Live clinic - ACL, PCL, multilig, revision

Onstage, four leading experts examine real patients and share their diagnostic process and treatment choices for challenging ligament cases. In a dynamic exchange of expertise, they showcase advanced techniques, compare surgical strategies, and debate optimal approaches to improve patient outcomes.

1. Patient 1: A young rugby player sustained an isolated PCL injury at the start of the 2023–2024 season, with no rotational instability or associated lesions. He recovered quickly but suffered a mid-season ACL rupture upon returning to the field. Watch Bertrand Sonnery-Cottet’s detailed clinical examination and testing to precisely assess the injury. Will he treat the ACL alone, or also address the PCL and PLC?

2. Patient 2: Another rugby player presents with a subacute injury (2 months old) after a valgus trauma, involving both ACL and MCL tears, with tibial and femoral side involvement. Andy Williams performs his physical assessment and shares his treatment plan: ACL reconstruction, anatomic MCL repair, and lateral tenodesis.

3. Patient 3: Following a motorcycle accident four months ago, this patient reports ongoing instability after a direct blow to the anterior tibia. Steven Claes performs a thorough clinical exam, revealing significant posterolateral instability. MRI confirms a complex injury: complete ACL rupture and partial PCL tear.

4. Patient 4: The final patient presents with an acute knee dislocation. Camilo Helito outlines his full evaluation protocol: neurovascular assessment, range of motion, full-extension ligament testing, Lachman and reverse Lachman for PCL integrity. He then details his one-stage surgical approach for this severe case.