Maîtrise Orthopédique

Jean-Louis Doré (Interview)

Thu, 01 Nov 2007 08:00:00 GMT

For its 40th anniversary the Société Orthopédique de l'Ouest (SOO) held its annual conference in Tours. It was chaired by Jean-Louis Doré, a particularly active member of the society and former editor of the Annales Orthopédiques de l'Ouest. Jean-Louis answered all our questions and fully accepts the title of guest editor for this edition of Maîtrise Orthopédique. ...

MO n°168

CLINICAL EXAMINATION OF THE SHOULDER IN DISORDERS OF THE ROTATOR CUFF (Focus)

Ch. Dumontier, L. Doursounian — Thu, 01 Nov 2007 08:00:00 GMT

Disorders of the rotator cuff are the main source of pain in the shoulder and despite recent progress in shoulder imaging, clinical examination remains a fundamental stage in evaluating pain in the region of the scapula. The rotator cuff of the shoulder consists of the tendons of insertion of the subscapularis, supraspinatus, infraspinatus, and teres minor muscles in the humerus, combined with the intra articular portion along the biceps. In this article, we will deal with lesions which are part ...

MO n°168

Francis CHAISE (Interview)

Fri, 01 Jun 2007 08:00:00 GMT

Francis Chaise has greatly contributed to the development of surgery of the hand in Nantes. At the Jeanne d’Arc Clinic, he is one of a team of nine specialist surgeons. From the time he trained in Paris, he has always undertaken humanitarian missions and amongst other things, has acquired unique expertise in the field of leprosy. Meeting with a missionary surgeon. M.O. : Can we start off with the ritual opening gambit: would you please introduce yourself.F.C. : That’s not easy because ...
Ch. Dumontier, L. Doursounian

MO n°165

MANAGING PARALYSIS OF INTRINSIC MUSCLES OF THE THUMB (Techniques)

F. Chaise 1.2.3, Ph. Bellemere 1.2, B. Chabaud 3.4. — Fri, 01 Jun 2007 08:00:00 GMT

Paralysis of the intrinsic muscles of the thumb will change the opposition function which is the result of a movement made up of three components: extension, adduction and pronation. The full movement of opposition is only possible if all the local anatomic structures are functional. A thumb with paralysis of the intrinsic muscles will be dependent on the extrinsic muscles which will progressively lead to major functional imbalance with the final result being a thumb stiffened in adduction and ...

MO n°165

Michel-Henri Fessy (Interview)

Wed, 01 Mar 2006 08:00:00 GMT

Ten years ago Gilles Bousquet died tragically and prematurely. This issue of Maitrise Orthopédique is a tribute in memory of him. The management of the department was then passed on to Michel Henry Fessy who has continued to work wholeheartedly at maintaining the tradition and quality of “Stéphanois” Orthopaedics. Michel Henry has kindly accepted to speak about his arrival at Saint Etienne as well as his recollections and work with Gilles Bousquet. M.O: What was Gilles Bousquet ...
F. Chaise 1.2.3, Ph. Bellemere 1.2, B. Chabaud 3.4.

MO n°152

INTRAPROSTHETIC DISLOCATION: A RARE COMPLICATION IN DUAL MOBILITY CUPS (Focus)

M.H. Fessy — Wed, 01 Mar 2006 08:00:00 GMT

The main problem with dual mobility cups in the medium term is intraprosthetic dislocation. The head comes out of the polyethylene through wear of the retentive rim. The head then lodges itself in the metalback shell which can be seen by a characteristic view on x.ray. . Alas this type of incident is reported in all the literature on series of dual mobility cups, which is an indicator of this sad reality.We were able to conduct an exhaustive retrospective analysis of all the cases of intraprosthetic ...

MO n°152

TRIBUTE - GILLES BOUSQUET, Surgeon and technician (Tribute)

A. Rambert — Wed, 01 Mar 2006 08:00:00 GMT

In 1969 I was running an applied mechanics laboratory at the Ecole Catholique des Arts at Métiers – ECAM - in Lyon. A phone call from one of my suppliers in scientific materials, informed me that one of his cousins, Head of Clinic in Orthopaedics at the Hospices Civils de Lyon, was looking for an engineer to work on an innovative project; making a knee prosthesis. Naturally I hesitated before meeting this surgeon given my lack of knowledge in anatomy, but accepted to meet with him for a first ...
M.H. Fessy

MO n°152

DUAL MOBILITY: A Stéphanois Concept (St Etienne area, France) (Synthesis - Development)

M.H. Fessy — Wed, 01 Mar 2006 08:00:00 GMT

It was Gilles Bousquet who has the merit of having first defined the original concept of dual mobility. The prosthetic head is mobile within a retentive polyethylene which is free to move within a metalback cup . Figure 1 : The principle of dual mobility The first drafts of the project began in the early 1970s. The first implantations started in 1975. The finalisation of the project was due to the meeting of three men. - Gilles Bousquet, Professor in Orthopaedics at the University Hospital ...
A. Rambert

MO n°152

THE USE OF A REVERSE SHOULDER SYSTEM FOR THE TREATMENT OF MASSIVE IRREPARABLE ROTATOR CUFF TEARS (Focus)

M. Juvenspan, G. Nourissat, L. Doursounian — Sat, 01 Oct 2005 08:00:00 GMT

Management of massive irreparable rotator cuff tears is challenging, indeed, and remains a subject of controversy. Several therapeutic options are available, but none of them is fully satisfactory. Deltoid or latissimus dorsi flaps should be reserved for young patients (< 65 years) with intact subscapularis tendon and low-grade osteoarthritis (Fukuda <3 ). In older patients, surgical arthrolysis (alone or in association with acromioplasty or tenotomy of the long head of the biceps) has shown its ...
M.H. Fessy

MO n°148

Surgical management of extra-articular metacarpal fractures in Adults (Techniques)

Yves KERJEAN — Wed, 01 Jun 2005 08:00:00 GMT

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M. Juvenspan, G. Nourissat, L. Doursounian

MO n°145