602 results match your criteria: "Centre Orthopedique Santy[Affiliation]"

Article Synopsis
  • PCL ruptures are rare compared to other knee ligament injuries and usually treated conservatively unless they're severe or part of a multiligament injury.
  • Surgical methods for PCL reconstruction have improved with advancements in arthroscopic techniques.
  • Proper positioning and tensioning of the femoral button during surgery are crucial to avoid complications like muscle weakness and joint stiffness.
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Advancements in rotator cuff tear repair have led to innovative techniques for complex cases. In this article, we introduce the "shoe shop" lacing technique, a knotless, side-to-side, and tendon-to-bone suture method augmented with the long head of the biceps tendon (LHBT) for anterior margin-deficient massive rotator cuff tears. This approach offers simplicity, durability, and potential advantages in biomechanics.

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Acetabular dysplasia is a hip condition characterized by abnormal development of the acetabulum, which can be present from birth or develop during childhood and may persist into adulthood. Mild or borderline acetabular dysplasia frequently is associated with cam-type femoroacetabular impingement in adults. Over time, the association of impingement and abnormal contact can lead to hip pain, cartilage damage, labral tears, and an increased risk of developing hip osteoarthritis.

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A simple CT scan protocol for planning of total hip arthroplasty in patients with femoral neck fractures.

Orthop Traumatol Surg Res

October 2024

Centre Orthopédique Santy, FIFA Medical Center of Excellence, Groupe Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon, France.

We describe a method for planning total hip arthroplasty (THA) in patients with a displaced femoral neck fracture based on a simple CT scan protocol of the contralateral hip. This protocol was used on 22 consecutive patients during the inclusion period, followed by reconstruction and 2D templating to predict the implant size and positioning. The exact planned size was achieved in 21/22 (95%) cups, 14/22 (64%) femoral stems and 14/22 (64%) femoral heads.

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Double-level osteotomy for varus knees using patient-specific cutting guides allow more accurate correction but similar clinical outcomes as compared to conventional techniques.

Orthop Traumatol Surg Res

July 2024

Institute of Movement and Locomotion, Department of Orthopedics and Traumatology, St Marguerite Hospital, 270 Boulevard Sainte Marguerite, BP 29 13274 Marseille, France. Electronic address:

Article Synopsis
  • Patient-specific cutting guides (PSI) were analyzed for their effectiveness in improving the accuracy of double-level osteotomies (DLO) around the knee compared to traditional techniques.
  • The study included 53 patients and focused on evaluating postoperative coronal alignment and functional outcomes after DLO procedures, using various angles to measure accuracy.
  • Results indicated no significant differences in global alignment between the PSI and conventional groups, but the PSI group demonstrated statistically lower values for both the medial proximal tibial angle (MPTA) and lateral distal femoral angle (LDFA).
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Endoscopic calcaneal SpeedBridge technique: Decreased postoperative complication rate in insertional achilles tendinopathy.

Orthop Traumatol Surg Res

September 2024

Clinique Brétéché, 3, rue de la Béraudière, BP 54613, 44046 Nantes cedex 1, France; Centre orthopédique Santy, unité cheville pied, 359, avenue Jean Jaurès, 69007 Lyon, France.

Background: An endoscopic calcaneal SpeedBridge technique was described recently. The primary objective of this study was to report the postoperative complications seen with calcaneal SpeedBridge repair. The secondary objective was to report short- and medium-term functional outcomes.

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Purpose: To determine the incidence of lateral meniscus posterior root tears (LMPRTs) in patients undergoing anterior cruciate ligament (ACL) reconstruction and identify associated risk factors.

Methods: We conducted a retrospective, multicenter study using data from the Francophone Arthroscopic Society's registry. The study included all the patients in the registry who underwent ACL reconstruction surgery between June 2020 and June 2023; we excluded incomplete data.

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Purpose: The purpose of this study was to compare postoperative patellar tilt at 4 months follow-up in a consecutive series of randomised patients that received individualised or off-the-shelf (OTS) primary total knee arthroplasty (TKA). The hypothesis was that patellar tilt would be lower and less variable in patients who received individualised TKA compared to patients who received OTS TKA.

Methods: A consecutive series of 385 patients randomised (1:1) to receive either OTS TKA or individualised TKA were analysed.

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Purpose: The purpose of this pilot cross-sectional study was to compare the operating room (OR) efficiency and intraoperative staff task load when performing individualised versus off-the-shelf (OTS) total knee arthroplasty (TKA).

Methods: A consecutive series of 28 patients randomised (1:1) to receive either OTS TKA or individualised TKA were included. The OR staff workload was assessed with the NASA Task Load Index (TLX), a subjective grading system assessing mental demand, physical demand, temporal demand, performance, effort and frustration on a scale from 0 (very low) to 20 (very high).

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Background: Studies evaluating secondary meniscectomy rates and risk factors for failure of ramp repair are sparse and limited by small numbers and heterogeneity.

Purposes/hypothesis: The purposes were to determine the secondary meniscectomy rate for failure of ramp repair performed using a posteromedial portal suture hook at the time of anterior cruciate ligament reconstruction (ACLR) and to identify risk factors for secondary meniscectomy. It was hypothesized that patients who underwent ACLR combined with a lateral extra-articular procedure (LEAP) would experience significantly lower rates of secondary meniscectomy compared with those undergoing isolated ACLR.

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Background: The utilization of stemless anatomic total shoulder arthroplasty is on the rise. Epiphyseal fixation leads to radiological bone remodeling, which has been reported to exceed 40% in certain studies series. The aim of this study was to present the clinical and radiological outcomes of a stemless implant with asymmetric central epiphyseal fixation at an average follow-up of 31 months.

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Purpose: The objective of this study was to evaluate the functional outcome during follow-up (FU) after endoscopic tenotomy for iliopsoas (IP)-cup impingement and to quantitatively analyze the hip flexion strength.

Methods: This was a monocentric, retrospective cohort study of a single surgeon series. Functional assessment was based on the modified Harris score, the Oxford score and the visual analog scale score.

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Lateral Extra-Articular Tenodesis and Anterolateral Procedures.

Clin Sports Med

July 2024

Orthopedic Unit, Sant'Andrea University Hospital, La Sapienza University, Rome, Italy. Electronic address:

The treatment of rotational instability has been an intriguing challenge since the era of modern anterior cruciate ligament (ACL) surgery. Lateral extra-articular procedures (LEAPs) have emerged as a solution to this problem, particularly in high-risk populations. Several studies have shown significant benefits of combining LEAPs with ACL reconstruction, including reduced graft failure rates, improved knee stability, improved rotational stability, and higher return-to-play rates.

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Article Synopsis
  • The study aimed to evaluate the effectiveness of combined ACL reconstruction and lateral extra-articular procedures (LEAP) versus isolated ACL reconstruction in patients over 30 years old, focusing on graft rupture and reoperation rates.
  • Patients aged over 30 who underwent both procedures were compared to those who only had ACLR, analyzing factors like graft survivorship and knee stability through collected data from January 2003 to December 2020.
  • Results indicated that the LEAP group had significantly lower graft failure rates (0.7%) compared to the isolated ACLR group (2.7%), highlighting the advantages of combined procedures for older patients.
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Decoupling the trochlea from the condyles in total knee arthroplasty: The end of a curse?

Knee Surg Sports Traumatol Arthrosc

July 2024

Département de chirurgie orthopédique et de médecine du sport, FIFA Medical Center of excellence, Hôpital de la Croix-Rousse, Centre Hospitalier Universitaire de Lyon, Lyon, France-Univ Lyon, Université Claude Bernard Lyon 1, IFSTTAR, LBMC UMR, Lyon, France.

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A scapular statistical shape model can reliably predict premorbid glenoid morphology in conditions of severe glenoid bone loss.

J Shoulder Elbow Surg

November 2024

Roth | McFarlane Hand and Upper Limb Centre, St Joseph's Health Care, London, Canada; Department of Surgery, Western University, London, Canada. Electronic address:

Background: Knowledge of premorbid glenoid parameters at the time of shoulder arthroplasty, such as inclination, version, joint line position, height, and width, can assist with implant selection, implant positioning, metal augment sizing, and/or bone graft dimensions. The objective of this study was to validate a scapular statistical shape model (SSM) in predicting patient-specific glenoid morphology in scapulae with clinically relevant glenoid erosion patterns.

Methods: Computed tomography scans of 30 healthy scapulae were obtained and used as the control group.

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Resurgence of slope osteotomies: A new chapter in anterior cruciate ligament surgery?

Orthop Traumatol Surg Res

June 2024

Ramsay Santé, hôpital privé Jean-Mermoz, centre orthopédique Santy, FIFA Medical Center of Excellence, 24, avenue Paul-Santy, 69008 Lyon, France.

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Effects of the open Latarjet procedure on shoulder kinematics and periscapular muscle activity 3 months postoperatively.

J Shoulder Elbow Surg

January 2025

Ramsay-Générale de Santé, Hôpital Privé Jean Mermoz, Lyon, France; Centre Orthopédique Santy, FIFA Medical Center of Excellence, Lyon, France.

Background: The debate surrounding the influence of the open Latarjet procedure on postoperative scapular motions persists, and there is no evidence regarding its effects on periscapular muscle activation. This study aimed to assess the short-term influence of the open Latarjet procedure on scapular kinematics and periscapular muscle activity during arm raising and lowering based on comparisons between patients and healthy athletes.

Methods: 22 healthy male athletes and 22 male athletes scheduled for glenohumeral stabilization surgery by the open Latarjet procedure were included.

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Background: To compare shoulder range of motion (ROM) in dominant vs. nondominant shoulder of competitive tennis players, and to determine whether shoulder ROM is different between younger and older players, or males and females.

Methods: A search was performed on PubMed, Embase, and Epistemonikos on December 18, 2023.

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Purpose: The study aimed to estimate the prevalence of ramp lesions among patients undergoing anterior cruciate ligament (ACL) reconstruction and identify risk factors associated with these lesions.

Methods: A retrospective, multicentre cohort study was conducted using data from the Francophone Arthroscopic Society's registry, including 5359 patients who underwent ACL reconstruction (ACLR) from June 2020 to June 2023. Potential risk factors for ramp lesion such as patient demographics, revision surgery, pivot shift, side-to-side anteroposterior laxity, medial collateral ligament (MCL) injury, lateral meniscal tear and the volume of ligament remnant were evaluated using multivariate regression analyses.

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Surgical repair of acute or chronic lateral instability of the ankle may be unsuccessful in the presence of associated anterior fibulotalar ligament (AFTL) and calcaneofibular ligament (CFL) injury. This Technical Note presents an arthroscopic double-row repair technique of the AFTL associated with suture tape augmentation of the CFL. The patient is in the supine position with the ankle hanging over the edge of the surgical table.

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Introduction: In younger patients, meniscal repair is recommended for isolated lateral meniscus tears that are most often due to acute trauma. But there is little published data on the outcomes of repairing this specific type of lesion. The goal of this study was to evaluate the clinical outcomes, report the failure rate of repairing radial tears of the lateral meniscus in stable knees and determine the risk factors for failure.

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Purpose: to systematically review comparative studies reporting revision rates, clinical outcomes, or radiographic outcomes of total hip arthroplasty (THA) using collared versus collarless conventional-length uncemented hydroxyapatite (HA)-coated stems.

Methods: In adherence with PRISMA guidelines, a literature search was performed on Medline, Embase, and Scopus. Comparative clinical studies were eligible if they reported outcomes of collared versus collarless uncemented HA-coated stems for primary THA.

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Background: There is ongoing debate about the best way to manage ramp lesions at the time of anterior cruciate ligament (ACL) reconstruction (ACLR). Type 3 lesions are not visible by the transnotch approach without superior debridement, making the management debate even more problematic.

Purpose/hypothesis: The purpose of this study was to evaluate the rate of secondary surgical interventions according to the management method of a type 3 ramp lesion concomitant with primary ACLR.

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Risk of suprascapular nerve injury in open Trillat procedure: an anatomical study.

Surg Radiol Anat

April 2024

Ramsay Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, 24 avenue Paul Santy, Lyon, 69008, France.

Purpose: The open Trillat Procedure described to treat recurrent shoulder instability, has a renewed interest with the advent of arthroscopy. The suprascapular nerve (SSN) is theoretically at risk during the drilling of the scapula near the spinoglenoid notch. The purpose of this study was to assess the relationship between the screw securing the coracoid transfer and the SSN during open Trillat Procedure and define a safe zone for the SSN.

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