We report a case of simultaneous rupture of the patellar tendon and the anterior cruciate ligament. This condition was rarely reported in the literature and clinical diagnosis can be difficult. It is frequently associated with injuries of other knee structures. The preferred treatment is immediate primary repair of the patellar tendon and delayed reconstruction of the anterior cruciate ligament.

Background/Purpose: Anterior cruciate ligament (ACL) reconstruction is routinely performed in sports medicine. We aimed to determine if there is any protective effect of postoperative physiotherapy in preventing graft rupture after primary ACL reconstruction (ACLR). Methods: A retrospective caseecontrol study was carried out, with demographic data, concomitant meniscal injury, and intraoperative fixation methods matched. The number of sessions of physiotherapy attended by the rupture group and nonrupture group were compared using binary logistic regression. Results: No significant relationship between the frequency of postoperative physiotherapy and occurrence of graft rupture after primary ACLR was identified. Conclusion: Further research is needed to verify the effect of physiotherapy in the prevention of graft rupture after primary ACLR.

Case: Coronavirus disease 2019 (COVID-19) is a pandemic respiratory disease. Patients typically present with fever, cough, and radiological lung changes. However, a significant proportion of these patients are asymptomatic. To date, we have limited information on the operations performed on these patients. We report our experience of a relatively asymptomatic elderly patient who underwent surgery for a hip fracture and was confirmed postoperatively to have COVID-19. Conclusion: Meticulous hand hygiene and use of surgical mask in daily practice is crucial to protect against asymptomatic and undiagnosed patients.

Arterial injury after arthroscopic surgery remains a rare, but devastating, complication. We describe the case of a 28-year-old male patient who presented with a popliteal artery pseudoaneurysm 8 days after anterior cruciate ligament reconstruction with symptoms of a delayed onset of painful calf swelling and compartment syndrome. Subsequent investigations and findings during surgery confirmed a punctured popliteal artery which had resulted in a leaking pseudoaneurysm.