Verdonk Peter, Verdonk Rene, Beca Sacha
Orthopaedics, AZ Monica, Antwerp, BEL.
Orthopedic Surgery, Hôpital Erasme, Brussels, BEL.
Cureus. 2024 Oct 19;16(10):e71879. doi: 10.7759/cureus.71879. eCollection 2024 Oct.
Alpine skiing is a high-risk sport due to the possibility of severe injuries, particularly complex knee injuries. The most common injuries are ruptures of the anterior cruciate ligament (ACL), meniscal tears and fractures of the lower limbs. Managing these injuries requires ligament reconstructions and specific surgical interventions to optimize rehabilitation and ensure a return to competition. This case report describes the incident of a young Olympic skier who sustained a severe knee injury following a fall during training. The result was a fracture of the left posteromedial tibial plateau, a detachment of the medial collateral ligament, an ACL rupture, and tears of both menisci. Management involved a total of seven surgical procedures and months of intensive physiotherapy. ACL reconstruction was performed using an autologous patellar tendon graft. It took three years before the patient was able to come back to competition. ACL reconstruction and rehabilitation require varying recovery periods depending on the injury, with a possible return to practice after 4 to 12 months. Meniscal and multi-ligament injuries demand personalized protocols and precise management to optimize recovery. This case report highlights the complex challenges associated with knee surgery and rehabilitation in the context of sports injuries. The management of multiple ligament and meniscus injuries requires a sophisticated surgical approach, including the use of advanced grafts and techniques. Post-operative rehabilitation is equally crucial, requiring customized protocols to optimize recovery. This case illustrates the importance of integrated, rigorous management to enable a person's safe return to the sporting activity, while minimizing the risk of recurrence.
高山滑雪是一项高风险运动，因为存在严重受伤的可能性，尤其是复杂的膝盖损伤。最常见的损伤是前交叉韧带（ACL）断裂、半月板撕裂和下肢骨折。处理这些损伤需要进行韧带重建和特定的手术干预，以优化康复并确保运动员能够重返赛场。本病例报告描述了一名年轻的奥运滑雪运动员在训练中摔倒后遭受严重膝盖损伤的事件。结果是左胫骨后内侧平台骨折、内侧副韧带断裂、ACL断裂以及双侧半月板撕裂。治疗共涉及七次外科手术和数月的强化物理治疗。使用自体髌腱移植物进行了ACL重建。患者三年后才得以重返赛场。ACL重建和康复所需的恢复期因损伤情况而异，可能在4至12个月后恢复训练。半月板和多韧带损伤需要个性化的方案和精确的管理，以优化恢复效果。本病例报告强调了在运动损伤背景下膝盖手术和康复所面临的复杂挑战。处理多韧带和半月板损伤需要复杂的手术方法，包括使用先进的移植物和技术。术后康复同样至关重要，需要定制方案以优化恢复。本病例说明了综合、严格管理对于使患者安全重返体育活动、同时将复发风险降至最低的重要性。
