Clinical cases in orthopedics

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

The goals of this clinical case are to discuss the causes of a hip pain, to discuss the different therapeutic options, and to expose 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).

Dive into this short video proposed by Dr. Julian Mehl from Munich (Germany) and discover a quick and easy technique to expose the facet of the patella articulation. Watch now how Dr. Mehl uses it on a young patient with a focal cartilage defect of the patella. Follow all the steps of the procedure!

Mini-open approach to the articular surface of the patella
Munich, Germany

Join Prof. Etienne Cavaignac as he performs a revision technique on a 22-year-old patient suffering from a positive reverse pivot shift test.

Management of a PCL graft failure in a pivoting sport athlete
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.

Hospital Nostra Senyora de Meritxell - ANDORRA
Orthopaedic surgeon

What are the treatment options in case of ACL graft failure? Dive into this clinical case, find out an innovative technique and understand the reasons for the failure of the first surgery!​

Management of an ACL graft failure in a high-level pivoting sport athlete
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.

Hospital Nostra Senyora de Meritxell - ANDORRA
Orthopaedic surgeon