Live clinics: Degenerative knee pathologies

Knee
Degenerative disease

Clinical examination remains the key to diagnosis. In this session, Matthieu Ollivier, Sébastien Lustig and Sébastien Parratte discuss the key elements and the therapeutic decision-making process with real patients between conservative or prosthetic indications.

  • Patient #1 is a 53-year-old male who presents with knee pain and swelling after he had lateral meniscectomy 15 years ago.
  • Patient #2 is a 61-year-old male with knee pain after initial trauma 1.5 years ago.
  • Patient #3 is a 60-year-old patient presenting with pain and swelling after TKA in 2016.
Mérignac, FRANCE
Sports Clinic of Bordeaux-Merignac
CHU Toulouse, FRANCE
Course Director

I am an orthopedic surgeon specialized in knee surgery. I practice at the University Hospital of Toulouse in the University Sports Clinic located in the Pierre Paul Riquet Hospital.
In addition to teaching at the Faculty of Medicine, I participate in courses for the professional societies to which I belong such as the SFA, ESSKA and SOFCOT.
My clinical activity (more than 800 surgeries per year) is exclusively focused on knee surgery. An important part of my surgeries is related to sports traumatology, in particular anterior cruciate ligament injuries (350+ ACL reconstructions per year).
My research activity is also focused on the knee. I have contributed to more than 110 publications in international journals. I am developing an à la carte approach in order to propose a personalized surgery to the patient. In the context of degenerative activity, the aim is to better analyze the variability of the anatomy in order to be able to propose prostheses adapted to the patient's anatomy. In the context of sports traumatology, it is a question of improving the dismemberment of all the lesions in order to propose an adequate therapy.
Since May 2022, I am a member of the board of ESSKA (European Society of Sports Traumatology Knee Surgery and Arthroscopy) as treasurer.

Lyon, FRANCE
Hospices Civils de Lyon
Barcelona, SPAIN
ICATME Barcelona
Marseille, FRANCE
IML
International Knee & Joint Centre, Abu Dhabi, UAE
Course Director

Dr. Sebastien Parratte (MD, PhD) is a French Orthopaedic surgeon. Internationally recognized leader in his field. After completing his training in France and USA at the world-renowned, Mayo Clinic, he became one of the youngest professors of Orthopaedic Surgery in France.

He completed more than 5000 primary knee and hip arthroplasties and more than 700 revision arthroplasties with complex bone defects. He also specialized in complex cases such as post-traumatic cases, complex deformities as well as arthroplasties in young active patients.

Pr. Parratte has a particular interest on computer-assisted surgery and he is now the only European involved in the design team of a new surgical robot for knee arthroplasty.

On the sport medicine side, Pr. Parratte was the surgeon of the pro Ligue 1 team of Bastia during 4 years, taking care of all the professional football players knee and hip injuries including ACL and meniscal problems.

He invented a new patient-specific custom jig osteotomy system to correct complex deformities or optimize the management of early arthritis of the knee.

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