N°275 - June/July 2018
We met with Australian knee surgeon Associate Professor David Parker at the Asia-Pacific Knee, Arthroscopy and Sports Medicine Society (APKASS) congress in Sydney. He is the APKASS president this year. He practices in Sydney and specializes in knee surgery. In this interview, he shares how he organises his time between surgery and research, the specificities of his work and his involvement in the international community.
Article : Surgical management of TKA extensor mechanism rupture By Nicolaas C. Budhiparama (1), Sébastien Parratte, Michel Bonin, Sébastien Lustig
Extensor mechanism rupture is rare (<1% of patients) but is one of the most devastating complications after TKA procedures. It occurs more commonly occurs after surgery in chronic conditions (degenerated tissues conditions). Although less frequent, acute injury may occurs, usually during intraoperative exposure in stiff knees or during postoperative period (falling on a hyper flexed knee).
Article : High tibial osteotomy: Why we choose a lateral closing wedge technique and what is our By Michael Facek (1), Thomas Neri(2) (3), Leo Pinczewski (1) (4)
High tibial osteotomy (HTO) is a well-established surgical technique for the management of medial compartment osteoarthritis of the knee in the young, active patient; in this group, partial and total knee replacements are reported to have high failure rates.
Article : An updated description of the properties and function of the anterolateral ligament of the knee By Thomas Neri (1), David Parker (2)
The control of anterolateral rotational instability (ALRI) after anterior cruciate ligament (ACL) reconstruction remains a challenge. Whatever the technique used, anatomic or non-anatomic, single or double bundle, many studies reported that 10 to 30% of patients may experience a persistent ALRI.
Article : Remplissage : When Bankart is not enough! By Philippe Landreau
The shoulder joint is a ball-and-socket joint. Only 25 to 30 % of the humeral head makes contact with the glenoid surface at any position. This explains that the shoulder has the greatest range of movement of all the joints in the body. In contrary the risk of instability is higher than any other congruent joint.
Article : "Patient-Specific" Cutting, Correction and Implant Positioning for High Tibial Osteotomy By M. Ollivier, C. Jacquet, J-N. Argenson, X. Fletcher, S. Parratte
In patients with limited osteoarthritis and a mechanical lower limb defect, a high tibial osteotomy (HTO) is the ideal conservative treatment. Medial opening wedge HTO is becoming increasingly popular in France, with a considerably reduced interest in its lateral counterpart, which involves a hazardous osteotomy of the neck of fibula.
Article : Multiligament knee injuries and Gait analysis By David Parker (1), Thomas Neri (2)
Multiligament knee injuries (MLKI) involve injuries to a combination of at least 2 of the 4 major ligaments; anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL) and/or postero-lateral corner (PLC) injuries. MLKI are relatively rare with an incidence of 0.01-0.013% per year, but are potentially limb-threatening injuries.
Article : From UKA to TKA: a robotic journey By Sébastien LUSTIG, Cécile BATAILLER
Robot-assisted surgery has recently shown promise in terms of improving the accuracy of bone resections and of ligament balancing in unicompartmental knee arthroplasty (UKA). The goal is not to replace surgeons, rather improve their performance.