Preparedness Evaluation of French Military Orthopedic Surgeons Before Deployment

ABSTRACT Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.

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Retired French Military Orthopedic Surgeons’ Opinions on Their Careers

Military Medicine ◽

10.1093/milmed/usab238 ◽

2021 ◽

Author(s):

Nicolas de l’Escalopier ◽

Olivier Barbier ◽

Laurent Mathieu ◽

Frédéric Rongieras ◽

Camille Choufani

Keyword(s):

Family Life ◽

Personal Data ◽

Armed Forces ◽

Point Of View ◽

Working Environment ◽

Average Score ◽

Subjective Data ◽

Orthopedic Surgeons ◽

French Military

ABSTRACT Introduction Owing to their professional and personal experiences, retired military orthopedic surgeons’ views of their careers are a unique source of inspiration. Reflecting on their experiences allows them to grasp the positive points and those that need to be improved for future generations. The purpose of this study is to gather the opinions of retired surgeons on the career of military orthopedic surgeons. Methods We addressed a questionnaire to all retired French military orthopedic surgeons in the database of the Chair of Applied Surgery for the Armed Forces as of December 2020, retrained in the civilian sector. A questionnaire sent by email made it possible to collect demographic, professional, and personal data about their careers. Subjective data were evaluated using a visual analog scale from 0 to 10 or a subjective qualification scale. The main assessment criterion was the average score (out of 10) of the retired surgeons’ opinions on their careers. Results Fifty-two percent of retired surgeons replied (32 out of 61), with the respondents having an average age of 63 years. They had been in military retirement for an average of 14 years and had practiced for approximately 13.5 years. The majority (28 out of 32) had had a civilian activity after leaving the army. The three main reasons for leaving were the unsatisfactory working environment, the high number of deployments, and insufficient pay. Nevertheless, the respondents were satisfied with their activity, their job, and their training. The average score given for the overall opinion on their careers was 8.14/10. The three main disadvantages of the career that were noted were the quality of family life, the conditions of employment, and the financial aspects. The majority were very satisfied with the second half of their civil career. Conclusion Overall, the opinion of retired French military orthopedic surgeons on their careers is very good. Their point of view provides interesting elements for reflection from both a professional point of view and a personal point of view. They were very satisfied with the quality of their training, their job, and their activity. However, the quality of their personal/family life, working conditions, and the financial aspects of the career reduced this satisfaction. The results also have potential application in improving the preparation of young military orthopedic surgeons.

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Residency Training and Hand Surgery Practice Patterns: A National Surgical Quality Improvement Program Database Analysis

Journal of Hand and Microsurgery ◽

10.1055/s-0040-1713066 ◽

2020 ◽

Author(s):

James J. Drinane ◽

Brian Drolet ◽

Ashit Patel ◽

Joseph A. Ricci

Keyword(s):

Quality Improvement ◽

Residency Training ◽

Practice Patterns ◽

Hand Surgery ◽

Soft Tissue Coverage ◽

Improvement Program ◽

Surgical Quality ◽

Orthopedic Surgeons ◽

Procedural Volume ◽

General Surgeons

Abstract Introduction Fellowship-trained hand surgeons may have residency training in either orthopedic, plastic, or general surgery, generating significant variability in education background. To study the effect of different training backgrounds on practice pattern variations, we utilized the NSQIP (National Surgical Quality Improvement Database) database to assess hand surgery volumes and case variety by specialty. Materials and Methods NSQIP years 2008 to 2017 was queried with hand surgery current procedural terminology codes defined by the American Board of Orthopedic Surgery. Procedures were grouped according to type and specialty, and relative rates calculated. Hand society membership data were used to determine if procedural volume for each specialty in each category and overall contribution to the volume of hand surgery performed nationally was distributed in accordance with membership data. Results A total of 145,015 hand surgeries were performed; 13,267 (9.1%) by general surgeons, 28,402 (19.6%) by plastic surgeons, and 103,346 (71.3%) by orthopedic surgeons. Orthopedic surgeons performed significantly more bone, fracture, joint, and tendon cases. General surgeons and plastic surgeons performed higher than expected numbers of soft tissue coverage and cases overall with respective excesses of 183 and 22%. Conclusion Hand surgery is an available fellowship pathway from multiple residencies. Fellowship training does not level the field of real-world practice patterns. Residency training experiences significantly impact practice.

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French Military Engineers in the American Colonies, 1635–1776

10.3366/edinburgh/9781845861209.003.0011 ◽

2018 ◽

Author(s):

Emilie d’Orgeix

Keyword(s):

Road Construction ◽

Town Planning ◽

French Antilles ◽

Saint Domingue ◽

American Colonies ◽

French Military ◽

Land Surveying

The first French military engineers in the American colonies between 1635 and 1670 did not belong to a professional corps, being officers with expertise to do military land-surveying and construct emergency defences. Between 1670 and 1691 engineers were under the discipline of Vauban who chose them for missions in Canada or the French Antilles. After 1691, until 1776, they were all ingénieurs du roi. They ranged across citadel and fort construction, cartography and town planning (especially in Louisiana and Saint Domingue).They promoted the urban grid plan, as well as harbours and road construction. With incorporation in a royal Genie corps in 1776 they became much more strictly military.

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Possibility of simultaneous transposition of segments of the pectoralis major muscle to restore flexion in the shoulder and elbow joints (clinical observation)

MedAlliance ◽

10.36422/23076348-2020-8-1-61-68 ◽

2020 ◽

Vol 8 (1) ◽

pp. 61-68

Keyword(s):

Anterior Part ◽

Pectoralis Major Muscle ◽

Elbow Flexion ◽

Functional Results ◽

Proximal Part ◽

Deltoid Muscle ◽

Pectoralis Major ◽

Orthopedic Surgeons ◽

Active Function ◽

Head Neck

The pectoralis major is a widely used muscle in reconstruction surgery for replacement soft tissue defects of a head, neck, thorax, upper limbs and restoration of muscle active function. The peculiarities of anatomy of the pectoralis major makes it possible to divide the muscle into several segments with their own innervations and supply and use them independently from each other. This article describes the anatomy of the pectoralis major and the opportunity for clinical applications of different segments of this muscle. The authors demonstrate the result of the restoration of shoulder and elbow flexion in a patient with arthrogryposis due to simultaneous transfer of the proximal part of pectoralis major to the anterior part of the deltoid muscle and the distal part of pectoralis major to the biceps with good functional results. The article will be useful for plastic surgeons, orthopedic surgeons and physiotherapists.

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Francuzskaja voennaja jelita v 1920-e gg.: v poiskah novoj koncepcii bezopasnosti (French Military Elite in 1920s: Searching New Security Conception)

SSRN Electronic Journal ◽

10.2139/ssrn.3320633 ◽

2011 ◽

Author(s):

Iskander Magadeev

Keyword(s):

Military Elite ◽

French Military

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A Pharmacological Analysis of the Activity and Failure of the Medical Treatment of High-Grade Osteosarcoma

Medicina ◽

10.3390/medicina57020141 ◽

2021 ◽

Vol 57 (2) ◽

pp. 141

Author(s):

Alessandro Comandone ◽

Antonella Boglione ◽

Tiziana Comandone ◽

Fausto Petrelli

Keyword(s):

Bone Cells ◽

Age Groups ◽

The Elderly ◽

New Drugs ◽

High Grade ◽

Secondary Resistance ◽

Orthopedic Surgeons ◽

Close Cooperation ◽

High Grade Osteosarcoma ◽

Effective Drugs

Osteosarcomas (OSs) are a group of neoplasms originating from bone cells, usually presenting in three specific age groups: children, young adults, and the elderly. High-grade OS is an extremely malignant tumor mainly due to evolution into metastatic disease, usually in the lungs. Survival of these patients has improved since the 1980s thanks to close cooperation between oncologists, oncological surgeons and orthopedic surgeons. Unfortunately, no progress has been made in the last 30 years and new, more effective drugs are needed. This article reviews the biological and pharmacological basis of the treatment of OS. Models of clinical pharmacology of the active drugs, toxic effects and reasons for primary and secondary resistance to old and new drugs are discussed.

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Social Media Use Among Foot and Ankle Orthopedic Surgeons

Foot & Ankle Orthopaedics ◽

10.1177/2473011420981926 ◽

2021 ◽

Vol 6 (1) ◽

pp. 247301142098192

Author(s):

Garret Garofolo-Gonzalez ◽

Cesar R. Iturriaga ◽

Jordan B. Pasternack ◽

Adam Bitterman ◽

Gregory P. Guyton

Keyword(s):

Social Media ◽

Clinical Practice ◽

Media Use ◽

The United States ◽

Foot And Ankle ◽

Social Media Use ◽

Social Media Platform ◽

Orthopedic Surgeons ◽

Media Platform ◽

Social Media Presence

Background: Digital media is an effective tool to enhance brand recognition and is currently referenced by more than 40% of orthopedic patients when selecting a physician. The purpose of this study was to evaluate the use of social media among foot and ankle (F&A) orthopedic surgeons, and the impact of that social media presence on scores of a physician-rated website (PRW). Methods: Randomly selected F&A orthopedic surgeons from all major geographical locations across the United States were identified using the AAOS.org website. Internet searches were then performed using the physician’s name and the respective social media platform. A comprehensive social media use index (SMI) was created for each surgeon using a scoring system based on social media platform use. The use of individual platforms and SMI was compared to the F&A surgeon’s Healthgrades scores. Descriptive statistics, unpaired Student t tests, and linear regression were used to assess the effect of social media on the PRW scores. Results: A total of 123 board-certified F&A orthopedic surgeons were included in our study demonstrating varying social media use: Facebook (48.8%), Twitter (15.4%), YouTube (23.6%), LinkedIn (47.9%), personal website (24.4%), group website (52.9%), and Instagram (0%). The mean SMI was 2.4 ± 1.6 (range 0-7). Surgeons who used a Facebook page were older, whereas those using a group website were younger ( P < .05). F&A orthopedic surgeons with a YouTube page had statistically higher Healthgrades scores compared to those without ( P < .05). Conclusion: F&A orthopedic surgeons underused social media platforms in their clinical practice. Among all the platforms studied, a YouTube page was the most impactful social media platform on Healthgrades scores for F&A orthopedic surgeons. Given these findings, we recommend that physicians closely monitor their digital identity and maintain a diverse social media presence including a YouTube page to promote their clinical practice. Level of Evidence: Level IV.

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Do Orthopedic Surgeons or Neurosurgeons Detect More Hip Disorders in Patients with Hip-Spine Syndrome? A Nationwide Database Study

Brain Sciences ◽

10.3390/brainsci11040485 ◽

2021 ◽

Vol 11 (4) ◽

pp. 485

Author(s):

Tsung-Cheng Yin ◽

Adam M. Wegner ◽

Meng-Ling Lu ◽

Yao-Hsu Yang ◽

Yao-Chin Wang ◽

...

Keyword(s):

Lumbar Spine ◽

Spine Surgery ◽

Hip Surgery ◽

Lumbar Spine Surgery ◽

Research Database ◽

X Rays ◽

Replacement Surgery ◽

Orthopedic Surgeons ◽

Spine Pathology ◽

Sh Group

Background: Disorders of the hip and lumbar spine can create similar patterns of pain and dysfunction. It is unknown whether all surgeons, regardless of orthopedic or neurosurgery training, investigate and diagnose concurrent hip and spine pathology at the same rate. Methods: Data were retrieved from Taiwan’s National Health Insurance Research Database (NHIRD). Enrolled patients were stratified into hip and spine surgery at the same admission (Both), hip surgery before spine surgery (HS), or spine surgery before hip surgery (SH). The SH group was further subdivided based on whether spine surgery was performed by an orthopedic surgeon (OS) or neurosurgeon (NS), and differences in preoperative radiographic examinations and diagnoses were collected and analyzed. Results: In total, 1824 patients received lumbar spine surgery within 1 year before or after hip replacement surgery. Of these, 103 patients had spine and hip surgery in the same admission (Both), 1290 patients had spine surgery before hip surgery (SH), and 431 patients had hip surgery before spine surgery (HS). In the SH group, patients were categorized into spine surgery by orthopedic surgeons (OS) (n = 679) or neurosurgeons (NS) (n = 522). In the SH group, orthopedic surgeons investigated hip pathology with X-rays more often (52.6% vs. 38.1%, p < 0.001) and diagnosed more cases of hip disease (43.6% vs. 28.9%, p < 0.001) than neurosurgeons. Conclusions: Of patients in Taiwan’s NHIRD who had concurrent surgical degenerative hip and lumbar spine disorders who had spine surgery before hip surgery, orthopedic surgeons obtained hip images and made hip-related diagnoses more frequently than did neurosurgeons.

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The Hallux Metatarsophalangeal Capsule: An Anatomic Study With Respect to Percutaneous Hallux Valgus Correction

Foot & Ankle International ◽

10.1177/10711007211027262 ◽

2021 ◽

pp. 107110072110272

Author(s):

Kenneth M. Chin ◽

Nicholas S. Richardson ◽

John T. Campbell ◽

Clifford L. Jeng ◽

Matthew W. Christian ◽

...

Keyword(s):

Minimally Invasive ◽

Hallux Valgus ◽

Metatarsal Head ◽

Cadaveric Study ◽

Anatomic Study ◽

Orthopedic Surgeons ◽

Popular Knowledge ◽

Fresh Frozen ◽

The Mean ◽

Anatomic Relationship

Background: Minimally invasive surgery for the treatment of hallux valgus deformities has become increasingly popular. Knowledge of the location of the hallux metatarsophalangeal (MTP) proximal capsular origin on the metatarsal neck is essential for surgeons in planning and executing extracapsular corrective osteotomies. A cadaveric study was undertaken to further study this anatomic relationship. Methods: Ten nonpaired fresh-frozen frozen cadaveric specimens were used for this study. Careful dissection was performed, and the capsular origin of the hallux MTP joint was measured from the central portion of the metatarsal head in the medial, lateral, dorsal, plantarmedial, and plantarlateral dimensions. Results: The ten specimens had a mean age of 77 years, with 5 female and 5 male. The mean distances from the central hallux metatarsal head to the MTP capsular origin were 15.2 mm dorsally, 8.4 mm medially, 9.6 mm laterally, 19.3 mm plantarmedially, and 21.0 mm plantarlaterally. Conclusion: The MTP capsular origin at the hallux metatarsal varies at different anatomic positions. Knowledge of this capsular anatomy is critical for orthopedic surgeons when planning and performing minimally invasive distal metatarsal osteotomies for the correction of hallux valgus. Type of Study: Cadaveric Study.

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