Journal of Orthopaedic Case Reports最新文献

{"title":"Capitellum Fracture with Distal Triceps Tendon Avulsion Injury: A Rare Presentation with Literature Review.","authors":"Rajdeep Das, Sharan Mallya, Ashok Puranik, Rahul Kar","doi":"10.13107/jocr.2025.v15.i09.6026","DOIUrl":"10.13107/jocr.2025.v15.i09.6026","url":null,"abstract":"<p><strong>Introduction: </strong>Capitellum fractures are rare, representing only 1% of all elbow injuries. McKee Type 4 capitellum fractures encompass osteochondral shearing fractures of the capitellum, which involve a significant lateral portion of the trochlear ridge and the trochlea. These fractures may be linked with soft tissue and bone injuries surrounding the elbow, such as distal triceps tendon avulsion (DTTA) injuries. To date, only three case reports in the English literature have documented the correlation between Type 4 capitellum and trochlear fractures with DTTA injuries. Orthopedic surgeons should be vigilant for distal triceps and other posterior elbow injuries, which are often easily overlooked in the presence of prominent primary injuries at the front. The recommended method is prompt surgical intervention for these conditions; however, it is crucial to exercise careful judgment when deciding on the treatment and rehabilitation strategies for such cases.</p><p><strong>Case report: </strong>We present a distinctive case in which an entire capitellum and trochlea were fractured as a single unit in the coronal plane (mimicking McKee type 4 capitellum fractures), along with a DTTA injury in a female patient in her late 40s. This injury was treated using open reduction and internal fixation with cannulated cancellous screws, along with the repair of the DTTA injury.</p><p><strong>Conclusion: </strong>This unique report provides a comprehensive overview of the pre-operative evaluations, reduction techniques, tendon repair, and post-operative rehabilitation process for such injuries, which showed a favorable outcome. The described fracture pattern has the potential to be categorized as type 5 fractures.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"88-94"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Irreducible Anterior Shoulder Dislocation with Greater Tuberosity Fracture: Joystick Reduction and Biceps Preservation in an Elderly Female -A Case Report.","authors":"Tao He","doi":"10.13107/jocr.2025.v15.i09.6060","DOIUrl":"10.13107/jocr.2025.v15.i09.6060","url":null,"abstract":"<p><strong>Introduction: </strong>Low-energy traumatic irreducible anterior shoulder dislocations with concomitant greater tuberosity fractures in elderly females are rarely reported. The difficulty in reduction is attributed to the interplay between osseous impaction and soft tissue interposition. Three-dimensional computed tomography (CT) was utilized to delineate this combined obstruction mechanism. An open surgical approach incorporating joystick reduction techniques and preservation of the long head of the biceps tendon was implemented. To our knowledge, no systematic therapeutic protocols have been established for such complex injuries in geriatric patients.</p><p><strong>Case report: </strong>An 83-year-old Chinese female presented with left shoulder pain and restricted mobility after a ground-level fall. Physical examination revealed a squared shoulder deformity, deltoid muscle strength of 2/5, and sensory abnormalities in the axillary nerve territory. Radiographs confirmed anteroinferior humeral dislocation with comminuted greater tuberosity fracture. Closed reduction attempts failed twice. Three-dimensional.</p><p><strong>Ct demonstrated: </strong>① Hill-Sachs defect engaging the anterior glenoid rim; ② coronally split greater tuberosity fragment interposed in joint space; ③ 25 mm medial displacement of proximal humerus. The deltopectoral approach exposed the long head of biceps tendon traversing humeral head, forming complex interposition. Kirschner wire (K-wire) joystick technique was employed to disimpact osseous blocks. Tension band suturing combined with locking plate fixation was performed. Biceps tendon integrity was completely preserved. The post-operative course was uneventful, with satisfactory functional and radiographic outcomes and no recurrent dislocation during follow-up.</p><p><strong>Conclusion: </strong>This case demonstrates that three-dimensional CT precisely identifies osseous impaction mechanisms in irreducible anterior shoulder dislocations among elderly patients. Intraoperative K-wire joystick techniques combined with long head of biceps tendon preservation achieve anatomical reduction and stability restoration. This protocol establishes a standardized imaging-surgical framework for geriatric osteoporotic patients with failed closed reduction.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"179-184"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Single-Stage Hybrid Fixation of a Grade III Open, Unstable Trimalleolar Ankle Fracture with Syndesmotic Disruption and Posterior Talar Subluxation.","authors":"Or Jeff Walter Rajadurai, C S Likhit, Shailesh Kumar, K Purushothaman, D Sudharsan, Naveen Kumar Duraisamy","doi":"10.13107/jocr.2025.v15.i09.6030","DOIUrl":"10.13107/jocr.2025.v15.i09.6030","url":null,"abstract":"<p><strong>Introduction: </strong>Trimalleolar ankle fractures, which involve syndesmotic damage and talar subluxation, are serious injuries that are complicated by open wounds. This article describes a novel single-stage hybrid fixation strategy designed to address these issues.</p><p><strong>Case report: </strong>A 65-year-old female was involved in a car accident and suffered a Grade IIIA open trimalleolar fracture-dislocation. Radiographs confirmed the syndesmotic disruption and posterior talar subluxation. She underwent emergency surgery that included open reduction and internal fixation of the medial and lateral malleoli, as well as the use of an ankle-spanning external fixator. Her surgical recovery went smoothly, with fast union and functional mobility restored.</p><p><strong>Conclusion: </strong>This case shows that single-stage hybrid fixation can be a stable and successful approach for treating severe open ankle fractures with various anatomical disturbances.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"101-105"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern Perspectives on Unicompartmental Knee Arthroplasty: An Editorial Review.","authors":"Amyn M Rajani, Ashok Shyam","doi":"10.13107/jocr.2025.v15.i09.5992","DOIUrl":"10.13107/jocr.2025.v15.i09.5992","url":null,"abstract":"<p><p>Unicompartmental knee arthroplasty (UKA) has emerged as a reliable, bone-preserving option for patients with isolated compartment knee osteoarthritis (OA). Initially limited by poor early outcomes and narrow indications, advances in implant design, patient selection, and surgical technique have led to a resurgence in its use. Contemporary diagnostics rely on precise clinical and imaging assessments to confirm unicompartmental disease while ruling out contraindications. Importantly, traditional exclusion criteria, such as age under 60, high body mass index, patellofemoral OA, anterior cruciate ligament deficiency, and chondrocalcinosis, are being re-evaluated in light of newer evidence, suggesting they are not absolute barriers in all patients. Operative options now include cemented and cementless fixation, fixed- and mobile-bearing designs, and all-polyethylene versus metal-backed components, each with specific advantages and limitations. Robotic-assisted techniques offer improved alignment accuracy and reproducibility compared to conventional manual approaches, potentially enhancing survivorship, although cost and learning curve remain considerations. Post-operative protocols support early mobilization and weight-bearing, facilitating faster recovery than total knee arthroplasty (TKA). Return to sports activity is generally higher after UKA, meeting the expectations of increasingly active patient populations. Surgeon-related factors, particularly experience and case volume, significantly influence outcomes, underscoring the importance of appropriate training and patient selection. As the understanding of UKA indications and techniques continues to evolve, it offers a compelling, less invasive alternative to TKA for well-selected patients. This editorial review highlights current best practices, emerging evidence, and ongoing challenges in optimizing outcomes for UKA.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Finding the Optimal Balance - Isolated Posterolateral Corner Reconstruction with Allograft Tendon in a Combined Posterolateral Corner-Posterior Cruciate Ligament Injury: A Case Report.","authors":"Prasad Bhagunde, Nihar Modi, Damini Shah","doi":"10.13107/jocr.2025.v15.i09.6102","DOIUrl":"10.13107/jocr.2025.v15.i09.6102","url":null,"abstract":"<p><strong>Introduction: </strong>Posterolateral corner (PLC) injuries are often associated with cruciate ligament tears. Historically known as the \"dark side\" of the knee, advancements have greatly improved our understanding of the PLC, offering various management options today.</p><p><strong>Case report: </strong>We present the case of a 44-year-old male with a combined PLC and posterior cruciate ligament (PCL) Grade 2 injury. He was managed with an isolated PLC reconstruction using an open anatomical Arciero-based technique with a tibialis anterior allograft. At subsequent follow-ups, the patient was shown to have excellent knee functional outcomes, no instability, and ease of performing regular activities, including low to moderate-demand sporting activities.</p><p><strong>Conclusion: </strong>Effective management of combined PLC and PCL injuries necessitates early identification of the PLC injury and a case-specific management approach, considering factors such as the patient's condition, surgeon expertise, and graft availability. Allografts are a viable alternative to autografts for PLC reconstruction, offering several advantages over the latter.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"288-293"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Total Hip Arthroplasty with Cage Application for Complex Posterior Hip Dislocation and Acetabular Fracture in a Patient with Prior Patellectomy: A Case Report.","authors":"Amit Saraf, Sandeep Bishnoi, S Krishna Kumar","doi":"10.13107/jocr.2025.v15.i09.6016","DOIUrl":"10.13107/jocr.2025.v15.i09.6016","url":null,"abstract":"<p><strong>Introduction: </strong>Neglected complex posterior hip dislocations with associated acetabular fractures are rare but challenging injuries. When compounded by biomechanical alterations such as a prior patellectomy, surgical planning becomes more complicated. Total hip arthroplasty (THA) with acetabular cage reconstruction is a viable salvage option to restore hip stability and function in such scenarios.</p><p><strong>Case report: </strong>We report a case of a 42-year-old male with a chronic posterior dislocation of the right hip and a comminuted posterior wall and column acetabular fracture, presenting 2 months post-injury. The patient had previously undergone a right-sided patellectomy. Surgical intervention included THA with acetabular cage reconstruction due to segmental bone loss. At 6-month follow-up, the patient achieved pain-free ambulation, a stable prosthesis, and satisfactory functional outcomes.</p><p><strong>Conclusion: </strong>This case highlights the successful use of acetabular cage-assisted THA in a patient with both complex hip trauma and altered knee biomechanics. Early intervention, comprehensive surgical planning, and the use of modern implants are key in managing such rare and challenging presentations.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"62-65"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422663/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimizing Functional Recovery in Multi-Site Giant Cell Tumors.","authors":"Vinod Dubey, Mohit Prajapati, Mohit Tolani, Shivam Sharma","doi":"10.13107/jocr.2025.v15.i09.6112","DOIUrl":"10.13107/jocr.2025.v15.i09.6112","url":null,"abstract":"<p><strong>Introduction: </strong>Giant cell tumor (GCT) in Orthopedics is a clinically challenging problem pertaining aggressive expansion and recurrence. While GCT's typically occur at epiphyseal ends of long bones, unusual locations, such as tendon sheath, distal ulna, and proximal tibia have been reported, which impose different challenges for management.</p><p><strong>Case series: </strong>In this case series, we present surgical methodology tailored for individual characteristics of GCTs, with emphasis on functional recovery. We demonstrate four cases involving different sites GCT - tendon sheath in hand, distal ulna, distal radius, and proximal tibia. Each case was managed using a site-specific surgical approach, ranging from en bloc resection with ulna transposition and arthrodesis to Illizarov assisted bone transport. Emphasis is laid on strategic surgical technique coupled with functional preservation and prevention of recurrence. All patients were successfully treated without recurrences at follow-up ranging 6 months to 2 years. Functional outcomes varied depending on the location and extent of surgical dissection, but improved overall, as evident by patients' return to routine daily activities with significant relief from pain. This case series underscores importance of a tailored, site-specific approach for managing GCT.</p><p><strong>Conclusion: </strong>Strategic surgical intervention employed with limb-sparing technique using reconstructive surgery, highlights the potential for restoration of optimal function while minimizing the risk of recurrence. However, the diversity of GCT presentation necessitates vigilant surveillance and an individualized patient management plan.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"316-321"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anteromedial Tibia Plateau Fracture without Significant Ligamentous Injury Treated Successfully with Open Reduction and Internal Fixation: A Case Report.","authors":"Ghadeer A Alsager, Sally S Aladwani, Abdulaziz M Alanazi, Ahmed M Al Issa","doi":"10.13107/jocr.2025.v15.i09.6096","DOIUrl":"10.13107/jocr.2025.v15.i09.6096","url":null,"abstract":"<p><strong>Background: </strong>Anteromedial tibial plateau fractures are an unusual pattern of injury, mostly caused by high-energy trauma in conjunction with knee hyperextension and varus force. This type of fracture is usually accompanied by extensive soft tissue injuries, especially the posterior cruciate ligament, the posterolateral corner, and, rarely, the medial meniscus.</p><p><strong>Case report: </strong>A 44-year-old medically free male sustained a hyperextension injury to his left knee after being kicked by a horse. Imaging showed an anteromedial tibial plateau rim fracture, as well as a fibular head fracture. Examination under anesthesia revealed a stable knee. Open reduction and internal fixation were conducted using a 3.5 locking compression plate L-shaped plate, and screws. Post-operative outcomes at 7 months of follow-up, the patients had complete knee mobility, no significant ligamentous damage, and returned to regular activities without discomfort.</p><p><strong>Conclusion: </strong>This case illustrates that anteromedial tibial plateau fractures may occasionally occur without overt ligamentous injury. However, the absence of pre-operative magnetic resonance imaging and reliance on intraoperative manual testing limits the ability to exclude subclinical soft tissue damage. While stable fixation using an anteromedial approach resulted in favorable short-term outcomes, further studies and long-term follow-up are necessary to determine the durability of function and joint stability.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"270-276"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rare Case of Heterotopic Ossification Impinging on the Quadriceps Mechanism Following Total Knee Replacement: A Case Report.","authors":"M S Karthik, Abrar Mohammed, Avinash Parthasarathy","doi":"10.13107/jocr.2025.v15.i09.6024","DOIUrl":"10.13107/jocr.2025.v15.i09.6024","url":null,"abstract":"<p><strong>Introduction: </strong>Heterotopic ossification (HO) is a rare complication following total knee replacement (TKR), with an incidence ranging between 1% and 3%. This condition can lead to significant functional limitations, including immobility and pain, particularly when ossification impinges on adjacent structures.</p><p><strong>Case report: </strong>We report the case of a 67-year-old female with grade 4 osteoarthritis of the left knee who underwent TKR following the failure of conservative management. Postoperatively, the patient developed stiffness and a reduced range of motion. Radiographic imaging at 5 weeks showed haziness in the anterior aspect of the femur at the upper border of the femoral implant, with gradual progression to distinct ossification by 3 months.</p><p><strong>Results: </strong>The heterotopic bone formation was found to impinge on the quadriceps mechanism, limiting knee flexion but not preventing full extension. Conservative management involving physiotherapy and analgesics was pursued, and surgical excision was avoided initially. Over 1 year, the patient showed improvement in extension, although no significant improvement in flexion was observed. Surgical excision of the heterotopic bone was performed at the end of 1 year, followed by post-operative radiotherapy to prevent recurrence.</p><p><strong>Conclusion: </strong>This case underscores the rarity of HO following TKR, particularly when it involves the quadriceps mechanism. It highlights the importance of early detection, close monitoring, and a stepwise treatment approach - starting with conservative therapy and escalating to surgical intervention when necessary. Post-operative radiotherapy can be considered in select cases to minimize recurrence.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"83-87"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422689/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous ACL Reconstruction and MCL Reconstruction in Patients with High BMI using Modified Lind Technique.","authors":"J B Vadhiraj Krishna, Mohammed Aquib Shakeel, A G Rakshith, Rajkumar S Amaravathi, G M Sandesh, Anoop Pilar","doi":"10.13107/jocr.2025.v15.i09.6118","DOIUrl":"10.13107/jocr.2025.v15.i09.6118","url":null,"abstract":"<p><strong>Introduction: </strong>Multiligamentous knee injury (MLKI) is a difficult and devastating injury of the knee defined as tear/disruption (involving grade III) of at least 2 of the 4 major ligaments of the knee. Combined anterior cruciate ligament (ACL) and medial collateral ligament (MCL) injuries are the most common type of MLKI. MCL injuries are concurrent in 20-38% of ACL injuries and are common in sports activities that involve pivoting of the knee joint, forced hyperextension, and rapid deceleration. Many techniques have been described for superficial MCL (sMCL) reconstruction, with single-bundle and double-bundle techniques used for the associated posterior oblique ligament (POL) using both allografts and autografts. Among these, one of the most common techniques with a good outcome (keeping the semitendinosus tibial attachment intact) was described by Lind et al. Our technique for sMCL and POL reconstruction is a modification of the Lind technique. In this technique, the semitendinosus with its intact tibial attachment is rerouted anatomically in the tibial tunnel with an adjustable loop, and on the femoral side, an adjustable loop UltraButton is used with a 2-incision technique. The remaining graft is reattached to the posteromedial tibia as POL using an interference screw.</p><p><strong>Material and methods: </strong>We treated patients with chronic ACL injuries combined with grade III valgus laxity. A total of 5 patients met the inclusion criteria of the study, and there were no patients lost to follow-up. The mean age was 26.5 years with a standard deviation of 4.05 years. All surgeries were performed by a single experienced author, Dr RK, at our institution between September 2023 and May 2024. The mean time from injury to surgery was 2.5 months, and the duration of follow-up was 6 months. 3 patients were female and 2 were male patients.</p><p><strong>Results: </strong>Out of 5 patients who were treated, 2 were in the age group of 15-20 years and 3 were 20-30 years. 2 were male patients and 3 were females. Road traffic accidents accounted for 66% (3 cases) of the total cases as the most common mechanism of injury followed by sports injuries (34%, 2 cases). All 5 patients operated on with simultaneous ACL and MCL reconstruction (modified Lind technique) had excellent results based on the Lysholm scoring system. Comparative analysis was done between pre-surgery and post-surgery Lysholm scores and we found that there was a statistically significant difference between them with P < 0.001. A significant improvement in the International Knee Documentation Committee subjective score was detected at follow-up.</p><p><strong>Conclusion: </strong>In patients with high body mass index >25 kg/m2, chronic ACL-MCL (grade III) injuries, simultaneous ACL-MCL reconstruction with the modified Lind technique improves anterior, valgus, and rotatory stability of the knee and produces a good functional result.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"334-341"},"PeriodicalIF":0.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}