PERFORMING THE LATARJET PROCEDURE WITH DEDICATED INSTRUMENTS
Recurrence of dislocation after a first episode requires surgical treatment in one out of four cases.1 Many different procedures have been described so far, which can be broken down into two main categories: surgical procedures on soft tissue are considered more anatomical (e.g. Bankart procedure, the gold standard); those using a bone block were pioneered by Latarjet. Although the Latarjet procedure (in which a coracoid bone block is positioned flush with the anterior-inferior border of the glenoid) was questioned because of the many complications reported,2-8 and in spite ... Read More
L. Doursounian, A. Debet-Mejean

 Meeting & Courses

Treatment of complex displaced fractures of the proximal humerus is challenging. Management of a comminuted fracture in poor quality bone with a conventional fixation device is difficult,13 not to mention the potential risk of post-traumatic necrosis of the humeral head,10 nonunion or malunion of the tuberosities.2 In such situations, Neer advocated the use of hemiarthroplasty11. But what was a success in Neer's hands was not in others' hands and many surgeons were disappointed by a high rate of ...
G. Griffet, J. Berhouet, Ch. Le Du, Luc Favard

 Techniques

By nature, the patellofemoral joint has low congruity. Passive stability is provided both by the bony structures (congruity between the patella and the trochlear groove) and by the medial and lateral ligaments. Active stability depends on correct tension of the quadriceps muscles on the one hand, and on passive medial-lateral soft-tissue balance on the other hand. The patella needs both passive and active stability to transmit the quadriceps muscle force during flexion and extension movements, whether ...
D. Dejour

 Focus

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 ...
Ch. Dumontier, L. Doursounian

 Techniques

Paralyses of the intrinsic muscles of the fingers are the result of nerve damage, infectious nerve diseases (leprosy, polio) or degenerative diseases affecting at least the ulnar nerve. These paralyses cause deformity of the fingers and functional disability due to imbalance between the intrinsic and extrinsic muscle apparatus of the fingers. The deformity is a clawing of the fingers which is typically seen during active extension of the fingers with hyperextension of the first phalanx because the ...
Ph. Bellemere 1.2, F. Chaise 1.2.3, B. Chabaud 2.4.

 Techniques

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 ...
F. Chaise 1.2.3, Ph. Bellemere 1.2, B. Chabaud 3.4.

 Techniques

Soft tissue defect of the knee is something which is frequently observed in orthopaedic surgery and traumatology. The present article proposes a number of simple but reliable techniques for covering a loss of soft tissue in this region of the anatomy. In addition, these techniques are adapted to surgical management in hazardous conditions i.e. when the working environment is difficult or even precarious such as at some medical centres in developing countries or in some small French hospitals during ...
Patrick Knipper

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