Stephane Guillo

Stephane Guillo
SOS PIED CHEVILLE BORDEAUX MERIGNAC

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105
Publications
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1,953
Citations
Citations since 2017
38 Research Items
1450 Citations
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20172018201920202021202220230100200300
20172018201920202021202220230100200300

Publications

Publications (105)
Article
Full-text available
Purpose: Psychological readiness scores have been developed to optimize the return to play in many sports-related injuries. The purpose of this study was to statistically validate the ankle ligament reconstruction-return to sport injury (ALR-RSI) scale after modified Broström-Gould (MBG) procedure. Methods: A similar version of the ACL-RSI scale...
Article
Background: Arthroscopic debridement is a common surgical treatment for patients with anterolateral impingement (ALI) of the ankle. Although they often have a history of ankle sprain, information regarding the role of ankle instability in ALI is limited. The aims of this review were to 1) assess the clinical outcomes of arthroscopic surgical treatm...
Chapter
Ankle sprain is the most common trauma. The surgical treatment is needed in case of chronic instability, after failure of the conservative treatment. The most popular procedure in the World today is the Brostrom which means repair of the ligament with an addition of an ‘augmentation technique’ to avoid the very common ligament attenuation. Good lon...
Chapter
Acute ankle sprains represent a common sport trauma that can usually be successfully addressed with conservative treatment; however, 10–20% of cases can evolve to symptomatic chronic ankle instability. This instability can lead to future osteocondral lesions increasing early sport abandon. Thus, it is important to ensure ankle stabilization to rest...
Book
This superbly illustrated, up-to-date reference textbook covers all aspects of ankle instability and its management. Readers will find extensive information on biomechanics, injury prevention, current strategies for conservative treatment, and established and emerging surgical techniques. The most recent procedures, particularly those which are mi...
Article
Definitive diagnosis and optimal surgical treatment of chronic lateral ankle instability remains controversial. This review distills available biomechanical evidence as it pertains to the clinical assessment, imaging work up, and surgical treatment of lateral ankle instability. Current data suggest that accurate assessment of ligament integrity dur...
Article
A bunionette deformity is a painful prominence on the lateral aspect of the fifth metatarsal head. Surgical treatment can be considered if conservative treatment has failed to relieve the symptoms. The percutaneous approach consists of 2 steps: a condylectomy and an osteotomy of the fifth metatarsal. The learning curve is small and the final result...
Article
PurposeAnkle sprain is a common injury that can be treated conservatively, though many injured patients do not seek treatment or are not adequately managed, both of which can lead to subsequent chronic ankle instability (CAI). The purpose of this study was to evaluate the functional scores and complication rates of an all-inside anatomic reconstruc...
Article
Full-text available
The purpose of this study was to evaluate the reliability of ultrasonography (US) for the diagnosis and characterization of osteochondral lesions of the talus (OLT), compared with computed tomography arthrography (CTA) as the gold standard. Eighty-one patients were enrolled from May 2018 to May 2019, consulting initially for ankle instability. US a...
Chapter
Chronic lateral ankle instability leads to repeated ankle sprains, articular cartilage injury, and the development of degenerative arthritis of the ankle. Therefore, they need surgical intervention. There are many surgical techniques reported for the treatment of chronic lateral ankle instability. One of the procedure of the anatomical reconstructi...
Article
Full-text available
Ankle sprain is the most frequent sports trauma. Surgical treatment is needed in case of chronical instability, after failure of conservative treatment. The technique established today worldwide consists in repairing the ligament (Broström technique) and strengthening the repair by adding extensor retinaculum (Gould technique). An arthroscopic tech...
Article
Full-text available
Purpose A bone tunnel is often used during the reconstruction of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL). The purpose of this study is to compare proposed directions for drilling this fibular tunnel and to assess potential tunnel length, using a 5-mm-diameter tunnel and surrounding bone. Methods Anonymous DICOM...
Chapter
Hindfoot endoscopy has long been limited to anterior arthroscopy of the ankle. More recently, the posterior approach has resulted in a great step forward by making it possible to reach the posterior intra-articular as well as the extra-articular structures. However, tendoscopy of the peroneal tendons remains little used to date. Nevertheless, this...
Chapter
Arthroscopic repair of the ATFL with or without augmentation is one of the most popular surgical procedures for chronic ankle instability. Arthroscopic techniques of ATFL repair and augmentation (Broström-Gould procedures) were recently described. The advantages of an arthroscopic procedure are not only the assessment and treatment of associated le...
Chapter
Arthrofibrosis or adhesive capsulitis of the ankle is a rare condition although some papers suggested it may be more frequent than recognized. Due to its rarity, it is difficult both in the diagnostic and therapeutic aspect. By reviewing the English literature, only a total of 15 patients have been reported in small-scale case review studies [1–4]....
Article
Inversion ankle sprains represent one of the most common traumatic injuries in the active sports population. Although most respond well to conservative treatment, some hide important lesions. Lateral ankle ligament injuries occur in more than 80% of all ankle sprains, with one-third of these developing chronic ankle instability (CAI). Lateral ankle...
Article
Résumé Introduction Le bilan iconographique dans le cadre de l’instabilité chronique de la cheville manque souvent de précision pour l’analyse des lésions du ligament talofibulaire antérieur (LTFA) et ne permet pas toujours de guider le chirurgien pour choisir en préopératoire l’intervention la plus adaptée à la situation. L’arthroscopie est deven...
Article
Résumé Introduction Le traitement chirurgical de l’instabilité chronique de la cheville repose sur 2 types d’intervention : la réparation du ligament talo-fibulaire antérieur (LTFA) (avec ou sans renfort) ou la reconstruction anatomique avec greffe tendineuse. L’arthroscopie permet à la fois une analyse complète de l’articulation avec bilan et tra...
Article
Résumé Introduction L’instabilité chronique de la cheville représente la principale complication après une entorse de cheville. Le traitement chirurgical d’une instabilité de cheville est indiqué en cas d’échec du traitement conservateur. Globalement il existe 2 techniques de stabilisation de la cheville : la réparation du ligament talo-fibulaire...
Article
Purpose: The purpose of this study was to describe the positioning of bone tunnels of arthroscopic anatomical reconstruction of lateral ankle ligaments (AAR-LAL) and identify radiological measurements associated with short-term clinical outcome one year after surgery. Materials and methods: A total of 61 patients were included in this IRB-approv...
Article
Chronic ankle instability following ankle sprains causes pain and functional problems such as recurrent giving way. If non-operative treatments fail, then operative ankle stabilization may be required to improve pain and function. Operative options include both anatomic repair and reconstruction techniques. Anatomic repair techniques utilize pre-ex...
Article
Background: The surgical treatment of chronic ankle instability (CAI) relies chiefly on anterior talo-fibular ligament (ATFL) repair (with or without augmentation) or anatomical reconstruction with a tendon graft. Arthroscopy enables not only a complete assessment and the same-stage treatment of concomitant articular lesions, but also an accurate...
Article
Background: Chronic ankle instability (CAI) is the main complication of ankle sprains and requires surgery if non-operative treatment fails. Surgical ankle stabilisation techniques can be roughly classified into two groups, namely, repair involving retensioning and suturing of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (...
Article
Background: Imaging studies done to evaluate chronic ankle instability (CAI) often fail to accurately detail injuries to the anterior talo-fibular ligament (ATFL) and may, therefore, also fail to provide guidance for selecting the most appropriate surgical procedure. Arthroscopy is now an indispensable tool for accurately diagnosing ATFL injuries....
Article
Unfortunately, the spelling of the names Daniel Haverkamp and Ákos Kynsburg were incorrect in the original online publication of the article.
Article
Full-text available
Introduction: Peroneal tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outc...
Chapter
Acute injuries of the ankle are one of the most common injuries seen by general practitioners and emergency departments [1]. They involve approximately 25% of all injuries of the musculoskeletal system. Inversion trauma, also referred to as lateral ankle sprains, constitutes a large proportion of these injuries [2–4].
Article
Résumé Le conflit antéro-latéral de cheville est une entité clinique parfaitement définie et très fréquente après une entorse de cheville. Son origine est intimement liée au traumatisme du ligament talo-fibulaire antérieur. La synovectomie antéro-latérale arthroscopique est le traitement reconnu. Cependant il semble exister une ambiguïté sur le pla...
Article
Antero-lateral ankle impingement syndrome (ALAIS) is a well-established clinical entity that is a common consequence of ankle sprains. Injury to the anterior talo-fibular ligament plays a key role in the genesis of ALAIS. Arthroscopic antero-lateral synovectomy is the standard of care. However, this treatment approach may deserve to be challenged,...
Chapter
Plantar Fasciitis (PF) is one of the most common causes of heel pain in adults (Abbassian et al. 2012). The population of patients suffering from PF is reported between 3 and 7% (Stephens and Walker 1997; Thomas et al. 2010), and 8% of PF patients are runners (Lysholm and Wiklander 1987; Taunton et al. 2002). The peak incidence of PF occurs between...
Article
Full-text available
PurposeThe purpose of this study is to propose recommendations for the treatment of patients with chronic lateral ankle instability (CAI) based on expert opinions. MethodsA questionnaire was sent to 32 orthopaedic surgeons with clinical and scientific experience in the treatment of CAI. The questions were related to preoperative imaging, indication...
Article
Background Lateral ankle ligament injury is among the most common orthopedic injuries. The objective of this study is to present the preliminary prospective results of treatment using the “Inside-Out” variant of the fully arthroscopic Broström–Gould technique. Methods Twenty six patients were included: 20 male and 6 female, aged 19–60 years, mean...
Article
Ankle instability is a common sequelae of a lateral ankle sprain. Surgery for this condition must address any intra-articular pathology as well as repairing the ligaments. The former is generally done arthroscopically and the advantages of this approach are well documented. However, once this is competed the second stage of ligament repair is tradi...
Article
Chronic instability is a common complication of lateral ankle sprains. If nonoperative treatment fails, a surgical repair or reconstruction may be indicated. Today, endoscopic techniques to treat ankle instability are becoming more popular. This article describes an endoscopic technique, using a step-by-step approach, to reconstruct the ATFL and CF...
Article
Purpose The purpose of this study was to determine the clinical utility of three bony tubercles: fibular obscure tubercle, talar obscure tubercle and tuberculum ligamenti calcaneofibularis, to serve as anatomical landmarks for defining the precise location of the origins and insertions of the anterior talofibular ligament (ATFL) and calcaneofibular...
Chapter
Soft tissue impingement is a common cause of ankle pain. ISAKOS defined it as anterior print pain during physical activity [47]. It is generally seen in patients with a history of multiple ankle sprains [13, 14]. This explains the higher incidence among sports associated with a high frequency of inversion traumas. Soft tissue impingement is often l...
Chapter
Repair and reconstruction of the lateral ankle ligaments arthroscopically assisted or as an entirely arthroscopic procedure are gaining popularity over open procedures, due to the fact that combine the repair technique with the inherent advantages of being a minimally invasive arthroscopic procedure [79, 85], while maintaining the strength and effi...
Article
Ankle snapping may be caused by peroneal tendon instability. Anterior instability occurs after traumatic superior peroneal retinaculum injury, whereas peroneal tendon intrasheath subluxation is atraumatic. Whereas subluxation is mainly dynamic, ultrasound allows for the diagnosis and classification of peroneal instability because it allows for real...
Article
Purpose The purpose of this study was to determine the evidence-based support for the treatment for chronic ankle instability (CAI) using minimally invasive surgery (MIS) techniques. Methods A systematic comprehensive review of the literature was performed on 4 September 2015 using PubMed, EMBASE, Cochrane databases and Web of Science along with th...
Article
Full-text available
Purpose: Reconstruction of the anterior talofibular ligament may be indicated in cases of residual instability after conservative treatment. Often, a bone tunnel is used for fixation in the talar bone. The purpose of this study is to evaluate possible routes for drilling the talar tunnel. Methods: Virtual tunnels were generated in a 3D bone mode...
Article
Full-text available
Introduction L’instabilite chronique de cheville est un motif frequent de consultation. Le traitement, en cas d’echec du traitement medical conservateur est la ligamentoplastie de cheville. Le symposium de la Sofcot 2008 montre les bons resultats a long terme des remises en tension ligamentaires avec plastie de renforcement. Ces techniques sont par...
Article
Full-text available
Ankle instability is a condition that often requires surgery to stabilize the ankle joint that will improve pain and function if nonoperative treatments fail. Ankle stabilization surgery may be performed as a repair in which the native existing anterior talofibular ligament or calcaneofibular ligament (or both) is imbricated or reattached. Alternat...
Article
Full-text available
Purpose: The purpose of this study was to evaluate a step-by-step approach to endoscopic reconstruction of the anterior talofibular ligament (ATFL) and the calcaneofibular ligament (CFL). Methods: Fourteen lower extremity cadaveric specimens were used. Four standard portals were defined and used. A step-by-step approach using several anatomical...
Article
Full-text available
Unlabelled: Chronic ankle instability secondary to lateral ligament insufficiency is common after sports injury. Many surgical techniques have been described for the treatment of the lateral ankle ligament complex. They can be classified into repair or reconstruction, and non-anatomical or anatomical. A few authors have recently published innovati...
Article
Interphalangeal arthrodesis is a very common surgical treatment of rigid hammertoe and claw toe deformities. The K-wires habitually used in this procedure are sometimes complicated by pin tract infection, migration, discomfort, and breakage. The aim of this study is to evaluate the results of an interphalangeal arthrodesis with a new radiolucent an...
Article
Full-text available
Background: The lesions to the lateral ligaments of the ankle are a common sports related injury. There are multiple surgical technics to address the problem all with a common goal: achieve a proper stability of the ankle. The improvements in the minimal invasive technics as well as those in the materials to fixate bone-tissue have also impacted t...
Article
Full-text available
Although several arthroscopic procedures for lateral ligament instability of the ankle have been reported recently, it is difficult to augment the reconstruction by arthroscopically tightening the inferior extensor retinaculum. There is also concern that when using the inferior extensor retinaculum, this is not strictly an anatomical repair since i...
Article
Ankle lateral ligament injuries are one of the most common sporting injuries, with the majority being successfully treated conservatively. However, reconstruction may be required if this fails. In the majority of cases this will be an anatomic reconstruction, usually a variation of a Brostrom-Gould procedure. We present a new modification of anatom...
Article
L’arthroscopie devient incontournable dans la prise en charge des instabilités latérales chroniques de la cheville. Elle permet le bilan et le traitement des lésions associées ainsi que le bilan lésionnel ligamentaire afin de choisir l’intervention la plus adaptée. Récemment plusieurs techniques de réparation ligamentaire sous arthroscopie ont été...
Article
Arthroscopy is becoming an essential tool for the treatment of chronic lateral ankle instability. It allows the surgeon to determine which ligaments are injured and choose the most appropriate surgical repair technique, and also to assess and treat any associated injuries. Several arthroscopic techniques for lateral ankle ligament repair have recen...
Article
Full-text available
Lateral ankle sprains are common; if conservative treatment fails and chronic instability develops, stabilization surgery is indicated. Numerous surgical procedures have been described, but those that most closely reproduce normal ankle lateral ligament anatomy and kinematics have been shown to have the best outcomes. Arthroscopy is a common adjunc...
Article
Ankle impingement is a common condition occurring secondary to sprain or repeated microtrauma. Clinical symptoms are chronic pain located in the affected region and limited range of ankle motion. There are three types of ankle impingement syndrome: anterior impingement, which can be subdivided into anterolateral, anteromedial and purely anterior im...
Article
Full-text available
Pilon fractures are difficult to treat because of the fracture pattern and are usually associated with significant soft tissue injury, which may result in a series of complications. Patients with diabetes and sensory neuropathy are at even greater risk of fixation failure, skin flap necrosis and deep infection. Treatment of complicated situations i...
Data
this is an animation to show the technique of distal metatarsal mini invasive osteotomy
Article
Full-text available
Ruptures of the tibialis anterior tendon are rare but can cause substantial functional deficiencies. The literature regarding the treatment of such injuries is very limited. Atraumatic ruptures often occur in the presence of an abnormal tendon structure, and retraction often makes end-to-end repair impossible. With traumatic lesions, the risk of de...
Article
Full-text available
Ankle sprains are the most common injuries sustained during sports activities. Most ankle sprains recover fully with non-operative treatment but 20–30% develop chronic ankle instability. Predicting which patients who sustain an ankle sprain will develop instability is difficult. This paper summarises a consensus on identifying which patients may re...
Article
Les entorses de cheville sont une lésion survenant de façon fréquente lors de la pratique des sports. La plupart d’entre-elles guérissent grâce au traitement conservateur mais une instabilité de cheville survient dans 20 à 30 % des cas. Il reste difficile de pouvoir prévoir quels sont les patients qui vont secondairement développer une instabilité...
Article
Traumatic peroneal tendon subluxation is a rare lesion that occurs most frequently during sporting activities and generally after an ankle sprain. There is consensus regarding the need for surgical stabilization in symptomatic patients, but there is also a general agreement that acute subluxation or dislocations may require surgery in the athlete....
Article
Full-text available
Treatment of tailor's bunion is largely conservative. For severe or refractory cases surgical intervention is necessary. The aim of this study is to evaluate a percutaneous technique for correcting such bunionette deformities. Twenty-one procedures were performed on 20 patients using a percutaneous technique. Patients were scored using the American...
Article
Full-text available
Intrasheath subluxation of the peroneal tendons within the peroneal groove is an uncommon problem. Open exploration combined with a peroneal groove-deepening procedure and retinacular reefing is the recommended treatment. This extensive lateral approach needs incision of the intact superior peroneal retinaculum and repair afterwards. We treated thr...
Data
This movie is an illustration of the clinical signs in intrasheath peroneal tendon subluxation. Clinical examination shows localized tenderness behind the lateral malleolus. Contraction of the peroneal tendons causes a snapping movement. This snapping movement causes a reproducible painful audible click. The tendons were found to switch their relat...
Article
Full-text available
Introducción: El hallux valgus es una de las patologías más frecuentes en la ortopedia. La meta de las diferentes técnicas quirúrgicas, es la de restaurar el ángulo fisiológico tanto metatarso- falángico como intermetatarsal con una osteotomía estable y con el menor dolor postquirúrgico. La osteotomía de Scarf es versátil, fácil de fijar y provee u...
Article
Minimally invasive repair of acute traumatic ruptures of the tendo Achillis may produce lower complications compared to open repair. Twenty-three active patients underwent percutaneous repair of an acute rupture of the tendo Achillis. Post-operatively, the ATRS score was administered to assess the functional status. The maximum calf circumference,...
Chapter
A bunionette deformity, or tailor’s bunion, is a ­painful prominence on the lateral aspect of the fifth metatarsal head. A bunionette is a problem similar to a ­bunion, except that a bunionette occurs on the lateral side of the foot. These lesions often were present on tailors, whose cross-legged sitting posture on benches resulted in pressure on t...
Article
Full-text available
Hypermobility of the first metatarsocuneiform (MC) joint is one of the causes believed to contribute to symptomatic hallux valgus. An arthrodesis of the first MC joint offers definitive correction of the intermetatarsal angle. This procedure can be associated with pseudoarthrosis and shortening of the first ray. This study presents our experience a...
Article
Full-text available
Surgical treatment of intraarticular calcaneal fractures is often associated with postoperative wound problems. Soft tissue necrosis, bone loss and uncontrollable infection are a challenge for the surgeon and amputation may in some cases be the ultimate solution. A free flap can be very helpful to cover a significant soft tissue defect and help in...
Article
Full-text available
Metatarsalgia is frequent. Most patients respond to 6-12 months of conservative management. At times, usually from structural abnormalities of the foot, especially first-ray shortening, surgery provides considerable benefit. Historically, the first osteotomies described to manage metatarsalgia were diaphyseal (Meisenbach 1916; Giannestras 1954; Hel...
Article
Les objectifs de cette étude consacrée au traitement arthroscopique de l’instabilité antérieure chronique de l’épaule étaient le recueil des pratiques, leur évolution dans la littérature et l’analyse des résultats préliminaires d’une série prospective multicentrique d’interventions de Bankart arthroscopiques réalisées avec une technique commune sur...
Article
The objectives of this study on arthroscopic treatment of chronic anterior shoulder instability were the collection of the current practices for this indication, their development as reported in the literature, and the analysis of preliminary results on a multicenter prospective series of Bankart arthroscopic procedures undertaken using a common te...
Article
Full-text available
Endoscopic calcaneoplasty is a minimally invasive technique for resection of inflamed retrocalcaneal bursa as well as the posterosuperior part of the calcaneus. A relative contra-indication for this technique is a tear of the Achilles tendon. In this report, we describe the treatment of a patient with Haglund's deformity associated with a tear of t...
Article
Introduction Le but de cette étude était d’évaluer le profil des patients ayant eu une reconstruction du ligament croisé antérieur de décembre 1997 à décembre 2006 dans un seul centre. Durant cette période, 7 251 patients ont été opérés, nous avons recueilli des fiches complètes pour 5 307 patients. Trente patients avaient entre 10 et 15 ans, 944 e...