to discuss the physical examination of an unstable knee, and to propose an innovative technique.

Management of a knee instability after ski trauma in a young woman​
Vincent Marot

Josep Maria Muñoz-Vives presents the case of a 43-year-old male who sustained polytrauma as a result of a climbing accident... The goals of this clinical case are to discuss the management, classifications and sequelae of pelvic fractures. 

Management of a complex pelvic fracture in a 43-year-old man
Josep Maria Muñoz-Vives

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
Thibaut Lucena , Kenza Limam