Articles de revues : « Duplay »

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Dubois, Florent. « Mathieu Duplay ». Revue française d’études américaines N° 180, n^o 3 (20 septembre 2024) : 154–56. http://dx.doi.org/10.3917/rfea.180.0154.

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Barbot, Estelle, Bernardine Garcia et Nicolas Kalfa. « Technique de Duplay pour traiter l’enfant porteur d’hypospade ». Interbloc 36, n^o 1 (janvier 2017) : 42–45. http://dx.doi.org/10.1016/j.bloc.2017.01.007.

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Huang, Li-Qu, Jun Wang, Zheng Ge, Geng Ma, Ru-Gang Lu, Yong-Ji Deng, Song-Ming Huang et Yun-Fei Guo. « Comparative study of urethroplasties to reduce urethral strictures in patients with severe hypospadias ». Journal of International Medical Research 47, n^o 4 (12 février 2019) : 1620–27. http://dx.doi.org/10.1177/0300060519826449.

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Objective Transverse island pedicle flap (TIPF) plus transected urethral plate-preserving urethroplasty is increasingly used for treatment of severe hypospadias. We aimed to reduce the occurrence of urethral strictures in patients undergoing such procedures. Methods Sixty-five patients with severe hypospadias were enrolled. Thirty-two patients underwent onlay-tube-onlay urethroplasty (Group A), and 33 patients underwent modified Duplay urethroplasty (Group B). Postoperative complications were recorded, including fistulas, urethral strictures, and diverticula. Results Three patients (9.4%) in Group A and 10 patients (30.3%) in group B had urethrocutaneous fistulas. Three patients (9.4%) in Group A and 0 patients (0%) in Group B had urethral strictures. No patient in the two groups had symptoms of diverticulum or penile chordee. The results of uroflowmetry were better in Group B than Group A, when comparing uroflow patterns. Conclusions TIPF plus transected urethral plate-preserving urethroplasty can lower the occurrence of stricture, which is a challenging complication. The occurrence of stricture was lower in patients who underwent modified Duplay urethroplasty, and neourethral function and quality were better in these patient. Thus, this modified procedure can be used for treatment of severe hypospadias.

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Nourissat, Geoffroy, Marie Beatrice Hardy, Jerome Garret, Pierre Mansat et Arnaud Godenèche. « Glenoid Cartilage Lesions Compromise Outcomes of Surgical Treatment for Posterior Shoulder Instability ». Orthopaedic Journal of Sports Medicine 8, n^o 1 (1 janvier 2020) : 232596711989812. http://dx.doi.org/10.1177/2325967119898124.

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Background: Posterior shoulder instability is associated with nonspecific symptoms, including pain, subluxation, and functional impairment, which complicate its diagnosis and management. Owing to the rarity of the condition, there are no present decision tools for its diagnosis and treatment. Purpose: To investigate demographic, lesional, and surgical factors that influence functional outcomes in patients treated for posterior shoulder instability. Study Design: Case-control study; Level of evidence, 3. Methods: We analyzed the clinical and radiographic records of 150 patients treated surgically for isolated posterior shoulder instability at 10 centers between 2000 and 2015, of which 144 were eligible for inclusion: 114 men (79%) and 30 women (21%) (mean ± SD age, 28.7 ± 9.6 years). The mean time between onset of symptoms and surgery was 66 ± 75 months. Shoulder instability was of traumatic origin in 115 patients (80%). The primary treatment was bone-block procedures for 65 patients (45%), posterior Bankart repair for 67 (47%), and capsular plication for 12 (8%). Patients were assessed with the Constant and Walch-Duplay scores at a mean follow-up of 51 ± 32 months (range, 12-159 months). Uni- and multivariable regression analyses were performed to determine associations between clinical scores and sex, age, traumatic origin, type of lesion, type of procedure, and follow-up. Results: At final follow-up, subluxations or dislocations recurred in 24 patients (17%). The overall Constant score was 86.2 ± 14.5, with a pain component of 12.6 ± 3.5. The Walch-Duplay score was 79.8 ± 24.2. Multivariable regressions revealed that the presence of a glenoid cartilage lesion was the only factor associated with worse Constant score (beta = –10; P = .013) and Walch-Duplay score (beta = –16.7; P = .024) across all subcomponents. Conclusion: The only factor that jeopardized functional outcomes of posterior instability surgery was the presence of glenoid cartilage lesions. Knowing that shoulders with glenoid cartilage lesions are at greater risk of residual pain or instability could help manage patient expectation and justify faster intervention before lesions deteriorate.

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Steckler, Robert Eric, et Mark R. Zaontz. « Stent-Free Thiersch-Duplay Hypospadias Repair With the Snodgrass Modification ». Journal of Urology 158, n^o 3 (septembre 1997) : 1178–80. http://dx.doi.org/10.1016/s0022-5347(01)64417-3.

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Brzoska, Roman, Hubert Laprus, Shahbaz S. Malik, Wojciech Solecki, Barlomiej Juszczak et Adrian Blasiak. « Return to Preinjury-Level Sports After Arthroscopic Latarjet for Recurrent Anterior Shoulder Instability in Professional Athletes ». Orthopaedic Journal of Sports Medicine 11, n^o 5 (1 mai 2023) : 232596712311663. http://dx.doi.org/10.1177/23259671231166371.

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Background: The Latarjet procedure is recommended to treat recurrent anterior shoulder instability with glenoid bone loss. Longer return-to-sport (RTS) times have been reported after the open Latarjet when compared with the arthroscopic Latarjet. Purpose: To assess the clinical outcomes and RTS in athletes who underwent an arthroscopic Latarjet. Study Design: Case series; Level of evidence, 4. Methods: This study included 46 professional athletes with recurrent anterior shoulder instability who underwent an arthroscopic Latarjet between 2010 and 2016. Patients were divided by type of sport: noncollision and nonoverhead (n = 22), collision and martial arts (n = 13), and overhead (n = 11). Sport activity was evaluated with the Kerlan-Jobe Orthopaedic Clinic (KJOC) score, Subjective Patient Outcome for Return to Sports score, and RTS time. Clinical results were evaluated by Constant-Murley score, Walch-Duplay score, and range of external and internal rotation. Complication rates, recurrence of shoulder instability, and number of revision procedures were recorded. Correlation tests were used to assess the relationship between measured parameters. Results: The mean ± SD patient age was 27.1 ± 7.3 years, and the mean follow-up was 50.7 ± 18 months. Overall, 44 patients (95.7%) returned to their previously practiced sports, and 40 (87%) returned to their preinjury levels. The RTS time was 5 ± 1.4 months, with no significant difference among sport types. KJOC and Subjective Patient Outcome for Return to Sports scores were 95.2 ± 5.6 and 9.5 ± 1, respectively. Significant pre- to postoperative improvement was seen on the Constant-Murley score (from 54.3 ± 9.4 to 87.9 ± 8.2; P = .001) and Walch-Duplay score (from 53.7 ± 7.3 to 88.1 ± 10.7; P = .001). Mean postoperative external and internal rotation was 72.8° ± 18.6° and 81.3° ± 11.3°. Procedure-related complications occurred in 10 patients (21.7%); recurrence of shoulder instability was observed in 4 (8.7%); and 4 (8.7%) underwent revision surgery. A worse Walch-Duplay score was significantly associated with longer RTS time ( r = –0.39; P = .019) and lower KJOC score ( r = 0.29; P = .03). Conclusion: There was a 95.7% RTS rate after the arthroscopic Latarjet procedure, although the procedure was not free from complications.

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Fouasson-Chailloux, Alban, Daniel Estoppey, Alan Perdreau, Charles Bessière, Yariv Goldstein et Christophe Duysens. « Recurrent Anterior Shoulder Instability Treated Using the Arthroscopic Bankart–Latarjet Technique : Experience of a Peripheral Hospital ». Journal of Clinical Medicine 12, n^o 16 (14 août 2023) : 5274. http://dx.doi.org/10.3390/jcm12165274.

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The arthroscopic Bankart–Latarjet procedure is used in the surgical management of anterior shoulder instability. This technique is mainly performed in referral centers due to its high technicity. This study aimed to evaluate surgical outcomes in a peripheral hospital center. This is a retrospective study of patients treated for recurrent anterior shoulder instability. The clinical scores (Walch–Duplay, Rowe, and Western Ontario Shoulder Instability Index (WOSI)) were assessed preoperatively and at 12 months after surgery. The consolidation and the position of the bone block were evaluated at 6 months using a CT scan. Between 2016 and 2020, 40 patients had been operated on (mean age: 28.5 ± 7.9 years). During a mean follow-up of 29.5 ± 11.6 months, we noted only one complication, a case of fracture of the callus of a consolidated bone block. No recurrence of instability was recorded. The Walch–Duplay score increased from 17.8 to 94.6, the Rowe score from 24.9 to 96.8, and the WOSI score decreased from 52.1% to 6.9%. The bone block was consolidated in 35 patients (87.5%), and a flush position with the anterior edge of the glenoid was noted for all patients. At one year, 67.0% of the patients practicing sport had returned to sports. The arthroscopic Bankart–Latarjet technique was a reliable procedure in the hands of an experienced shoulder surgeon, even in a peripheral hospital center.

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Yamaçake, Kleiton Gabriel Ribeiro, Amilcar Martins Giron, Uenis Tannuri et Miguel Srougi. « A rare case of perineal hamartoma associated with cryptorchidism and imperforate anus : case report ». Einstein (São Paulo) 12, n^o 2 (juin 2014) : 234–36. http://dx.doi.org/10.1590/s1679-45082014rc2746.

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A full-term male neonate with anorectal anomaly and external perineal anomalies was referred to our service. Physical examination showed an epithelized perineal mass with cutaneous orifices, which had urine fistulization, hipotrofic perineal musculature, bilateral congenital clubfoot, hipospadic urethra, criptorquidy bilateral with nonpalpable testis and imperforate anus. A colostomy was constructed immediately after birth. The child underwent excision of perineal mass, bilateral orchidopexy, Duplay neourethroplasty and coloanal anastomosis at 3 months of age. The histopathological examination of the perineal mass revealed a hamartoma.

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Duarsa, Gede Wirya Kusuma, Pande Made Wisnu Tirtayasa, Besut Daryanto, Pradana Nurhadi, Johan Renaldo, Tarmono Tarmono, Trisulo Utomo et al. « Common Practice of Hypospadias Management by Pediatric Urologists in Indonesia : A Multi-center Descriptive Study from Referral Hospitals ». Open Access Macedonian Journal of Medical Sciences 7, n^o 14 (14 juillet 2019) : 2242–45. http://dx.doi.org/10.3889/oamjms.2019.628.

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BACKGROUND: Hypospadias is the second most common congenital anomalies among human congenital disabilities. There are over 300 surgery techniques being introduced to treat hypospadias. The successful of hypospadias repair is assessed by several outcomes as well as complications following surgery. AIM: This study aims to show the multicenter hypospadias data in Indonesia descriptively. METHODS: All the data were compiled based on questionnaires, which were distributed to Indonesian pediatric urologists. The questionnaire includes several questions containing demographic aspect, preferred techniques being used, and complications being found regarding hypospadias repair. RESULTS: Eighteen Indonesian pediatric urologists from 12 centres involved in this study. The data were collected from June – September 2018 based on the surgeon’s experience throughout 2017. From 591 cases based on the returned questionnaire, penile-type hypospadias was the most common type of hypospadias being treated (35.7%) followed by penoscrotal (28.9%) and scrotal-type (12.9%). Moderate severity of chordee was mostly seen among all cases (40.6%). Tubularised incised plate (TIP), + Thiersch Duplay, was the most common technique being used to treat hypospadias (44.3%), followed by onlay island preputial flap (14.9%) and two-stage technique (14%). The incidence of urethrocutaneous fistulae in this study was 13.9%. CONCLUSION: This study showed how Indonesian pediatric urologists dealt with hypospadias cases. TIP + Thiersch Duplay procedure being the preferred technique used by most participants and the rate of urethrocutaneous fistulae as one of the complications was comparable with previous studies.

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França, Flávio, André Godinho, Diego Carneiro Leal, Mateus Mantovani, Rafael Frazão et Ricardo Mariz. « Resultados clínicos e de imagem da abordagem da lesão de Hill-Sachs pela técnica de remplissage na instabilidade anterior do ombro ». Revista Brasileira de Ortopedia 54, n^o 01 (février 2019) : 013–19. http://dx.doi.org/10.1016/j.rbo.2017.10.010.

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ResumoAvaliar o resultado funcional da técnica de remplissage, a cicatrização da capsulotenodese do tendão infraespinal no defeito de Hill-Sachs, o grau de infiltração gordurosa do músculo infraespinal e sua força de rotação lateral no pós-operatório.Foram avaliados 25 pacientes com luxação anterior recidivante do ombro e lesão de Hill-Sachs com índice de Hardy maior do que 20%, submetidos à técnica artroscópica de remplissage com seguimento mínimo de um ano. Os pacientes foram submetidos a avaliação clínica (escores funcionais de Carter-Rowe e Walch-Duplay, medição de amplitude de movimento e força) e exame de ressonância magnética no ombro operado.Dos pacientes, 88% e 92% apresentaram resultados bons ou excelentes nas avaliações funcionais pelos escores de Carter-Rowe e Walch-Duplay, respectivamente. Identificou-se diferença média de 1 kg a menos de força do membro operado em relação ao contralateral (p < 0,001) e diferença média de 10∘ em rotação lateral 1 e 2 (p < 0,001), novamente com o uso como referência do lado contralateral. Todos os pacientes submetidos a ressonância magnética apresentaram preenchimento de alto grau da lesão de Hill-Sachs pela capsulotenodese, assim como ausência ou mínima infiltração gordurosa no músculo infraespinal.A técnica de remplissage apresentou resultados bons/excelentes nos escores funcionais, apesar da perda discreta de força e amplitude de rotação lateral com significância estatística. Foram observados resultados excelentes quanto à cicatrização da capsulotenodese e ao preenchimento do defeito de Hill-Sachs.

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Stracuzzi, G., S. Ranno, G. Minaldi, R. Leonardi et M. G. Turco. « Hypospadias : Classification and criteria for surgery ». Urologia Journal 64, n^o 4 (août 1997) : 393–99. http://dx.doi.org/10.1177/039156039706400404.

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– The authors report on 579 cases of hypospadias operated between 1975 and 1995 (405 Balkan, 112 penile and 62 with involvement of the scrotum). The first 90 cases were treated with traditional techniques (45 Ombredanne, 25 Matthieu, 15 Duplay-Marion, 5 Brown), the most recent, from 1979 to 1995, by urethroplasty with pedunculated island strips. The authors describe these techniques applied to the various kinds of hypospadias and conclude that modern techniques (modified MAGPI, modified Standoli, Micali) permit reconstruction in one session with few complications.

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Steckler, Robert Eric, et Mark R. Zaontz. « Discussion : Stent-Free Thiersch-Duplay Hypospadias Repair With the Snodgrass Modification ». Journal of Urology 158, n^o 3 (septembre 1997) : 1181. http://dx.doi.org/10.1016/s0022-5347(01)64418-5.

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Todd, S. Rob, Gary T. Marshall et Alan H. Tyroch. « Acute Gastric Dilatation Revisited ». American Surgeon 66, n^o 8 (août 2000) : 709–10. http://dx.doi.org/10.1177/000313480006600801.

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First described by S.E. Duplay in 1833, acute gastric dilatation has since been well documented in the literature. Several theories of the pathogenesis of acute gastric dilatation have been postulated. In 1842, Karl Freiherr von Rokitansky described the superior mesenteric artery syndrome, followed by W. Brinton in 1859 with the atonic theory. C.R. Morris et al. introduced debilitation and anesthesia as predisposing factors. Although rare, gastric necrosis is the most severe consequence of acute gastric dilatation. Vascular insufficiency secondary to increased intragastric pressure is the critical factor. We report an unusual case of acute gastric dilatation with subsequent necrosis of uncertain etiology.

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AMUKELE, SAMUEL A., ADAM C. WEISER, JEFFREY A. STOCK et MONEER K. HANNA. « RESULTS OF 265 CONSECUTIVE PROXIMAL HYPOSPADIAS REPAIRS USING THE THIERSCH-DUPLAY PRINCIPLE ». Journal of Urology 172, n^o 6 Part 1 (décembre 2004) : 2382–83. http://dx.doi.org/10.1097/01.ju.0000143880.13698.ca.

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Murat, F. J., M. Kulisa, A. F. Valmalle, P. Y. Wolf et H. Dodat. « MODIFIED THIERSCH-DUPLAY TECHNIQUE REDUCES FISTULA FORMATION AFTER PRIMARY DISTAL HYPOSPADIAS REPAIR ». European Urology Supplements 5, n^o 2 (avril 2006) : 284. http://dx.doi.org/10.1016/s1569-9056(06)61048-8.

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Angerpointner, Thomas A. « Surgery in severe forms of hypospadias according to Cecil-Duplay/Cecil-Leveuf ». Journal of Pediatric Surgery 23, n^o 11 (novembre 1988) : 1084. http://dx.doi.org/10.1016/s0022-3468(88)80111-8.

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Gharib, M., H. J. Pompino et E. Slany. « Harnröhrenaufbau bei schwergradigen Hypospadien nach der Methode von Cecil-Duplay / Cecil-Leveuf ». European Journal of Pediatric Surgery 42, n^o 05 (21 avril 2008) : 293–98. http://dx.doi.org/10.1055/s-2008-1075606.

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Hardy, Alexandre, Vincent Sabatier, Bradley Schoch, Marie Vigan et Jean David Werthel. « Latarjet with cortical button fixation is associated with an increase of the risk of recurrent dislocation compared to screw fixation ». Knee Surgery, Sports Traumatology, Arthroscopy 28, n^o 7 (17 décembre 2019) : 2354–60. http://dx.doi.org/10.1007/s00167-019-05815-6.

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Abstract Purpose The purpose of this study was to compare the clinical results of the Latarjet procedure using two cortical buttons vs two screws. It was hypothesized that cortical button would result in similar rates of recurrent dislocations, but a lower rate of reoperation compared to screw fixation. Methods A retrospective comparative case-cohort analysis was performed for all patients undergoing a Latarjet procedure for recurrent anterior glenohumeral instability. Patient demographics, number of dislocations prior surgery, arm dominance, shoulder hyperlaxity, level of sport, type of sport and ISIS score were collected. Shoulders were separated into two groups based on surgical fixation (screws vs cortical button). Postoperatively, shoulders were evaluated for recurrent dislocation, revision surgery, post-operative Walch–Duplay score, and the Simple shoulder test (SST). Two hundred and thirty-six patients were included in the screw fixation group (group A) and 72 in button fixation group (group B) and were evaluated at a mean follow-up of 3.4 ± 0.8 years. Demographics of the two groups were similar with the exception of operative side hand dominance, which was more common in group B [50 (69.4%) vs 128 (54.2%), p = 0.02]. Results Recurrent dislocation was significantly lower in Group A: 6 (2.5%) vs 6(8.3%) (p = 0.02). Reoperation was more common in group A [14 (5.9%) vs 0 (0%)]. At follow-up, Walch–Duplay scores and simple shoulder tests were similar in both groups. Conclusion Button fixation for Latarjet showed higher rates of recurrent dislocation compared to screw fixation. However, the increased stability afforded by screw fixation needs to be weighed against the increased risk of reoperation for hardware prominence. Level of evidence III.

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Rattier, Simon, Thibaut Druel, Yoshihiro Hirakawa, Falk Gröger, Floris van Rooij et Lionel Neyton. « Use of Cannulated Screws for Primary Latarjet Procedures ». Orthopaedic Journal of Sports Medicine 10, n^o 8 (1 août 2022) : 232596712211178. http://dx.doi.org/10.1177/23259671221117802.

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Background: Rapid consolidation of the bone block is paramount for the success of the Latarjet procedure. Noncannulated screws have shown satisfactory long-term bone block fusion, while cannulated screws are challenged with inferior mechanical properties and fusion rates. Purpose: To report outcomes of the Latarjet procedure using cannulated screws, notably bone block fusion and complication rates at 3 months, as well as clinical scores and return to sports at minimum 2 years postoperatively. Study Design: Case series; Level of evidence, 4. Methods: We reviewed the records of 124 consecutive patients (124 shoulders) who underwent primary Latarjet procedures using cannulated screws between 2015 and 2018. All patients underwent clinical examination at 3 months postoperatively, including range of motion and radiographs to assess graft fusion. The Walch-Duplay score, Rowe score, Subjective Shoulder Value, and visual analog scale for pain were collected at a minimum follow-up of 2 years. Results: Overall, 9 patients (7%) required reoperation: 7 (6%) had screw removal for unexplained residual pain, 1 (0.8%) had lavage for deep infection, and 1 (0.8%) had evacuation to treat a hematoma. Furthermore, 3 patients (2.4%) had recurrent instability, none of whom underwent reoperation. At 3-month follow-up, all 124 shoulders showed complete radiographic graft fusion, and at 40 ± 11 months (mean ± SD; range, 24-64 months), 88% of patients had returned to sport (109/124), the Walch-Duplay score was 86 ± 14, Rowe was 84 ± 15, Subjective Shoulder Value was 88 ± 11, and visual analog scale for pain was 1 ± 1. Conclusion: The clinical relevance of these findings is that 4.5-mm cannulated screws are safe and effective for primary Latarjet procedures and grant adequate graft healing, with low recurrence of instability and a high rate of return to sports.

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Brejuin, Alexis, Mathieu Girard, Florence Dauzere, Thomas Baron, Pierre Mansat et Nicolas Bonnevialle. « Long-term results of arthroscopic Bankart repair with remplissage ». Orthopaedic Journal of Sports Medicine 10, n^o 3_suppl (1 mars 2022) : 2325967121S0035. http://dx.doi.org/10.1177/2325967121s00359.

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Objectives: Arthroscopic Bankart repair with Hill-Sachs remplissage (BHSR) is suggested to treat anterior shoulder instability when there is an engaging humeral lesion. The objective of this study was to report the long-term clinical and radiological results of this procedure. Methods: This is a retrospective monocentric study including patients who underwent surgery for anterior shoulder instability by BHSR, seen again within a minimum of 5 years. 70% of the 51 patients (mean age 26 years; 16 - 49; ± 8.453 years) practiced sports. The mean ISIS score was 3.306 (0 - 7; ± 1.798). At the last follow-up, active range of motion, Subjective Shoulder Value (SSV), and Walch-Duplay and Rowe scores were measured. A radiographic assessment enabled the evaluation of arthrosis according to Samilson’s classification. Results: At a mean clinical follow-up of 86.8 months (60.0 - 123.9 ± 17.0 months), 83% of the patients had resumed sports activities. The mean Rowe, Walch-Duplay and SSV scores were 88.8 points (51-100; ± 12.4), 82.6 points (50 - 100; ± 16.4) and 87.9% (50 - 100, ± 8.5), respectively. 8 patients (15.6%) had a recurrence of dislocation or incomplete dislocation. In univariate analysis, patients who were stable at the last follow-up had a significant mean decrease in external rotation in adduction of 7° (p = 0.02) and in abduction of 6° RE2 (p = 0.006), a shallower Hill-Sachs (18% vs 25% of the humeral head diameter; p = 0.04), and were older (27 vs 19 years, p = 0.04). Radiographically, 84% of the patients had no osteoarthritis progression, while 13% had grade I osteoarthritis progression. Conclusion: BHSR allows resumption of sports activity in the majority of cases, with minor limitation of external rotation. However, the high failure rate in more than 5 years suggests that this procedure should be proposed with caution in case of a deep Hill-Sachs in young subjects.

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Mir, Mushtaq, Shabir Ahmad Mir, Muddassir Shahdhar, Mumtazdin Wani, Hakim Adil Moheen et Jahangeer Ahmad Bhat. « Comparative study of Mirs’(Mushtaq and Shabir) technique of prepuce preserving minimally invasive urethroplasty with Snodgrass urethroplasty for repair of distal hypospadias without chordee…A prospective study ». Indian Journal of Plastic Surgery 48, n^o 01 (janvier 2015) : 048–53. http://dx.doi.org/10.4103/0970-0358.155269.

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ABSTRACT Background: There is no single, universally applicable technique for hypospadias repair and numerous techniques have been practised from time to time. We compare the results of our new technique (Mirs’ technique also called Mush & Shab’s technique) to Snodgross urethroplasty. Mirs’ technique is a modified version of Thiersch-Duplay urethroplasty. Material and Methods: This prospective comparative study was carried out in a tertiary care hospital of Northern India over a period of 3 years from March 2010 to March 2013 and included 120 patients of anterior (distal penile, subcoronal, coronal and glanular) hypospadias without chordee. They underwent either Mirs’ technique (group 1 n = 60) or Snodgrass technique (group 2 n = 60). Follow-up was at 1-week, 1-month, 3 months and 6 months. Results: The mean operative time was 55 min (range: 43-70 min) in group 1 and 71.9 min (range: 60-81 min) in group 2 (P & 0.001). Urethrocutaneous fistula developed in two and four patients in group 1 and 2, respectively. Fistula closure was done at least 3 months postoperatively, and there was no significant difference in success rate between the two groups. Three cases of glanular dehiscence were detected (one in group 1 and two in group 2); the patient from group 1 had a successful repair using the already preserved prepuce. Conclusion: Mirs’ modification of Thiersch-Duplay technique for distal hypospadias is a time saving procedure with a lower overall complication rate. Valuable local tissue is preserved to deal with any complication that may occur. Analgesic requirement was significantly lower in this minimally traumatic technique. As it is less time consuming, simple and easy to learn with a short learning curve, this technique deserves application in cases of distal hypospadias.

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Brzóska, Roman, Adrian Błasiak, Wojciech Solecki, Hubert Laprus, Maciej Kiciński, Andrzej Grzegorzewski et Bartłomiej Kordasiewicz. « Arthroscopic Latarjet Procedure With 2-Screw Stabilization : Results of Treatment of 156 Cases with a Minimum of 2-Year Follow-Up. Multicenter Study ». Ortopedia Traumatologia Rehabilitacja 24, n^o 4 (31 août 2022) : 223–37. http://dx.doi.org/10.5604/01.3001.0015.9967.

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Background. Various arthroscopic stabilization procedures are associated with recurrence rates ranging from 10.8% to 21.1%. Recurrences occur especially in young male patients participating in contact sport activities. Bony defects of the humeral head and the glenoid predispose not only to subsequent dislocations but also to failure of surgical treatment. This is the group where "bony" procedures such as arthroscopic Latarjet are recommended to provide better stability as the primary treatment. Material and methods. Patients with traumatic unidirectional anterior shoulder instability treated from 2009 to 2016 with an arthroscopic Latarjet procedure operated on in two centres. Clinical results, including range of motion, Subjective Shoulder Value and Walch-Duplay score, and postpoperative complications were evaluated. Results. 156 patients were available for follow-up at a minimum of 2 years after surgery. The mean follow-up was 43±18 months. Mean age at the time of surgery was 27.9 (16-53) years. At final follow-up, 8 cases of recurrent instability were identified, including 6 cases of recurrent dislocation and two cases of recurrent subluxation. Mean Walch-Duplay score increased from 30±19 preoperatively to 83±16 (p<0.05) at the last follow-up. An average loss of external rotation of 11.8⁰ (0-70) (p<0.05) when compared with the contralateral shoulder was observed at the last follow-up. Mean Subjective Shoulder Value score was 92.8±9.4%. 8 (5%) patients presented with loss of shoulder stability. 25 (15.8%) patients reported subjective return to sport anxiety. Eleven (7%) patients complained of anterior compartment pain. The total number of revision surgeries was 14 (8.9%). Conclusions. 1. The arthroscopic Latarjet procedure can achieve satisfactory clinical outcomes for the treatment of anterior shoulder instability 2. The rate of complications and recurrence does not increase with time and is comparable at a minimum of 2 years’ follow-up to early results described in literature.

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Vedrenne, Paul, Mohamad K. Moussa, Kévin Picard, Thomas Bauer et Alexandre Hardy. « A Technique to Augment Arthroscopic Bankart Repair With or Without a Metal Block : A Comparison ». Journal of Clinical Medicine 14, n^o 2 (18 janvier 2025) : 616. https://doi.org/10.3390/jcm14020616.

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Introduction: Arthroscopic Bankart repair (ABR) is associated with an increased failure rate over time. The Recenter implant, a metal block, is designed to reinforce capsulolabral repair. The aim of this study was to evaluate whether the addition of the Recenter implant to ABR reduces the rate of recurrence in patients with glenohumeral anterior instability. Materials and Methods: This was a retrospective, multicentric case–control study focusing on patients surgically treated for anterior shoulder instability from February 2012 to November 2019. This study compared patients undergoing ABR augmented with the “Recenter” implant (augmented ABR group) against those receiving traditional ABR. Primary outcomes measured included recurrence rates. Secondary outcome measures included functional scores (Walch–Duplay and the subjective shoulder test [SST], the auto Rowe score, satisfaction, pain, and the presence or absence of subjective subluxation and apprehension), return to sports, the range of motion, as well as other complications. Results: Thirty-two patients with augmented ABR were compared to forty-eight patients in the traditional ABR group, with mean follow-up periods of 5.2 ± 1.3 years and 6.1 ± 1.5 years, respectively. Three patients (9.4%) experienced recurrence in the “Recenter” group, versus eight (16.7%) in the other group (p > 0.05). The Walch–Duplay score was 70.2 ± 8.2 in the “Recenter” group and 64.2 ± 8 in the control group (p > 0.05). The SST score out of 100 was, respectively, 84.6 ± 6 and 81.5 ± 5.5 (p = 0.05). There were no early complications in the implant group. No statistically significant differences were observed between the two groups for the other outcomes. Conclusions: ABR safely restores shoulder stability in selected patients with subcritical glenoid bone deficiency. However, the addition of the Recenter metal implant did not improve outcomes compared to traditional Bankart repair and introduced presumed significant surgical time, technical challenges, and additional costs.

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Androutsos, G., et M. Karamanou. « Simon-Emmanuel Duplay (1836–1924) : un grand pionnier de la chirurgie de l’hypospadias ». Basic and Clinical Andrology 20, n^o 3 (30 juillet 2010) : 216–20. http://dx.doi.org/10.1007/s12610-010-0098-8.

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Bouhafs, A., J. L. Mege, R. Dubois, P. Chaffange et H. Dodat. « Technique de Duplay modifiée dans le traitement de l'hypospadias. À propos de 585 cas ». Annales d'Urologie 36, n^o 3 (2002) : 196–203. http://dx.doi.org/10.1016/s0003-4401(02)00099-2.

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Girard, Mathieu, Yoann Dalmas, Vadim Azoulay, Marie Martel, Simon Rattier, Marine Arboucalot, Pierre Mansat et Nicolas Bonnevialle. « Open or arthroscopic Latarjet ? Prospective analysis of the clinical results ». Orthopaedic Journal of Sports Medicine 9, n^o 2_suppl (1 février 2021) : 2325967121S0000. http://dx.doi.org/10.1177/2325967121s00004.

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Objectives: The arthroscopic bone block procedure in the treatment of anterior shoulder instabilities is now a validated technique. Nevertheless, few studies have compared the clinical results of this technique to the conventional Latarjet procedure. Therefore the objective of this study was to compare the short-term clinical results of the 2 surgical techniques. Methods: We conducted a monocentric prospective comparative study, including patients who had undergone a bone block procedure for anterior instability with a minimum follow-up of 12 months. Patients with a surgical history concerning the affected shoulder were excluded. Evaluation was based on the measurement of mobility, the Walch-Duplay score, the Rowe score, the Subjective Shoulder Value (SSV), return to sports, the Net Promoter satisfaction Score, and recurrence (subluxation/luxation). Scarring was assessed by the POSAS score. Results: It was possible to follow 45 patients: arthroscopy (A) n=22, open (O) n=25. With an average follow-up of 20 months (12-30), no recurrence of instability was recorded. No significant difference was noted between groups A and O in terms of the Walch-Duplay score (85±19 vs 91±11 points; p=0.3), the Rowe score (93±14 vs 95±9 points; p=0.9), the SSV (72% vs 88%; p=0.2) and the Net Promoter Score (9.3 vs 9.7; p=0.5). At 3 months, return to sports was 11% for group A vs 48% for group O (p=0.01). This difference was no longer significant at 6 months. Loss of external rotation in group A was significantly greater at 1.5 months -58°±18° vs -41°±17° (p=0.01) and 3 months -35°±20° vs -19°±18° (p=0.01). There was no difference in the POSAS score between the 2 groups. (p= 0.9). Conclusion: With a longer recovery time for joint amplitudes and a delayed return to sports, the arthroscopic double-button fixation procedure does not seem to provide any short-term clinical benefit. Longer follow-up is required to confirm these results.

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Hardy, Alexandre, Cécile Pougès, Pauline Duriez, Thomas Vervoort, Clément Lalanne, Caroline Bourgault, Xavier Demondion, Christophe Szymanski, Christophe Chantelot et Carlos Maynou. « Arthroscopic Bankart repair versus conservative treatment after primary anterior glenohumeral dislocation in patients under 25 years of age : A prospective randomized study ». Orthopaedic Journal of Sports Medicine 8, n^o 2_suppl (1 février 2020) : 2325967120S0000. http://dx.doi.org/10.1177/2325967120s00005.

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Background: Conservative treatment after primary anterior shoulder dislocation (ASD) is associated with a high recurrence rate in young patients. The main objective was to compare primary arthroscopic Bankart repair and conservative treatment 2 years after primary ASD in patients less than 25 years old. Methods: A prospective randomized study was conducted in patients between 18 to 25 years old after primary ASD. The first group had arthroscopic Bankart repair within 15 days and the second group was treated conservatively. Patients in both groups were immobilized in internal rotation for 3 weeks and followed the same rehabilitation protocol. Patients were clinically monitored in 3, 6, 12 and 24 months. The main outcome criterion was recurrent dislocation, subluxation or apprehension when the arm was placed in 90° abduction and external rotation. Secondary outcome criteria were functional scores (Quick-DASH, Walch-Duplay, WOSI), joint mobility and resumption of sports. Results: 40 patients were included (20 in the surgical group and 20 conservative group). The average age was 21 +/- 1.8 years with 33 men (82.5%) and 7 women (17.5%). Patients in the surgical group underwent surgery within an average of 4.3 +/- 2.4 days. In the surgical group, instability at 2 years was significantly less than in the conservative group (2 (10%) compared to 14 (70%); p=0.0001). Fewer patients had a recurrence (0 versus 6 (30%)), subluxation (2 (10%) versus 13 (65%); p=0.003), and apprehension (1 (5%) versus 11 (58%); p=0.0005). The Quick-DASH (6.5 versus 11.2 points), Walch-Duplay (88.4 versus 70.3 points; p=0.007) and WOSI (11.5 versus 17.7 points; p=0.035) functional scores were better in the surgical group at 2 years. 95% had resumed sport in the surgical group compared to 68% in conservative group. No per- or postoperative complications were reported. There was no significant difference in joint mobility. Conclusion: After primary ASD in young patients, arthroscopic Bankart repair decreased recurrent instability at 2 years and provided better functional recovery than conservative treatment.

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Werthel, Jean-David, Vincent Sabatier, Bradley Schoch, Lior Amsallem, Geoffroy Nourissat, Philippe Valenti, Jean Kany et al. « Outcomes of the Latarjet Procedure for the Treatment of Chronic Anterior Shoulder Instability : Patients With Prior Arthroscopic Bankart Repair Versus Primary Cases ». American Journal of Sports Medicine 48, n^o 1 (26 décembre 2019) : 27–32. http://dx.doi.org/10.1177/0363546519888909.

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Background: It remains unclear whether results differ between a Latarjet procedure performed after a failed arthroscopic Bankart repair and one performed as the primary operation. Purpose: To compare the postoperative outcomes of the Latarjet procedure when performed as primary surgery and as revision for a failed arthroscopic Bankart repair. Study Design: Cohort study; Level of evidence, 3. Methods: A multicenter retrospective comparative case-cohort analysis was performed for all patients undergoing a Latarjet procedure for recurrent anterior shoulder instability. Patients were separated into 2 groups depending on if the Latarjet procedure was performed after a failed arthroscopic Bankart repair (group 1) or as the first operation (group 2). Outcome measures included recurrent instability, reoperation rates, complications, pain, Walch-Duplay scores, and Simple Shoulder Test. Results: A total of 308 patients were eligible for participation in the study; 72 (23.4%) did not answer and were considered lost to follow-up, leaving 236 patients available for analysis. Mean follow-up was 3.4 ± 0.8 years. There were 20 patients in group 1 and 216 in group 2. Despite similar rates of recurrent instability (5.0% in group 1 vs 2.3% in group 2; P = .5) and revision surgery (0% in group 1 vs 6.5% in group 2; P = .3), group 1 demonstrated significantly worse pain scores (2.56 ± 2.7 vs 1.2 ± 1.7; P = .01) and patient-reported outcomes (Walch-Duplay: 52 ± 25.1 vs 72.2 ± 25.0; P = .0007; Simple Shoulder Test: 9.3 ± 2.4 vs 10.7 ± 1.9; P = .001) when compared with those patients undergoing primary Latarjet procedures. Conclusion: Functional outcome scores and postoperative pain are significantly worse in patients undergoing a Latarjet procedure after a failed arthroscopic Bankart repair when compared with patients undergoing primary Latarjet. The assumption that a failed a Bankart repair can be revised by a Latarjet with a similar result to a primary Latarjet appears to be incorrect. Surgeons should consider these findings when deciding on the optimal surgical procedure for recurrent shoulder instability.

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Sunay, Melih, Levent Emir, Ayhan Karabulut et Demokan Erol. « Our 21-Year Experience with the Thiersch-Duplay Technique following Surgical Correction of Penoscrotal Transposition ». Urologia Internationalis 82, n^o 1 (2009) : 28–31. http://dx.doi.org/10.1159/000176021.

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Khiami, F., E. Sariali, M. Rosenheim et P. Hardy. « Anterior shoulder instability arthroscopic treatment outcomes measures : The WOSI correlates with the Walch-Duplay score ». Orthopaedics & ; Traumatology : Surgery & ; Research 98, n^o 1 (février 2012) : 48–53. http://dx.doi.org/10.1016/j.otsr.2011.09.013.

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Gladkov, R. V., et V. V. Khominets. « Results of Modified Mini-Open Arthroscopically Assisted Bristow - Latarjet - Bankart Procedure ». Traumatology and Orthopedics of Russia 27, n^o 1 (15 avril 2021) : 106–20. http://dx.doi.org/10.21823/2311-2905-2021-27-1-106-120.

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The aim of the study — to evaluate clinical outcomes, complications, bone-block healing, positioning and subscapularis muscle insufficiency after modified mini-open arthroscopically assisted Bristow - Latarjet - Bankart procedure.Materials and Methods. The study included 133 patients who underwent modified mini-open arthroscopically assisted Bristow - Latarjet - Bankart procedure, assessed the functional outcome using the Rowe and Walch-Duplay scales, the range of motion and stability of the joint, and the function of the subscapularis muscle. All patients underwent CT, 82 patients were assessed for MR-signs of subscapularis muscle atrophy.Results. All patients were satisfied with the treatment results. The mean value on the Rowe scale increased from 35.7 [31,2; 41,0] to 91.3 [82,1; 96,8] (38 to 100 Me 90) (p<0.001) and on the Walch-Duplay scale from 41.5 [34,2; 44,5] to 88.9 [80,4; 97,2] (32 to 100, Me 88) (p<0.001). In 2 (1.5%) patients, shoulder dislocation recurred, in 9 (6.8%) patients, a positive test of premonition of dislocation or periodic feelings of instability were observed. There were no persistent contractures. In 6 (4.5%) cases, the graft was located medially and in 3 (2.3%) cases — laterally. The average α-angle was 14° [5°; 24°] (2° to 39°, Me 15). The proportion of the graft area lost due to resorbtion was 19% [9%; 30%] (from 6 to 58%, Me 20). Nonunion of the graft was observed in 4 (3.0%) patients, 2 (1.5%) of whom had a fracture and bone block migration. A significant (p = 0.021) decrease in the intensity of the MR-signal of the subscapularis muscle was observed, most pronounced in the lower portion. In 9 patients with a positive test of anticipation of dislocation or sensations of instability, the degree of bone block resorption (p = 0.038) and MR-signs of atrophy of the upper and lower portions of the subscapularis muscle were significantly higher (p = 0.031 and p<0.001), and the results of stress testing significantly worse (p<0.001) than in 122 patients without signs of instability.Conclusion. The results of this study show the efficacy of the modified arthroscopically-assisted Bristow - Latarjet - Bankart procedure in patients with large bone defects, when the soft tissue technique is not a reasonable option.

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Labattut, Ludovic, Thomas Chauvet, Romain Colombi, Emmanuel Baulot et Pierre Martz. « What did we learn from our first arthroscopic Trillat procedures ? Results, complications and failures in a series of 100 anterior shoulder stabilizations ». Orthopaedic Journal of Sports Medicine 9, n^o 2_suppl (1 février 2021) : 2325967121S0000. http://dx.doi.org/10.1177/2325967121s00005.

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Objectives: Arthroscopic adaptation of the Trillat procedure has become a part of the armamentarium for anterior shoulder instability. As the first team to have described a surgical technique, we present the results of our first 100 patients. Methods: This is a cohort study on a prospective database, descriptive of patients who had undergone surgery for chronic anterior shoulder instability between March 2011 the date our technique was developed, and October 2019. Patients were clinically and radiologically evaluated preoperatively (standard radiographs, CT scan) and postoperatively (standard radiographs) at 1, 3, 6 and 12 months and by CT scan 6 months postoperatively to evaluate the consolidation of the coracoid fracture and subscapularis muscle trophicity. Functional results were evaluated by Constant, SSV, Walch/Duplay and Rowe scores and recurrences of accidents due to instability and complications were collated. Results: 100 patients, mean follow-up of 25 months (6-96), mean age, 29 years (15-73), 71% sportspeople, mean age at first episode, 20 years (7-59), 20% hyperlaxity. 67% notches, 22% bony Bankart, 15% glenoid wear and 2% rotator cuff tear. The surgical technique was identical, there were 3 operators, average operating time was 50 min (26-145), 70% were ambulatory, there were 13 fractures and no conversion to an open technique. At the last follow-up there were 3 recurrences of luxation and 4 recurrences of subluxation and in 4 cases failure to recover muscle tone was noted. 95% of the sportspersons resumed their activity, 81% at the previous level. One year postoperatively, the Walsh-Duplay score was 88 (40-100) and the Rowe score was 92 (40-100). There were 4 cases of pseudoarthrosis, 3 of which were due to a technical defect, 2 coracoid fractures, 1 case of resolving sepsis and no neurological complications. There was no damage to the subscapularis. 97% of the patients were satisfied or very satisfied. Conclusion: This is the largest available series on the arthroscopic Trillat procedure. The results are identical to those in the preliminary series and as good as those for the reference techniques. Failures and complications were few and often the result of technical errors. The recovery of muscle tone in the limb on which surgery was performed seemed to influence the effectiveness of stabilization.

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Pulatkan, Anil, Mehmet Kapicioglu, Vahdet Ucan, Mustafa Ngeiywo Masai, Bulent Ozdemir, Sercan Akpinar et Kerem Bilsel. « Do Techniques for Hill-Sachs Remplissage Matter in Terms of Functional and Radiological Outcomes ? » Orthopaedic Journal of Sports Medicine 9, n^o 6 (1 juin 2021) : 232596712110081. http://dx.doi.org/10.1177/23259671211008152.

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Background: Different techniques are used for the remplissage procedure, including the double-pulley and mattress suture techniques. Both techniques have shown good results; however, it is unclear if one technique is superior. Hypothesis: The remplissage procedure using the double-pulley technique with 2 anchors would have superior functional and radiological outcomes compared with the mattress suture technique with a single anchor. Study Design: Cohort study; Level of evidence, 3. Methods: This study included patients with anterior shoulder instability who were treated using arthroscopic Bankart repair combined with remplissage between 2012 and 2017. A structured questionnaire was used to gather information on the following metrics: Instability Severity Index Score, hyperlaxity, Sugaya index, presence of a Hill-Sachs defect, number of dislocations before surgery, sports participation, radiological measurement of the Hill-Sachs lesion, postoperative range of motion in both shoulders, Rowe score, Walch-Duplay score, American Shoulder and Elbow Surgeons score, and Filling Index Score of Remplissage grade according to magnetic resonance imaging scans at the last follow-up. Results: There were 41 patients included with a mean age of 30 ± 7 years who underwent the Hill-Sachs remplissage procedure using the double-pulley technique with 2 anchors (n = 21; group DA) or the mattress suture technique with a single anchor (n = 20; group SA). At the final follow-up, there were no significant differences between the groups regarding the Instability Severity Index Score ( P = .134), the Sugaya index ( P = .538), sports participation ( P = .41), the radiological measurement of the Hill-Sachs lesion ( P = .803), or the Rowe score ( P = .182). However, there were significant differences between the groups in the Walch-Duplay score ( P = .012), American Shoulder and Elbow Surgeons score ( P = .005), and Filling Index Score of Remplissage grade ( P = .015), favoring group DA, as well as differences in external rotation in a neutral position (external rotation loss: 9° ± 3° [group SA] vs 12° ± 3° [group DA]; P = .003) and at 90° of abduction (external rotation loss: 8° ± 3° [group SA] vs 11° ± 3° [group DA]; P = .006), favoring group SA. Conclusion: In the remplissage procedure, the double-pulley technique provided better filling of the lesion and improvement in functional scores, but external rotation was limited compared with the mattress suture technique.

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Godenèche, Arnaud, Lorenzo Merlini, Steven Roulet, Morgane Le Chatelier, Damien Delgrande, Mo Saffarini et Pierre Métais. « Screw Removal Can Resolve Unexplained Anterior Pain Without Recurrence of Shoulder Instability After Open Latarjet Procedures ». American Journal of Sports Medicine 48, n^o 6 (17 avril 2020) : 1450–55. http://dx.doi.org/10.1177/0363546520916171.

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Background: Anterior shoulder instability can be successfully treated using Latarjet procedures, although a small proportion of patients report unexplained pain. Purpose/Hypothesis: The purpose was to report the prevalence and characteristics of patients with unexplained pain without recurrent instability after open Latarjet procedures and to determine whether screw removal can alleviate pain. The hypothesis was that unexplained pain without recurrent instability might be due to soft tissue impingements against the screw heads and that the removal of screws would alleviate or reduce pain. Study Design: Case series; Level of evidence, 4. Methods: We retrospectively reviewed the clinical and radiographic records of 461 consecutive shoulders treated by open Latarjet procedures for anterior instability between 2002 and 2014. Unexplained anterior pain was present in 21 shoulders (4.6%) and treated by screw removal at 29 ± 37 months (mean ± SD). Postoperative assessment at >12 months after screw removal included complications, visual analog scale for pain (pVAS), subjective shoulder value, Rowe score, Walch-Duplay score, and ranges of motion. The study cohort comprised the shoulders of 20 patients (9 women, 11 men) aged 25 ± 6 years (median, 25 years; range, 16-34 years) at screw removal and involved the dominant arm in 13 (62%) shoulders. Results: Screw removal alleviated pain completely in 14 shoulders (67%; pVAS improvement, 6.4 ± 1.8; median, 6; range, 3-8) and reduced pain in the remaining 7 (33%; pVAS improvement, 2.4 ± 1.4; median, 2; range, 1-5). At 38 ± 23 months after screw removal, 2 recurrences of instability unrelated to screw removal occurred. The subjective shoulder value was 79% ± 22% (median, 90%; range, 0%-95%); Rowe score, 85 ± 20 (median, 95; range, 30-100); and Walch-Duplay score, 82 ± 19 (median, 85; range, 25-100). Mobility improved in active forward elevation (171°± 14°), external rotation with the elbow at the side (61°± 12°), and external rotation with the arm at 90° of abduction (67°± 13°) and especially in internal rotation, with only 2 shoulders (10%) limited to T12 spine segment. Conclusion: The present findings confirm that unexplained anterior pain after Latarjet procedures can be related to the screws used to fix bone blocks, which can safely be alleviated or reduced by screw removal.

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Valenti, Philippe, Marco Cartaya et Jean-David Werthel. « Chronic anterior instability with hyperlaxity treated by arthroscopy using the Trillat technique with endobutton fixation : results for 14 cases ». Orthopaedic Journal of Sports Medicine 8, n^o 2_suppl (1 février 2020) : 2325967120S0000. http://dx.doi.org/10.1177/2325967120s00006.

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Background: Recurrent anterior instability associated with hyperlaxity remains a difficult challenge. In 1954, Trillat proposed osteoclasis of the coracoid process in order to make it more distal and more medial to place the conjoint tendon just in front of the humeral head. The conjoint tendon lowers and reinforce the stabilizing action of the subscapularis muscle in abduction. This open surgery technique has provided satisfactory results in patients with chronic anterior glenohumoral instability associated with massive irreparable rotator cuff tears. We hypothesized that this procedure could be arthroscopy-assisted with the use of an endobutton to treat anterior glenohumoral instability with hyperlaxity without engaging bone defects. Methods: This is a prospective study on 14 patients (9 females, 5 males; average age 25 years) who underwent surgery between 05/2014 and 12/2016. These were patients with anterior instability with hyperlaxity (external rotation > 85° / positive sulcus sign and no associated bone lesions). Arthroscopic surgery consisted of an antero-inferior capsuloplasty with Bankart repair combined with coracoid osteoclasis and fixation with an endobutton with a self-locking mechanism. The results were evaluated using SSV, Walch-Duplay, Rowe and Constant scores. Standard X-rays and a CT scan with 3D reconstructions were also performed at follow-up. Results: With an average follow-up of 26 months (24 to 32 months), no recurrent instability was reported, but persistent apprehension was found in 2 cases. The average Walch-Duplay score was 85 points, Rowe 89 points, the SSV 91% and adjusted Constant score 95.8%. The average VAS score was 0.8 points. The mean preoperative active anterior elevation of 178° decreased to 165° postoperatively and similarly, external rotation with the elbow at side decreased from 90° to 57°. At the last follow-up, all osteotomies healed. No complications were reported. Conclusion: Arthroscopy-assisted Trillat technique with the use of an endobutton appears to be a reliable technique for the treatment of hyperlaxity associated with chronic anterior glenohumoral instability without bone defect. Stabilization and adjustment of coracoid osteoclasis are provided by the endobutton; lowering and medial placement of the coracoid causes lowering of the subscapularis muscle by the conjoint tendon in abduction and thereby reinforces anterior capsuloplasty. Longer follow-up is required to confirm the reliability of this technique.

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Scheibel, Markus, Constanze Nikulka, Anton Dick, Ralf Juergen Schroeder, Ariane Gerber Popp et Norbert P. Haas. « Structural Integrity and Clinical Function of the Subscapularis Musculotendinous Unit after Arthroscopic and Open Shoulder Stabilization ». American Journal of Sports Medicine 35, n^o 7 (juillet 2007) : 1153–61. http://dx.doi.org/10.1177/0363546507299446.

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Background Postoperative subscapularis dysfunction after open shoulder stabilization has recently received increasing attention. The potential advantage of arthroscopic stabilization procedures is that they do not violate the subscapularis musculotendinous unit, which might preserve its structural integrity and clinical function, which would lead to superior clinical results. Hypothesis Arthroscopic shoulder stabilization does not lead to clinical and radiological signs of subscapularis insufficiency. Study Design Cohort study; Level of evidence, 3. Methods Twenty-two patients who underwent arthroscopic (group I, n = 12; average age, 30.9 years; mean follow-up, 37 months) or open (group II, n = 10; average age, 28.8 years; mean follow-up, 35.9 months) shoulder stabilization procedure were followed up clinically (clinical subscapularis tests and signs, Constant Score, Rowe Score, Walch-Duplay Score, Western Ontario Shoulder Instability Index and Melbourne Instability Shoulder Score) and by magnetic resonance imaging (subscapularis tendon integrity, cross-sectional area, defined muscle diameters, and signal intensity analysis [ratio infraspinatus/upper subscapularis and infraspinatus/lower subscapularis]). A third group (group 0) of 12 healthy volunteers served as a control. Results Clinical signs for subscapularis insufficiency were present in 0% of cases in group I and in 70% of cases in group II. There were no statistically significant differences in either group regarding Constant Score, Rowe Score, Walch-Duplay Score, Western Ontario Shoulder Instability Index, and Melbourne Instability Shoulder Score (P > .05). On magnetic resonance image, no subscapularis tendon ruptures were found. The cross-sectional area, the mean vertical diameter, and the mean transverse diameter of the upper and lower subscapularis muscle portion was significantly less in group II than in group 0 (P < .05). The signal intensity analysis revealed the infraspinatus/upper subscapularis ratio was significantly lower in group II than in group I or group 0. The infraspinatus/lower subscapularis ratio did not significantly differ in all 3 groups (P > .05). Conclusion This study confirms previous observations that open shoulder stabilization using a subscapularis tenotomy may lead to atrophy and fatty infiltration of the subscapularis muscle, resulting in postoperative subscapularis dysfunction. As expected, arthroscopic procedures do not significantly compromise clinical subscapularis function and structural integrity. However, no significant differences were observed in the overall outcome.

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Werthel, Jean-David, Vincent Sabatier, Lior Amsallem, Marie Vigan et Alexandre Hardy. « Outcomes of the Latarjet procedure for the treatment of chronic anterior shoulder instability : patients with prior arthroscopic Bankart repair versus primary cases ». Orthopaedic Journal of Sports Medicine 7, n^o 5_suppl3 (1 mai 2019) : 2325967119S0020. http://dx.doi.org/10.1177/2325967119s00204.

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Objectives The two most common surgical interventions for recurrent anterior shoulder instability include arthroscopic Bankart repair and the Latarjet procedure. However, indications for each procedure remain debated between surgeons with 90% of surgeons (except French surgeons) preferring soft tissue Bankart repair initially. It remains unclear whether the results of a Latarjet procedure performed after a failed arthroscopic Bankart repair differ from those performed for primary cases. The purpose of our study was to compare the postoperative outcomes of patients who had undergone a Latarjet as a primary surgery versus those who had had a Latarjet as revision surgery for a failed arthroscopic Bankart repair Methods Patients who had undergone open or arthroscopic Latarjet procedure between 2003 and 2015 in 5 fellowship-trained surgical practices were included. Charts were retrospectively reviewed to identify patients who had undergone a primary Latarjet or those who had had a Bankart repair prior to the Latarjet. Age, ISIS score, BMI, sports activity, hyperlaxity and delay before surgery were retrospectively collected. Outcome measures were prospectively collected, including range of motion, SSV, Walch-Duplay, scores, recurrence of instability, apprehension or new surgery. Results A total of 311 patients were included. 28% of the patients were lost to follow-up and the mean follow-up was 3.4 years +/-0.8. There were 21 patients who had had a Bankart repair prior to the Latarjet procedure. Both populations were comparable regarding preoperative data. The postoperative instability rate was 3% in the overall population; 4.8% in the “primary Latarjet” group and 2.3% in the ”Latarjet for failed Bankart” group. This difference was not significant (p=0.50). However, the mean Walch-Duplay score was significantly lower and the pain scores significantly higher in patients who had had a prior Bankart repair: 51.9 +/- 25 versus 72.1 +/- 25.2 and 2.5/10 versus 1.2/10 respectively. The Simple Shoulder Test was comparable in both groups. Conclusion The study confirms that the Latarjet is an effective procedure to treat primary chronic anterior instability and also to stabilize a shoulder after a failed Bankart repair. However, the thought that a Bankart repair does not “burn any bridges” appears to be incorrect relative to postoperative pain and functional scores in the setting of future Latarjet procedure.

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Montfort, G., D. Bretheau et V. Di Benedetto. « Mobilisation der Urethralen Platte und Urethroplastik nach Duplay : eine neue Technik zur Korrektur einer hinteren Hypospadie ». Aktuelle Urologie 24, n^o 05 (septembre 1993) : 255–58. http://dx.doi.org/10.1055/s-2008-1058310.

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Zaontz, Mark R., William E. Kaplan et Elizabeth L. Ritchie. « Use of distal Thiersch-Duplay urethroplastyfor proximal hypospadias repairs in conjunction with short island pedicle flap ». Urology 36, n^o 5 (novembre 1990) : 420–23. http://dx.doi.org/10.1016/s0090-4295(90)80288-x.

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Bonnevialle, Nicolas, Mathieu Girard, Yoann Dalmas, Vincent Martinel, Marie Faruch et Pierre Mansat. « Short-Term Bone Fusion With Arthroscopic Double-Button Latarjet Versus Open-Screw Latarjet ». American Journal of Sports Medicine 49, n^o 6 (8 avril 2021) : 1596–603. http://dx.doi.org/10.1177/03635465211001095.

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Background: Recently, arthroscopic double-button Latarjet (AL) has provided an alternative to conventional open Latarjet (OL) in the treatment of anterior shoulder instability with glenoid bone loss. Therefore, theoretically, the faster fusion is obtained, the sooner return to sports under safe conditions can occur. The emerging flexible fixation of the bone block has clearly offered a new approach to achieve bone fusion. However, the period required to achieve this goal remains controversial. Purpose/Hypothesis: The purpose was to compare computed tomography (CT) scan results of AL and OL in the early postoperative period. It was hypothesized that the bone block fusion with AL would require a longer time than that with OL. Study Design: Cohort study; Level of evidence, 3. Methods: In a retrospective 1-year study, the authors compared 17 primary double-button AL to 22 primary 2-screw OL procedures indicated for anterior shoulder instability in patients with an Index Severity Instability Score >3 points. These patients were reviewed with a CT scan at 1 day, 3 months, and 6 months postoperatively. The characteristics for the 2 groups were comparable. CT scans aimed to analyze graft position, bone contact area with the scapula, and fusion at 3 and 6 months. Clinical assessment was based on the Walch-Duplay and Rowe scores. Results: The mean preoperative Index Severity Instability Score was 5.3 ± 1.9 points, with a mean anterior glenoid bone loss of 9.1% ± 4.6%. At 3 months, the rates of fusion were 41% and 100% for the AL and OL groups, respectively ( P < .001). This rate increased to 70% in the AL group at 6 months ( P = .006). In the axial and sagittal planes, there was no difference in graft position between the AL group and the OL group. The bone block was longer and there was a more extensive bone contact area in the OL group (AL, 131 mm2 vs OL, 223 mm2; P < .001). At 6 months of follow-up, no significant difference in clinical scores was noted between the groups: Walch-Duplay score, 93.0 ± 10.9 points versus 91.8 ± 12.5 points ( P = .867); and Rowe score, 99.0 ± 2.2 points versus 95.0 ± 8.4 points ( P = .307) for the AL and OL groups, respectively. Conclusion: AL required more time to achieve bone block fusion than OL. This finding should be taken into account when considering this procedure for patients in a hurry to return to sports involving the shoulder.

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Hardy, Alexandre, Vincent Sabatier, Pierre Laboudie, Bradley Schoch, Geoffroy Nourissat, Philippe Valenti, Jean Kany et al. « Outcomes After Latarjet Procedure : Patients With First-Time Versus Recurrent Dislocations ». American Journal of Sports Medicine 48, n^o 1 (24 octobre 2019) : 21–26. http://dx.doi.org/10.1177/0363546519879929.

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Background: The preoperative number of dislocations has been previously proved to be a major factor influencing the results after Bankart repair with more preoperative dislocations correlated with higher recurrence rates and more reoperations. This could possibly be because of the lower quality of the tissue repaired during the procedure after multiple dislocations. On the other hand, the Latarjet procedure does not “repair” but rather reconstructs and augments the anterior glenoid. Purpose/Hypothesis: The main objective was to report the clinical outcomes of patients undergoing a Latarjet procedure after 1 dislocation versus multiple (≥2) dislocations. The hypothesis was that the preoperative number of dislocations would not influence clinical results. Study Design: Cohort study; Level of evidence, 3. Methods: Patients older than 18 years who had undergone a primary Latarjet procedure for shoulder instability with at least 2 years of follow-up were included. Three different techniques were used: a mini-open technique using 2 screws, an arthroscopic technique using 2 screws, and an arthroscopic technique using 2 cortical buttons. Patients were evaluated and answered a questionnaire to assess the number of episodes of dislocation before surgery, the time between the first dislocation and surgery, recurrence of the dislocation, revision surgery, the Walch-Duplay score, the Simple Shoulder Test score, and the visual analog scale (VAS) score for pain. Results: A total of 308 patients were included for analysis with a mean follow-up of 3.4 ± 0.8 years. Of that, 83 patients were included in the first-time dislocation group and 225 in the recurrent dislocation group. At last follow-up, the rates of recurrence and reoperation were not significantly different between groups: 4.8% in the first-time dislocation group versus 3.65% in the recurrent dislocation group and 6.1% versus 4.0%, respectively. The overall Walch-Duplay scores at last follow-up were also comparable between the 2 groups, 67.3 ± 24.85 and 71.8 ± 25.1, even though the first-time dislocation group showed a lower pain subscore (15.0 ± 8.6 vs 18.0 ± 7.5; P = .003). The VAS for pain was also significantly higher in the first-time dislocation group compared with the recurrent dislocation group (1.8 ± 2.3 vs 1.2 ± 1.7; P = .03). Conclusion: The number of episodes of dislocation before surgery does not affect postoperative instability rates and reoperation rates after the Latarjet procedure. However, patients with first-time dislocations had more postoperative pain compared with patients with recurrent dislocations before surgery.

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Angerpointner, Thomas A. « 220 Cases of distal hypospadias : Results of MAGPI and duplay procedures. Respective place of glanduloplasty and urethroplasty ». Journal of Pediatric Surgery 29, n^o 1 (janvier 1994) : 115. http://dx.doi.org/10.1016/0022-3468(94)90552-5.

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Samuel, M., et S. Capps. « Staged proximal hypospadias repair : Modified thiersch duplay with midline incision in urethral plate followed by Mathieu urethroplasty ». Journal of Pediatric Surgery 37, n^o 1 (janvier 2002) : 104–7. http://dx.doi.org/10.1053/jpsu.2002.29438.

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Paulus, C., T. Dessouki, M. Chehade, Ph Takvorian et H. Dodat. « 220 Cases of Distal Hypospadias : Results of MAGPI and Duplay Procedures. Respective Place of Glanduloplasty and Urethroplasty ». European Journal of Pediatric Surgery 3, n^o 02 (avril 1993) : 87–91. http://dx.doi.org/10.1055/s-2008-1063518.

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Kagantsov, I. M. « Surgical correction of severe forms of hypospadias in children ». Kazan medical journal 93, n^o 2 (15 avril 2012) : 255–60. http://dx.doi.org/10.17816/kmj2302.

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Aim. To search for an optimal method of surgical correction of proximal forms of hypospadias in children. Methods. During the period between 1998 and 2011 at the department of urology treated were 51 children with severe forms of hypospadias. Of the 51 patients under observation 13 patients had 21 operations performed out of our medical institution, at our hospital the patients underwent 98 operations: 7 types of urethroplasty in 51 patients. Results. The best results were obtained with a tubularized incised plate urethroplasty. After this intervention significantly fewer complications developed compared to the Duplay operation (p 0.001) and the techniques involving skin flaps - the so-called «flap» methods (p 0.05). After many years of applying various techniques for correction of proximal forms of hypospadias, in the author’s arsenal remain three: the tubularized incised plate urethroplasty, the Snodgraft intervention, and the two-stage Bracka operation. All of these operations bring together one key point - urethroplasty is performed from the urethral plate. Conclusion. The formation of the urethra from the urethral plate provides a positive functional and cosmetic result.

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Benevides, Caio Eduardo Gomes, Flávia Cristina Buzato Broch, Rodrigo Pinheiro de Abreu Miranda et Hélio Buson-Filho. « Correção de hipospádias distais em crianças : a reconstrução do prepúcio aumenta a taxa de complicações ? » Revista Eletrônica Acervo Saúde 24, n^o 8 (25 août 2024) : e17351. http://dx.doi.org/10.25248/reas.e17351.2024.

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Objetivo: Relatar a correção cirúrgica de hipospádias distais associada à reconstrução do prepúcio. Método: Estudo observacional retrospectivo de crianças submetidas à correção de hipospádia distal com prepucioplastia entre 2014 e 2022. Resultados: Um total de 70 pacientes foram operados consecutivamente pela mesma cirurgiã, a maioria com a técnica “Tubularized Incised Plate” - TIP/Snodgrass (65,7%), seguida em frequência pelas técnicas Inlay graft (21,4%), Thiersch-Duplay (11,4%) e Glans Approximation Procedure - GAP (1,4%). Em 12 casos (15,7%) ocorreram complicações que necessitaram de intervenção subsequente, sendo a grande maioria fimose, relacionada à reconstrução prepucial (10 casos, 14,3%, 9 deles necessitando de circuncisão, um respondendo bem ao tratamento com esteroides locais). Apenas 2 pacientes (2,8%) apresentaram complicações relacionadas à correção da hipospádia (estenose uretral – 1 meatal, 1 glandar). Um paciente apresentou hematoma isolado com resolução espontânea. Conclusão: Em nossa experiência, adicionar a reconstrução do prepúcio à correção da hipospádia distal não aumenta as taxas de complicações relacionadas à correção da hipospádia. Por outro lado, a prepucioplastia pode apresentar seus próprios riscos de complicações, que devem ser discutidas com os familiares que desejam este tipo de intervenção cirúrgica.

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Khiami, F., H. Sariali, M. Rosenheim et P. Hardy. « The WOSI correlates with the Walch-Duplay score in the assessment of arthroscopic treatment of anterior shoulder instability ». Annals of Physical and Rehabilitation Medicine 55 (octobre 2012) : e256-e257. http://dx.doi.org/10.1016/j.rehab.2012.07.1052.

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Merrot, T., Y. Teklali, H. Dodat et P. Alessandrini. « Traitement de l’hypospadias antérieur : comparaison de la technique modifiée de Mathieu au Duplay (à propos de 849 enfants) ». Annales d'Urologie 37, n^o 4 (août 2003) : 207–9. http://dx.doi.org/10.1016/s0003-4401(03)00090-1.

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Sharma, Shilpa, et Devendra K. Gupta. « Male Genitoplasty for Intersex Disorders ». Advances in Urology 2008 (2008) : 1–5. http://dx.doi.org/10.1155/2008/685897.

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Aim. To evaluate surgical procedures adopted for male genitoplasty in intersex disorders.Patients and Methods. Case records of intersex patients undergoing male genitoplasty from Pediatric Intersex clinic were studied.Results. Of 356 intersex cases undergoing urethroplasty from 1989–2007, the hypospadias was penoscrotal (68%), scrotal (17%) and perineal (15%). 351 patients underwent chordee correction for mild: moderate: severe chordee in 24 : 136 : 191 cases. Byars flaps were fixed upto the corona in 267 cases. Urethroplasty performed was Theirsch duplay in 335 cases, Snodgrass in 16 cases and Ducketts onlay graft in 5 cases that did not require chordee correction. Age at urethroplasty was 2.5 years—22 years (mean 11.5 years, median—5.6 years). Penoscrotal transposition correction and testicular prosthesis insertion were performed independently. Complications included fistula (45), recurrent fistula (11), stricture (12), baggy urethra (8) and recurrent infection due to persistent vaginal pouch (5). Additional distal urethroplasty was required in 15 patients for previous urethroplasty done upto the corona 5–15 years earlier.Conclusion. Hypospadias in intersex disorders is associated with severe chordee in most cases and requires an early chordee correction to allow phallic growth, staged urethroplasty and multiple surgeries to achieve good cosmetic and functional results.

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Acimi, Smail. « Comparative study of two techniques used in distal hypospadias repair : Tubularized incised plate (Snodgrass) and tubularized urethral plate (Duplay) ». Scandinavian Journal of Urology and Nephrology 45, n^o 1 (novembre 2010) : 68–71. http://dx.doi.org/10.3109/00365599.2010.526959.

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