Innovations 2022 in orthopedic surgery and traumatology

Xavier Libouton*, Othmane Miri*, Randy Buzisa Mbuku*, Anaelle Mottet*, Julie Manon, Robin Evrard, Hervé Poilvache, Solange de Wouters, Karim Tribak, Dan Putineanu, Maïte Van Cauter, Vincent Druez, Jean-Emile Dubuc, Jean-Cyr Yombi, Nadia Irda, Ludovic Kami Published in the journal : February 2023 Category : Chirurgie orthopédique et traumatologie

Summary :

The limitation of financial means in health care compels us to justify our choices by bringing the proof of a real improvement for the patient, reflected by his/her ability to quickly reintegrate the economic circuit and resume an active social life, or by developing less invasive techniques that shorten the period of incapacity or reduce the complications to which the patient is exposed. The Department of Orthopedic Surgery and Traumatology has chosen to highlight different approaches in this context: the usefulness of a functional evaluation in hand surgery in terms of objectifying the benefit of different therapeutic modalities, the still early prospects of phage therapy in infections of orthopedic implants by multidrug-resistant bacteria avoiding the need for major surgical interventions, and two biological and bio-technological approaches to successfully treat fracture healing defects, without exposing the patient to the complications of autologous bone harvesting.

Key Words

Functional assessment, hand surgery, prosthetic joint infection, phage therapy, bone non-union, congenital pseudarthrosis, bone marrow mesenchymal stem cells, adipose stem cells, bone allografts, demineralized bone matrix, hydroxyapatite