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SURGICAL TREATMENT FOR ACHILLES TENDINOPATHY IN ATHLETES
E. Rolland, G. Lorton, G. Saillant | MO n°138
November 2004 |  Operative management of Achilles tendinopathy is still considered in the orthopaedic world as minor and poorly coded surgery, due to the wide variety of anatomopathological forms and lack of accuracy of the techniques available. However, as any surgical repair, it requires careful assessment of the lesions and the use of an appropriate surgical technique to ensure a successful outcome. Surgical treatment for Achilles tendinopathy began to develop in the 1980s, after Jenkins' experiments in sheep using carbon fiber and the experimental work done on horses by the veterinary team from Chantilly. The early techniques advocated by Kvist involved isolated synovectomy. After that, other techniques were introduced which included longitudinal tenotomy and use of carbon fibres (Lemaire), and variants using autografts. Kouvalchouk, in 1987 (Cahiers ...
E. Rolland, G. Lorton, G. Saillant |
Anatomy of the talus and the surrounding bony and articular structures
M. Laude | MO n°80
January 1999 | The talus is the tarsal homologue of the carpal lunate. The fundamental difference between these two homologous structures derives from the weight-bearing function of the talus: in the bipedal stance and gait pattern typical of humans, the talus is the only bone through which the entire body weight load is channelled, before being distributed to the arches of the foot. The talus (astragalus) sits at the top of the tarsal skeleton. It is squat in a dorso-plantar direction, and elongated in a posteroanterior direction. It has a single ossification centre, which is present at term and becomes indented at around 6 months to produce the “peanut” pattern described by paediatric radiologists.The talus has six surfaces:# A SUPERIOR SURFACE, which articulates with the tibia. The long axes of the neck and the body make an angle of 150° to ...
M. Laude |
The Ramses ankle replacement: Design - Surgical Technique - Results: A report of the first 38 cases
G. Mendolia*, Talus group** | MO n°61
February 1997 | There are many ankle replacement patterns; however, results overall have not been very encouraging. Rather than use the design concepts of the past, we felt that it would be necessary to obtain a better understanding of the biomechanical causes of ankle replacement failure, and to draw up a specification of what was expected of a satisfactory ankle implant.A number...
G. Mendolia, Talus group |
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