An Olympic Skier Returning to Competition After a Complex Knee Reconstruction: A Case Report

Abstract

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.