The orthopedic traumatology unit treats patients presenting with disorders of the locomotor apparatus (the musculoskeletal system).

Orthopedics

is a surgical specialty enabling correction of  defects of the locomotor apparatus that are either inborn or acquired during growth periods or adulthood  (bones, joints, muscles, tendons and nerves).
It involves surgical treatment of ailments and impairments of the upper limbs (shoulder, elbow and hand), the lower limbs (hip, knee, ankle and foot) and the spine.
Patients are admitted following external consultation for scheduled surgery.

Traumatology

is the specialty covering accidentally acquired injuries of the locomotor apparatus  (fractures, dislocations, sprains, wounds, injuries to the noble structures: arteries, veins, nerves, tendons).
Trauma patients are more often than not admitted following treatment in the emergency unit.
The different specializations of the practitioners in the orthopedic-traumatology unit help to optimize the quality of patient treatment and to have successfully performed the “recourse” tasks with which a university hospital center is entrusted.
Four major fields of activity have been defined:

• hand and upper limb surgery,
• corrective lower limb surgery, foot surgery,
• spinal surgery,
• surgery for bone and joint infections, and treatment of complex wounds.

Even though each surgeon has developed a specific field of competence, the orthopedics-traumatology team remains multivalent, and each surgeon can effectively ensure treatment of all the above-mentioned pathologies. 

HAND AND UPPER LIMB SURGERY

Emergency telephone number : 05 49 44 47 33.

Consultations : 05 49 44 44 92.

Reference surgeons : Dr Guillaume Roth.

Hand and upper limb surgery entail both scheduled surgery and traumatology.
Scheduled surgery involves pathologies of the hand and the wrist (carpal tunnel, trigger finger, Dupuytren’s contracture, arthrosis, De Quervain tenosynovitis, synovial cyst…), of the elbow   (ulnar nerve compression at the elbow, epicondylitis or “tennis elbow”, arthrosis…) and of the shoulder (rotator cuff tear, calcifications, subacromial impingement, shoulder instability, glenohumeral osteoarthritis).

Arthroscopic techniques are used at the level of the shoulder, particularly in rotator cuff and shoulder instability surgery.

Traumatology consists in treatment of fractures, dislocations and hand and wrist injuries (replantation, complex hand injuries with loss of substance and  flap coverage, complex fractures and dislocations, situations necessitating tendon sutures or nerve surgery) using microsurgery techniques, of elbow injuries (fractures treated by osteosynthesis and/or arthroplasty) and of shoulder injuries (fractures or dislocations treated by osteosynthesis and/or arthroplasty).

CORRECTIVE LOWER LIMB SURGERY, FOOT SURGERY

Reference surgeons: Pr Louis-Etienne Gayet, lower limb and foot, Dr Hamid Hamcha, lower limb and corrective surgery, and Dr Bouget Pierre, lower limb.

This field of activity involves:

• Classic prosthetic surgery of the hip, the knee and the ankle as well as recently developed techniques of minimally invasive surgery ;

	Prothèse totale de hanche sans ciment. Couple de frottement céramique-céramique. Mise par voie mini-invasice de 8cm. Récupération fonctionnelle plus rapide.

• Complex surgery removing and replacing worn-down or loosened joint prostheses; ;
• Ligament surgery for the knee and for an athlete’s different osteoarticular lesions;
• Corrective surgery for congenital or acquired foot deformations using classic and minimally invasive techniques (ex. hallux valgus)

• Surgery for the severe sequelae of osteoarticular trauma with loss of substance applying innovative reconstruction techniques: biological osteoinduction associated with specific osteosyntheses.