Publications by authors named "Toullec E"

Background: Parkinson disease is a neurodegenerative disease causing a progressive loss of autonomy. This requires long-term rehabilitation care. Currently, new technologies are being developed for use in daily life, and there is a progressive implementation of telerehabilitation.

View Article and Find Full Text PDF

Background: Proximal osteotomy of the first metatarsal is often indicated for Hallux Valgus correction. Previously recognised complications however, include transfer metatarsalgia, first metatarsophalangeal joint stiffness, problems with fixation and prominence of metalware.

Methods: We report on one year follow up of an international prospective series between June 2009 and October 2012 involving three centres, including 91 feet (58 patients) that underwent proximal osteotomy, using a new locking plate applied to the plantar surface of the metatarsal.

View Article and Find Full Text PDF
Adult flatfoot.

Orthop Traumatol Surg Res

February 2015

Adult flatfoot is defined as a flattening of the medial arch of the foot in weight-bearing and lack of a propulsive gait. The 3 lesion levels are the talonavicular, tibiotarsal and midfoot joints. The subtalar joint is damaged by the consequent rotational defects.

View Article and Find Full Text PDF

Introduction: Despite good clinical results following total ankle replacement (TAR), the development of large periprosthetic cysts (>400 mm(2)) in the medium-term is a source of concern.

Objective: The primary objective of this study was to detect any large periprosthetic cysts in a cohort of AKILE™ patients using radiographs and CT scans, and then to compare these findings to published ones.

Material And Methods: A total of 127 TAR procedures were performed between June 1995 and January 2012.

View Article and Find Full Text PDF

Precise biometric data of calcaneus, cuboid bones and calcaneocuboid joint are not alluded to in textbooks of anatomy. This study focussed on the biometry of 50 calcanei, 30 cuboid dry bones, and anatomical specimens of 21 transverse tarsal joints. Measurement of the length, width, angular orientation, contact surface and radius of curvature, rolling band of the joints surfaces according to the main axes were performed.

View Article and Find Full Text PDF

Introduction: Although the literature has confirmed the short and intermediate term efficacy of three-component mobile-bearing total ankle arthroplasty (TAA), the development of progressive periprosthetic bone abnormalities threatens the intermediate and long term survival of these implants. The aim of this study was to evaluate whether TAA quality requirements were met and analyze radiological changes in arthroplasties performed by members of the French Western Orthopedics Society.

Materials And Methods: This retrospective multicenter study included 173 patients who underwent three-component mobile-bearing arthroplasty between 1997 and 2010 in eight centers in western France.

View Article and Find Full Text PDF

Introduction: Exhaustive biometric data of the talus and the navicular bones have not been reported in the classical anatomy treatises.

Hypothesis: The radiographic measurements, being variable according to the X-ray beam inclination, have no real value. This biometric analysis aimed to specify the characteristics of the constitutive bone components of the talonavicular joint.

View Article and Find Full Text PDF

Unlabelled: The present study sought to assess the clinical and radiological results and long-term joint impact of different techniques of lateral ankle ligament reconstruction.

Material And Methods: A multicenter retrospective review was performed on 310 lateral ankle ligament reconstructions, with a mean 13-year-follow-up (minimum FU: 5 years). Male subjects (53%) and sports trauma (78%) predominated.

View Article and Find Full Text PDF

The objective of this study was to evaluate the conditions of ankle stability and the morphological and/or lesional factors in sprains that determine when instability becomes chronic. It is based on a review of the literature and the data from the 2008 Sofcot symposium. The biomechanics of the ankle cannot be reduced to a simple flexion-extension movement with one degree of freedom as characterized by the talocrural joint: its function cannot be dissociated from the subtalar joint, allowing the foot to adapt to the ground surface.

View Article and Find Full Text PDF

Objectives: After more than 10 years' experience in France, the French Foot Surgery Association (Association française de chirurgie du pied [AFCP]) presents an update on mobile-bearing ankle prostheses, based on a multicenter study. META-ANALYSIS - BIOMECHANICS - ASSESSMENT AND INDICATIONS: A preliminary comparative meta-analysis of the literature studies on ankle and prosthesis biomechanics, reviews validated indications and contra-indications, and details clinical and radiological outcomes assessment protocols.

Professional Survey: Sixty-three surgeons (95% AFCP members) answered a professional online survey, by email or regular post: 70% performed total ankle replacement (TAR), 39% of them at least two per year and 16% more than 10 per year, resulting in 317 TARs per year or 50% of the French activity and 312 arthrodeses per year or 17% of the French activity - which gave the survey considerable power.

View Article and Find Full Text PDF

For ankle sprains, the initial radiological work-up must include weight-bearing AP and lateral stress views of the sprained and healthy ankle. Films are taken in auto-varus. Other explorations included arthroMRI, arthroscanner or MRI which can be indicated preoperatively to confirm suspected cartilage injury or an associated ligament tear.

View Article and Find Full Text PDF

As the final step of correction of hallux valgus deformity, the great toe proximal phalanx osteotomy is useful. It is popular in France and throughout Europe. Our purpose is to distinguish and to describe different locations and three types of osteotomies according to the required final correction of the hallux valgus.

View Article and Find Full Text PDF