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 57-year-old man with a history of hypertension and a right hip replacement in 1993 presents with worsening right hip pain over 10 years. He uses one cane, has a 3 cm leg length discrepancy, and a soft mass in the groin. What are your diagnostic hypotheses?

Complex hip revision in a patient with massive massive loss bone stock
Pierre Laboudie

The objectives of this clinical case are to discuss the normal anatomy of the patellofemoral joint and the different therapeutic options in case of an inveterate patellar dislocation.

Management of an inveterate dislocation of the patella
Vincent Marot

A 71-year-old male, who underwent a right Total Hip Arthroplasty (THA) 12 years ago and a left THA 5 years ago for hip osteoarthritis, recently experienced a fall while walking.

Management of a peri prostetic femoral fracture
Nicolas Reina

Join Professor Lustig and his team at Hospital de la Croix Rousse in Lyon as they demonstrate how to perform a TKA using robotic technology on a 65-year-old male, following the principles of functional alignment.

How to perform a Total Knee Arthroplasty (TKA) with robotic assistance
Sébastien Lustig

Watch this technical video presented by Sebastien Lustig from Lyon, France, detailing each step of the robotic-assisted installation of a medial unicompartmental knee prosthesis in an 82-year-old patient with a history of previous tibial trauma.

Functional positioning of a medial unicompartmental knee arthroplasty (UKA) with robotics
Sébastien Lustig

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