N°278 - November 2018
Pascal Boileau is the creator and organizer of the “Nice Shoulder Course” which is this year in its ninth edition. This course is the essential "rendez-vous" of shoulder specialists. We asked Pascal to give us an overview of the conference program and to share his vision of shoulder surgery.
Article : Arthroscopic guided Latarjet By Pascal Boileau, Patrick Gendre, Dave saliken, J.-François Gonzalez, Christophe trojani, C.-Edouard Thélu, Jérome Vogel, Nicolas BonneVialle
Coracoid transfer to treat anterior shoulder instability, first proposed by French surgeon Michel Latarjet in 1954 and popularized by Gilles Walch, is increasingly used in cases of glenoid deficiency, hyperlaxity, and revision anterior stabilization. The technique has 2 main advantages...
Article : The RSA angle ( By Pascal Boileau, Marc-Olivier Gauci, Nicolas MORIN-SALVO, Bryan SEETO, Eric Wagner, Gilles CLOWEZ, Mikaël CHELLI, Gilles WALCH
Superior inclination is an important consideration in reverse shoulder arthroplasty (RSA), given its association with scapular notching, glenoid loosening and decreased shoulder mobility. The traditional measures of glenoid inclination ("TSA angle") are based on the sclerotic line of the floor of the supraspinatus fossa and the entire glenoid surface (Beta angle).
Article : The Benefit of Glenoid lateralization (BIO-RSA) To Optimize Range of Motion and Reduce Scapulohumeral Impingement in Reverse Shoulder Arthroplasty By Marc-Olivier Gauci, Adrien Jacquot, Adam WILSON, Jean Chaoui, Gilles Walch, Pascal Boileau
Since 2006 we have performed glenoid lateralization in reverse shoulder arthroplasty (RSA) through bone grafting (BIO-RSA) in order to correct the superior inclination of the glenoid as well as reduce scapular notching. The original Grammont type RSA had an INLAY design for the humerus implant; (i.e., with PE cup under the plane of the metallic cup).
Article : Displaced Two-Part Surgical-Neck Fractures: SURGICAL Classification and Results of Third-generation Percutaneous Intramedullary Nailing By Pascal Boileau, Thomas d'Ollonne, Charles Bessière, Philippe Clavert, Armodios M Hatzidakis, Marc-Olivier Gauci, Mikaël Chelli
Percutaneous IM nailing, using a third-generation of humeral nail, is a reliable and safe alternative to locking plate fixation for the treatment of displaced 2-part surgical neck fractures. It provides high rate of fracture healing and excellent clinical outcome scores. No morbidity related to the passage of the nail through the supraspinatus muscle and the cartilage was observed. Our results encourage us to pursue our experience.