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.

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

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
Nicolas Reina

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?
Simone Perelli

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?
Nicolas Reina