T. Apard

T. Apard
Hopital Prive Saint Martin · 14

About

48
Publications
2,665
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456
Citations
Citations since 2017
6 Research Items
226 Citations
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2017201820192020202120222023010203040
2017201820192020202120222023010203040

Publications

Publications (48)
Article
Purpose The 3-category rating of volar plate prominence in relation to the most volar edge of the distal radius (the watershed line) on lateral radiographs was reliable among a small group of surgeons and associated with the probability of flexor tendon irritation and potential rupture. Classifications are often less reliable when tested among a la...
Article
L’épicondylite latérale est l’affection la plus fréquente affectant le coude et se résorbe d’elle-même dans la plupart des cas. Cependant, lorsque le traitement conservateur échoue, une intervention chirurgicale est nécessaire pour les cas résistants. Nous avons effectué une étude pilote avec 6 cadavres pour nous assurer que la technique était effi...
Article
Le syndrome de loge d’effort est une pathologie courante chez les athlètes et les pilotes moto. Le but de cette étude était de confirmer notre hypothèse que la compression récurrente du nerf médian sous le lacertus était le primum movens de cette pathologie. Nous avons mené une étude prospective de janvier 2016 à août 2017. Les critères d’inclusion...
Article
The aim of this comparative and prospective study was to evaluate the feasibility and benefits of a mini invasive pronator-sparing technique for radius distal fracture treated with volar locking plate performed with a WALANT anesthesia. Sixty patients (from June 2016–June 2017) with an extra articular fracture of the distal radius and a mean age of...
Article
La compression du nerf médian au coude (PMNE) est considérée comme rare. Difficile à diagnostiquer, mimant un canal carpien auquel elle peut parfois être associée, elle n’est que difficilement détectable à l’EMG. Le but de cette étude était d’évaluer la faisabilité et les avantages de la section du lacertus fibrosus échoguidée sous Walant dans le t...
Article
The central slip tenotomy described by Fowler is an effective option for treating chronic mallet finger in order to avoid swan neck deformity of the finger. In a prospective study of 14 cases (13 failures of conservative treatment and one case of untreated mallet finger), we performed percutaneous ultrasound-guided central slip tenotomy with a 19 G...
Article
Carpal tunnel syndrome is commonly treated by a mini-open or endoscopic procedure. It has been demonstrated that an ultrasound guidance permits assessment of a precise anatomical diagnosis in of the carpal tunnel, avoiding nervous lesions, and controlling the complete release of the median nerve. The aim of this study is to evaluate the feasibility...
Article
Introduction Ultrasonography is a simple, comparative, easy, cheap examination with no undesirable effects. However, this technique is not systematically used to diagnose a recent wrist pain when X rays are normal. The aim of this study is to evaluate a new ultrasonography procedure to diagnose five important damages. Material and methods Five sim...
Article
Full-text available
Introduction: Information consent is a legal and ethical requirement when planning a surgical procedure. Information shared must be clear and honest to achieve a real process of shared decision making. Purpose: The purpose of this study was to validate an online tool of information consent. Method: This web application provided to the patient multi...
Article
Full-text available
Objective: The aim of this comparative and prospective study is to evaluate the results of pain management with the association of a mini-invasive pronator-sparing technique and in situ continuous diffusion of Ropivacaine following radius distal fracture treated with volar locking plate. Patients and Method: In group 1 (11 patients), there was no c...
Article
Le recueil d’un consentement libre et eclaire est un moment essentiel de la planification d’une intervention chirurgicale. Celui-ci doit etre eclaire. L’information partagee se doit d’etre claire et loyale, telle que le patient puisse participer de facon active a la decision operatoire. Le but de ce travail etait de valider une application web de...
Article
Les fractures de l’extrémité distale du radius (EDR) ont l’incidence la plus élevée parmi les traumatismes ostéoarticulaires du membre supérieur. Elles constituent par ailleurs le troisième site de fracture par insuffisance osseuse. La prise en charge de l’ostéoporose reste encore négligée en France. Un dépistage systématique de l’ostéoporose après...
Article
Full-text available
Purpose: To address the null hypothesis that surgeons shown radiographs of little finger metacarpal neck fractures with measured fracture angulation would recommend surgery as often as surgeons shown unmarked radiographs. Methods: Members of the Science of Variation Group, an international collaboration of fully trained orthopedic and trauma sur...
Article
Pediatric ambulatory surgery presents a specific set of challenges to the anesthesiologist. Similarly to adult ambulatory surgery, we report four ambulatory surgical procedures in two young children with congenital hand disorders. For each surgical procedure pain was controlled with continuous in situ infusion of ropivacaine.
Article
The aim of the study is to analyse the effects of ropivacaïne on a pyrolytic implant in bone surgery. Ten rats were operated with a pyrolytic implant placed at the hip after femoral head resection: five cases with continuous infusion of ropivacaïne and five cases with continuous infusion of sterile water. Six days after, all the implants were analy...
Article
The aim of the study is to analyse the effects of ropivacaïne on a pyrolytic implant in bone surgery. Ten rats were operated with a pyrolytic implant placed at the hip after femoral head resection: five cases with continuous infusion of ropivacaïne and five cases with continuous infusion of sterile water. Six days after, all the implants were analy...
Article
Subungual malignant epithelial tumors with tricholemmal keratinization have rarely been described as "malignant proliferating onycholemmal cyst" and "onycholemmal carcinoma (OC)." We report an additional case of a slow growing OC occurring on the middle finger of a 58-year-old man, which was unusual as it showed sebaceous-apocrine differentiation,...
Article
A spontaneous rupture of the extensor pollicis longus (EPL) tendon occurred in a patient with trapeziometacarpal arthritis. We hypothesize that a mechanical attrition by protrusion at the trapeziometacarpal joint alone was responsible of a spontaneous rupture of the extensor pollicis longus tendon. Copyright © 2011 Elsevier Masson SAS. All rights...
Article
A spontaneous rupture of the extensor pollicis longus (EPL) tendon occurred in a patient with trapeziometacarpal arthritis. We hypothesize that a mechanical attrition by protrusion at the trapeziometacarpal joint alone was responsible of a spontaneous rupture of the extensor pollicis longus tendon.
Article
The aim of this cadaveric study was to assess the technical feasibility of inserting a novel interpositional pyrolytic carbon coated implant in the first MTP joint, determine the best surgical procedure for the implantation, and evaluate the dynamic behavior of the joint after surgery. The marble implant was inserted in the first metatarsophalangea...
Article
La prévalence des fractures péri-prothétiques est en augmentation et leur traitement reste émaillé d’un fort taux de complications. Le but de cette étude était d’évaluer les résultats de l’ostéosynthèse verrouillée par abord mini-invasif pour les fractures péri-prothétiques de fémur. Trente-sept fractures péri-prothétiques (hanche et genou) consécu...
Article
La plastie décrite par Eric Malingue est dérivée de la plastie en Z. Le but de l’étude a été d’évaluer son efficacité théorique grâce à une modélisation géométrique, et son intérêt clinique dans la maladie de Dupuytren. Dans la plastie de Malingue les surfaces cutanées échangées sont trapézoïdales. La géométrie euclidienne permet le calcul du gain...
Article
Malingue's procedure is a modified Z-plasty for the treatment of digital retraction in Dupuytren's contracture. Geometrical modelling was used to determine the theoretical efficacy of the technique, and the clinical value of the method was assessed with a follow-up of 23 patients over at least two years. Unlike Z-plasty, in which the skin flaps tra...
Article
Conflicting data in the literature justify this review about the flexor retinaculum (FR). Reconstruction of the FR following carpal tunnel open release has been recommended in order to limit the drawbacks of open carpal tunnel release; these drawbacks have been reported in wide series of results published between 1956 and 1988. This paper includes...
Article
Plating with bone grafting is considered the gold standard treatment for nonunion of humeral shaft fractures. However, this complex procedure involves multiple risks. The aim of this study is to evaluate an alternative treatment using isolated axial interfragmentary compression for the dynamisation of humeral shaft nonunion after retrograde locked...
Article
Conflicting data in the literature justify this review about the flexor retinaculum (FR). Reconstruction of the FR following carpal tunnel open release has been recommended in order to limit the drawbacks of open carpal tunnel release; these drawbacks have been reported in wide series of results published between 1956 and 1988. This paper includes...
Article
Le traitement des pertes de substance osseuse de jambe est difficile. Masquelet et al. ont proposé une technique en deux temps : le premier consiste en parage et comblement de la perte de substance par un espaceur acrylique. Le second temps consiste en une reconstruction osseuse par comblement spongieux dans l’espace laissé libre par l’ablation du...
Article
Introduction: Treatment of lower extremity segmental bone loss is difficult. Masquelet et al. proposed a two-stage technique: first, debridement and filling of bone loss with an acrylic spacer; second, bone reconstruction by filling with cancellous bone in the space left free (following cement removal) inside the so-called self-induced periosteal...
Article
The authors reported eight patients (seven males and one female) of 38-years-old operated before the 15th day for a fracture–dislocation of the proximal interphalangeal joint with a PIP-stop pin. In four cases, the fracture involved more than 40% of the articular surface of the second phalange. In six cases, the PIP-stop pinning was isolated. In tw...
Article
We report a case of a median to ulnar end-to-side neurorrhaphy with epineurectomy but without fascicular donor nerve section. Surgery was performed for the curative treatment of all elbow synovial sarcoma at the level of the elbow that necessitated resection of 10 cm of the median nerve. The patient was followed up for 24 months. After 4 months, a...
Article
Le cas clinique rapporté est une association exceptionnelle de deux entités pathologiques au niveau du même poignet chez une petite fille de neuf ans : un syndrome sévère du canal carpien ayant fait l’objet d’une intervention chirurgicale deux ans auparavant et une synostose scaphotrapézienne de découverte secondaire dans les suites de cette interv...
Article
This report describes a case of congenital synostosis between two bones of the wrist scaphoid and trapezium in a nine-year-old girl who presented a severe tunnel carpal syndrome treated two years ago by open surgery. This association has not previously been described.
Article
Treatment of comminuted intra-articular fractures of the distal humerus in elderly patients remains a challenge in trauma surgery. These fractures are rare, but their frequency increases. Our multicenter studies collected 238 cases of comminuted intra-articular fractures of the distal humerus in patients older than 65: two hundred and five cases fo...
Article
The surgical gold standart treatment of the thumb osteoarthritis is the trapeziectomy with tendon interposition with ligament reconstruction. The trapeziometacarpal prosthesis is insufficiently assessed in literature. Between 1994 and 2001, 43 trapeziometacarpal prosthesis Arpe were implanted by the same surgeon for isolated trapeziometacarpal dege...
Article
The rate of failure of trapeziometacarpal prostheses increases with time for all types of prosthesis. Procedures for salvage are rarely detailed in the literature. In a series of 43 prosthesis ARPE between 1994 and 2001, 7 revisions (16%) were necessary. Six were treated by trapeziectomy and interposition of the palmaris longus tendon according to...
Article
IntroductionThe surgical gold standart treatment of the thumb osteoarthritis is the trapeziectomy with tendon interposition with ligament reconstruction. The trapeziometacarpal prosthesis is insufficiently assessed in literature.
Article
Appropriate treatment for humeral shaft fractures remains a debated issue. Among the classical osteosynthesis techniques proposed, closed nailing was adapted to the humerus rather late, using the anterograde method. Use of retrograde nailing, which spares the rotator cuff, is more recent. The purpose of this study was to report outcome in 58 humera...
Article
Purpose of the studyAppropriate treatment for humeral shaft fractures remains a debated issue. Among the classical osteosynthesis techniques proposed, closed nailing was adapted to the humerus rather late, using the anterograde method. Use of retrograde nailing, which spares the rotator cuff, is more recent. The purpose of this study was to report...
Article
We report a case of spontaneous rupture of extensor pollicis longus of the left hand. This 63 year-old woman was treated with oral corticosteroids for 23 years because of systemic lupus erythematosus. Her hands had no deformity. This rupture was spontaneous and caused pain for 15 days. The treatment was surgical and consisted of an extensor indicis...
Article
We report a case of spontaneous rupture of extensor pollicis longus of the left hand. This 63 year-old wowan was treated with oral corticosteroids for 23 years because of systemic lupus erythematosus. Her hands had no deformity. This rupture was spontaneous and caused pain for 15 days. The treatment was surgical and consisted of an extensor indicis...

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