Maîtrise Orthopédique

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” (St Etienne area) 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 ...

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. (figure 1). 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. Figure 1 bilateral intraprosthetic dislocation We were able to conduct an exhaustive ...

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 ...
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). 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 ...
A. Rambert

MO n°152

SURGICAL TREATMENT FOR ACHILLES TENDINOPATHY IN ATHLETES (Focus)

E. Rolland, G. Lorton, G. Saillant — Mon, 01 Nov 2004 08:00:00 GMT

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 ...
M.H. Fessy

MO n°138

ARTHROSCOPIC ROTATOR CUFF REPAIR USING A TENSION BAND SUTURE TECHNIQUE (News)

P. Boileau, N. Brassard, C. Trojani, F. Balg — Fri, 01 Oct 2004 08:00:00 GMT

INTRODUCTIONArthroscopic rotator cuff repair is a recently developed technique that is gaining increased popularity. To make arthroscopic rotator cuff repair a straightforward, standardized procedure, we have designed a special technique based on the tension band principle, using between 2 and 5 inverted horizontal mattress sutures placed through the tendon and anchors placed in the lateral cortex of the greater tuberosity (Fig. 1). Figure 1 : Tension band principle : AP and lateral ...
E. Rolland, G. Lorton, G. Saillant

MO n°137

TREATMENT OPTIONS FOR GIANT-CELL TUMOR (Pedagogy)

B. Tomeno — Sun, 01 Aug 2004 08:00:00 GMT

Why write an article specifically on GCT (giant-cell tumor) ?This decision has been carefully thought through : as a giant-cell tumor (GCT) can be benign or malignant, an in-depth study of GCT provides the essence of what one needs to know about tumors and their variants, as well as the technical tricks regarding curettage & bone-grafting which is the classical treatment for all benign intraosseous tumors. An overview of the malignant forms of GCT gives an idea of the resection-reconstruction techniques ...
P. Boileau, N. Brassard, C. Trojani, F. Balg

MO n°136

TREATISE ON FRACTURES AND DISLOCATIONS: Plate XXX : DISLOCATION OF THE BONES OF THE FOOT (History)

J.-F. Malgaigne — Thu, 01 Apr 2004 08:00:00 GMT

Fig. 1 -- Recent medial dislocation of the tibia. This specimen was retrieved from a man who had died several days after the accident. The compound dislocation is associated with a comminuted fracture of the distal fibula and with a transverse fracture of the medial malleolus. The remainder of the malleolus projects a considerable distance, both medially and posteriorly, with the tip of the foot turned very markedly outward. Plantar alignment is still largely correct; and despite the projection ...
B. Tomeno

MO n°133

A new movement: surgical Art (Recreation)

C. Raux — Fri, 01 Aug 2003 08:00:00 GMT

We all know nautical art – those tiny little ships in bottles, made by sailors whiling away the long winter months; and peasant art – those carved wooden tools that are the pride of folk museums everywhere. Are we now seeing the advent of a new art form – surgical art? PMMA, an acrylic cement, was introduced into dentistry in 1933; today, 150,000 kits are used annually in France. This development has gone hand in hand with the evolution of a new art form that has been confined ...
J.-F. Malgaigne

MO n°126

Jean-Yves Maigne (Interview)

Sun, 01 Jun 2003 08:00:00 GMT

Jean-Yves Maigne heads the Department of Physical Medicine at the Hôtel-Dieu Hospital in Paris. For the 16th year running, he organizes and leads the 16th Spine Update seminar, which presents the latest achievements in the research, diagnosis, and medical treatment of vertebral disorders. This Interview provides many insights into what is commonly referred to as “backache”. M.O. : You are really interested in the spine?J.Y.M. : Yes, I have dedicated almost my entire career to it. ...
C. Raux

MO n°125