Anterior cruciate ligament reconstruction with anterolateral stabilization by a modified Lemaire technique in adolescent professional football player: a case report

Background: Anterior cruciate ligament (ACL) tear is one of the most common injuries in professional athletes. Additional procedures, such as anterolateral ligament reconstruction and lateral extra-articular tenodesis attempt to reduce rotational instability, the most common cause of re-injury in patients with a nonisolated ACL tear. Case study: A 17-year-old professional football player suffered a right knee injury in a direct hit to the lateral side of the knee. Magnetic resonance imaging showed anterior cruciate ligament tear and lateral knee structures soft tissue contusion. Due to the injury of the lateral structures and the increased risk of ACL rerupture, it was decided to perform ACL reconstruction with additional anterolateral stabilization by a modified Lemaire technique without additional screw fixation in the area of the lateral femoral epicondyle, which could damage the epiphyseal plate and, concurrently, impair bone growth. Conclusion: The addition of lateral extra-articular tenodesis by a modified Lemaire technique prevents rotational instability in a patient with expressed pivotshift before the surgery, without overconstraint of the knee and additional damage to the epiphyseal plate

One-stage bilateral total hip replacement using direct anterior approach via „bikini“ incision: a case report

Background: Osteoarthritis (OA) is a musculoskeletal condition that is affecting an increasing number of individuals due to an aging population. The aim of our case report was to present one-stage bilateral efficient direct anterior total hip replacement via „bikini” incision, to describe the course of the operation, as well as the advantages and the disadvantages of this procedure. Case study: A 38-year old patient, without any comorbidities, presented with severe OA of both hips. Due to co-existing OA on both joints and the patient’s motivation and desire for faster recovery, he underwent a one-stage bilateral hip replacement using a direct anterior approach via a „bikini” incision. Physical therapy began immediately after the surgery and the patient was verticalized on the first postoperative day. Eight days after the procedure, the patient was discharged from the hospital. Conclusion: One-stage total hip replacement should be considered for patients with OA of both hips to reduce the postoperative hospital stay and the need for long-term rehabilitation