Patient privacy: All cases are anonymised composites drawn from routine clinical practice. Ages, occupations and identifying details have been altered. Content is educational and is not a substitute for professional medical advice — see our medical disclaimer.
Trauma & Fracture Surgery Cases
Ten real fracture-management cases from the trauma OT — road accidents, falls, and the decisions behind each fixation.
- Femoral Shaft Fracture in a Young Motorcyclist — Intramedullary Nailing
- Open Tibia Fracture (Gustilo II) — Debridement First, Fixation Second
- Intertrochanteric Hip Fracture in an 82-Year-Old — Fix Within 48 Hours
- Distal Radius Fracture in a Working Woman — Volar Plating
- Supracondylar Humerus Fracture in a 6-Year-Old — A True Paediatric Emergency
- Bimalleolar Ankle Fracture-Dislocation — Reduce First, Image Later
- Clavicle Fracture in a Cricketer — When to Plate a Collarbone
- Patella Fracture — Tension Band Wiring That Lets the Knee Move Early
- Monteggia Fracture-Dislocation — The Injury You Must Not Miss
- Unstable Pelvic Ring Injury — Damage Control with External Fixation
- Neglected Both-Bone Forearm Fracture — Plating a Three-Week-Old Injury
Joint Replacement Surgery Cases
Ten arthroplasty cases — knees, hips and shoulders — showing who needs replacement, which implant, and what recovery really looks like.
- Bilateral Varus Knees in a 68-Year-Old — Staged Total Knee Replacement
- Avascular Necrosis of the Hip in a 42-Year-Old — Uncemented Total Hip
- Fractured Neck of Femur at 78 — Why We Replaced Instead of Fixing
- Failed Hip Screw with Cut-Out — Conversion to Total Hip Replacement
- Rotator Cuff Arthropathy — Reverse Shoulder Replacement at 74
- Medial Compartment Arthritis at 55 — Unicompartmental (Partial) Knee
- Rheumatoid Knees at 48 — Replacement in Inflammatory Arthritis
- Post-Traumatic Arthritis After Tibial Plateau Fracture — Complex Primary TKR
- Infected TKR — Two-Stage Revision That Saved the Knee
- Simultaneous Arthritis of Hip and Knee — Which Joint First?
Spine Surgery & Spine Care Cases
Ten spine cases — from emergency cauda equina decompression to tuberculosis of the spine — and the reasoning behind operating or not.
- Cauda Equina Syndrome — Midnight Decompression
- Sciatica That Would Not Settle — Microdiscectomy After 10 Weeks
- Lumbar Canal Stenosis — The Shopping-Cart Sign
- Pott's Spine — Tuberculosis Treated Without Surgery
- Thoracolumbar Burst Fracture — TLICS Guides the Decision
- Osteoporotic Vertebral Fracture — Kyphoplasty for Unrelenting Pain
- Cervical Myelopathy — ACDF for the Clumsy Hand
- Degenerative Spondylolisthesis — Decompression Plus Fusion
- Adolescent Back Pain — When a Stress Fracture Mimics a Muscle Pull
- Whiplash After a Rear-End Collision — Reassurance, Not a Collar
Paediatric Orthopedic Cases
Ten children's orthopaedic cases — clubfoot, hip dysplasia, growth-plate injuries — where growing bones change all the rules.
- Clubfoot in a Newborn — The Ponseti Method
- Developmental Dysplasia of the Hip — Caught at 3 Months
- Limping 6-Year-Old — Perthes Disease and the Art of Containment
- Slipped Capital Femoral Epiphysis in an Overweight 13-Year-Old
- Greenstick Forearm Fracture — Bones That Bend
- Pulled Elbow — The 30-Second Cure
- Acute Haematogenous Osteomyelitis — 48 Hours That Saved a Tibia
- Septic Arthritis of the Hip in an Infant — A Same-Day Operation
- Bowlegs at 2 Years — Physiological or Blount Disease?
- Pathological Fracture Through a Bone Cyst — Let It Heal, Then Treat
Sports Injury, Hand & Soft-Tissue Cases
Ten cases from the sports and soft-tissue clinic — torn ligaments, trapped nerves and inflamed tendons, and who actually needs an operation.
- ACL Tear in a College Footballer — Arthroscopic Reconstruction
- Bucket-Handle Meniscal Tear — The Locked Knee
- Massive Rotator Cuff Tear in a 56-Year-Old Mason — Arthroscopic Repair
- Tennis Elbow That Failed Injections — Needling and Patience
- Frozen Shoulder in a Diabetic — The Long Thaw
- Carpal Tunnel Syndrome — When Night Tingling Becomes Thumb Weakness
- Trigger Finger — From Clicking to Locked
- Wrist Ganglion — The Bible Cyst That Needed Nothing
- Plantar Fasciitis — First Steps Like Walking on Glass
- Acute Gout Mistaken for Infection — The Crystal Verdict