Lequint Thierry

Purpose: The purpose of our study was to examine the result of lateral epicondylitis surgery with and without posterior interosseous nerve release. Methods: We conducted a prospective, randomized, double-blind single-center clinical trial in 54 patients treated surgically for lateral epicondylitis, without any EMG or imaging sign of compression...

We assessed the effect of four-corner intercarpal fusion with locking plate without bone graft on daily activities and pain in patients with stage II and III scapholunate advanced collapse and scaphoid nonunion. Twenty-one patients who underwent four-corner fusion with scaphoidectomy without bone graft were evaluated with the Disabilities of the Ar...

This study sought to evaluate the use of collagenase injections for Dupuytren’s contracture (19 compared to fasciectomy, with 19 patients assessed in each group. We measured loss of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joint extension at baseline and 12 months post-injection, along with its impact on patients' daily life, pa...

Les pseudarthroses de scaphoïde et les lésions scapho-lunaires négligées entraînent irrémédiablement une atteinte dégénérative du poignet à long terme. Les solutions chirurgicales restent à ce jour palliatives. L’arthrodèse 4 os reste une solution chirurgicale valable pour maintenir une certaine force et mobilité. Nous présentons ici les résultats...

Telemicrosurgery requires specific installation, completely different than in conventional microsurgery: robot position with regard to both the patient and the surgeon, surgical approaches, dissection of and support of a convenient surgical cavity allowing enough space for both camera and surgical instruments to move unimpeded. Installation of the...

Characteristics of robots are well adapted to open telemicrosurgery: suppression of physiological tremor, optical magnification of the surgeon’s movements and improved ergonomics of the console. The aim of this work is to study the feasibility of limb tele-endomicrosurgery by means of a tele-endomicrosurgical median nerve repair model in the forear...

Advanced stages of Kienböck's disease are treated by several techniques, one of which is Graner's procedure, nearly abandoned nowadays. The results of long-term follow-up of a series of four cases Graner's procedure are presented. Four patients were reviewed with a follow-up of 25years. There were two women and two men mean aged 37years at the time...

Several interventions remain almost inaccessible to endoscopic surgery, such as brachial plexus injuries. Development of minimally invasive and robot-assisted surgical approaches has the potential to greatly improve the surgical outcome. Our clinical experience is based on 12 cases of brachial plexus tele-endomicrosurgery operated using a da Vinci...

Introduction It is usual to stop the intake of oral anticoagulants (anti-vitamin K) before surgery. Some authors have shown that during minimal surgery, the relay with low molecular weight heparin (LMWH) may lead to more thromboembolic complications. We present a prospective comparative study while evaluating the results of stopping or continuing...

The treatment of ulnar nerve compression at the elbow remains controversial. No single technique has yet proven its superiority. We describe a technique combining the advantages of the mini-invasive approach with those of transposition. We present the results of 30 patients, of mean age 52 years, who underwent anterior subcutaneous transposition of...

Brachial plexus surgery requires extensive incisions. They are esthetically unsightly and compromise the quality of recovery after nerve repair surgery. We present a new approach to brachial plexus surgery using mini-invasive robot-assisted surgery to perform a biopsy of an intraneural perineurioma of the right brachial plexus in a 12-year-old girl...

The current tendency of microsurgery is heading toward supermicrosurgery and microsurgery assisted by robotics. The aim of this work was to study the feasibility of a free hallux hemipulp transfer with a surgical robot in a cadaveric model. We used a human body. The intervention was realized by a Da Vinci SI® robot (Intuitive Surgical™, Sunnyvale,...

Unlabelled: Robotics allows up to 40× visual magnification and 10× magnification of the surgeon's movements, and eliminates physiologic tremors. These properties should allow the development of mini-invasive limb surgery, especially of the brachial plexus. The purpose of this work was to test the feasibility of the restoration of elbow flexion acc...

The “heating lamp” is one of the complementary measures used to improve the survival rate of replantations and flaps. No publication demonstrated its efficiency, but burn injuries have been reported. The purpose of this study was to estimate the efficiency of the “heating lamp”. A questionnaire was sent to the members of the French society for surg...

The infra-millimetre vessels are difficult to suture, because the placement of forceps in the lumen is delicate and threads often cross the walls. The technique of the IntraVascular Stent (IVaS), developed to remedy it, did not make the proof of its superiority. The purpose of this study was to analyze the results of a variant, the Clip Stent. Our...

The "heating lamp" is one of the complementary measures used to improve the survival rate of replantations and flaps. No publication demonstrated its efficiency, but burn injuries have been reported. The purpose of this study was to estimate the efficiency of the "heating lamp". A questionnaire was sent to the members of the French society for surg...