Anterior cruciate ligament (ACL) insufficiency in combination with patellar instability are rare occurrences and are difficult to treat. Failure to address patellar instability in such cases may place excessive strain on ACL graft leading to graft rupture. We present three such cases treated by concurrent ACL and medial patellofemoral ligament (MPFL) reconstruction with hamstring tendon autografts. Two patients had MRI evidence of MPFL injury and one patient had intact MPFL on MRI. All patients had good outcome without any residual instability at final followup.

Background: Covering soft tissue defect of the foot is important with respect to function and aesthetic means. It is a challenging task and requires a clear cut planning so as to use the right flap for the right size and site in the foot. Materials & methods: A total of fifty three patients with soft tissue defects in the foot admitted between August 2014 to April 2015 under Hand & Microsurgery, Department of Orthopaedics, were included in this study. Post-operatively they were monitored for any flap related complications. Results: The most common defects were trauma related followed by trophic ulcers and infective causes. Various coverage options which include fasciocutaneous flaps, muscle flaps, free flaps and split thickness skin grafts (STSG) were used. All the flaps were satisfactorily taken up at the end of follow-up period (three months). Conclusion: Planning of the defect based on site and size is very important so as to obtain satisfactory result.

Background: Covering soft tissue defect of the foot is important with respect to function and aesthetic means. It is a challenging task and requires a clear cut planning so as to use the right flap for the right size and site in the foot. Materials & methods: A total of fifty three patients with soft tissue defects in the foot admitted between August 2014 to April 2015 under Hand & Microsurgery, Department of Orthopaedics, were included in this study. Post-operatively they were monitored for any flap related complications. Results: The most common defects were trauma related followed by trophic ulcers and infective causes. Various coverage options which include fasciocutaneous flaps, muscle flaps, free flaps and split thickness skin grafts (STSG) were used. All the flaps were satisfactorily taken up at the end of follow-up period (three months). Conclusion: Planning of the defect based on site and size is very important so as to obtain satisfactory result.