Publications by authors named "Francois Ducournau"
Introduction: Destruction of the metacarpophalangeal joint can result in disabling pain and stiffness. Several therapeutic options are available, including pyrocarbon interposition implants. The primary endpoint of this study was assessment of clinical and radiographic outcomes in 34 patients treated with HAPY® pyrocarbon interposition implants (Tornier, Grenoble, France) with a minimum follow-up of 3 years.
View Article and Find Full Text PDFUlnar variance is an important radiological parameter for good functional outcome after distal radius fracture osteosynthesis. Secondary loss of reduction due to radial shortening is a common complication after volar locking plate fixation. Some authors recommend beginning by placing the most ulnar epiphyseal screw, ensuring that it is positioned as close as possible to the distal radioulnar and radiocarpal joints.
View Article and Find Full Text PDFIntroduction: The results of surgical techniques vary depending on the level of the surgeon's experience. The level of expertise can be evaluated quantitatively or qualitatively. In this study, we evaluated the duration of the procedure and the size of the incision of minimally invasive fixation of distal radius fractures as a means of grading expertise and surgical performance.
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- - The study examined how a surgeon's position (head vs. feet) affects the time taken for minimally invasive surgery on distal radius fractures, finding that working from the head resulted in shorter procedure times.
- - Procedure times averaged 35.5 minutes when the surgeon was at the head and 40.5 minutes at the feet, with significant differences noted, especially when operating on the right side.
- - The findings suggest that positioning surgeons at the patient's head can save time and costs in the operating room, confirming the study's hypothesis on the correlation between surgeon location and surgery duration.
Background: Performance skills of a surgeon for a specific surgical technique range from 1 (novice) to 5 (expert). Mentoring can bring the surgeon to level 3. Simple experience rarely allows achievement of level 5, in contrast to deliberate practice, in which performance skills are improved by setting learning goals based on feedback about the trainee's previous performance.
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