Docteur Vincent Villa
chirurgien orthopédiste, spécialiste du membre inferieur

Le Docteur Vincent Villa est spécialisé dans la chirurgie du membre inférieur.

Il pratique la chirurgie prothétique mini invasive de la hanche et du genou avec les techniques les plus modernes et la chirurgie du sportif par arthroscopie.

Il exerce également la chirurgie du pied et de la cheville.

Le docteur Vincent Villa a participé au développement de nouvelles techniques chirurgicales, largement diffusées, puisqu’il a participé à la formation de nombreux chirurgiens étrangers. Il est titulaire du titre post-grade de spécialiste en chirurgie orthopédique et traumatologie, membre de la FMH.

Chirurgies de la HANCHE

Sur cette page vous trouverez les différentes chirurgies de la hanche pratiquées (prothèse totale de hanche, révision prothèse totale de hanche, ...).
> En savoir plus

Chirurgies du genou

Sur cette page vous trouverez les différentes chirurgies du genou pratiquées (prothèse totale, arthroscopie du genou, ...).
> En savoir plus

Chirurgies du pied

Sur cette page vous trouverez les différentes chirurgies du pied pratiquées (chirurgie de l’hallux valgus, chirurgie griffe d’orteil, ...).
> En savoir plus

Espace professionnel

Opération : Conférence publique – mardi 28 novembre 2017

+

Comment bien récupérer après une opération

Les Drs Jacques Samani, Vincent Villa et Alexandre Burn, spécialistes FMH en orthopédie et traumatologie vous parlerons de la récupération post opération et animeront cette conférence publique qui se déroulera le mardi 28 novembre 2017, à la salle du Faubourg de l’Hôpital 65 (ancien bâtiment du SCAN, 1er étage), 2000 Neuchâtel.

Programme :

Dès 18h30 Accueil

18h45 Conférence publique

« Le mal de dos et ses solutions », Dr Jacques Samani

« Récupération optimisée après chirurgie du sportif », Dr Vincent Villa

« A chacun sa prothèse », Dr Alexandre Burn

19h45 Questions-Réponses

20h15 Cocktail dînatoire

Entrée libre mais sur inscription uniquement. Merci de confirmer votre présence d’ici au mercredi 22 novembre 2017 : par téléphone au +41 32 720 31 57 ou par e-mail : fnoghero@providence.ch

Total knee implant posterior stabilised by a third condyle: Designevolution and post-operative complications

+

ABSTRACT

Background: Despite excellent long-term outcomes, posterior stabilisation by a third condyle continuesto receive unwarranted criticism regarding patellar complications and instability.

Hypothesis: Complication rates with a tri-condylar posterior-stabilised implant are similar to those withother posterior-stabilised prostheses and have diminished over time due to improvements in prosthesisdesign.

Material and methods: Post-operative complications and revision rates were assessed retrospectively ina prospective cohort of 4189 consecutive patients who had primary total knee arthroplasty (TKA) usinga tri-condylar posterior-stabilised implant (Wright-Tornier) and were then followed-up for at least 24months. The analysis included 2844 knees. The prosthesis generations were HLS1®, n = 20; HLS2®, n = 220;HLS Evolution®, n = 636; HLS Noetos®, n = 1373; and HLS KneeTec®, n = 595. Complications were comparedacross generations by applying Fisher’s exact test, and survival was compared using the Kaplan-Meiermethod.

Results: At last follow-up, there had been 341 (12%) post-operative complications in 306 (10.8%) knees,including 168 (5.9%) related to the implant, 41 (1.4%) infections, and 132 (4.6%) secondary complicationsunrelated to the implant. Re-operation was required for 200 complications (7%), including 87 (3.1%) con-sisting in revision of the prosthesis. Implant-related complications were stiffness (n = 67, 2.4%), patellarfracture (n = 34, 1.2%), patellar clunk syndrome (n = 25, 0.9%), patellar loosening (n = 3, 0.1%), tibial/femoralloosening (n = 15, 0.5%), polyethylene wear (n = 3, 0.1%), and implant rupture (n = 1, 0.04%). Significantdifferences across generations were found for stiffness (P < 0.0001), patellar fracture (P = 0.03), clunk syn-drome (P = 0.03), and polyethylene wear (P = 0.004), whose frequencies declined from one generation tothe next. Overall 10-year survival was 92% with no significant difference across generations (P = 0.1).

Discussion: Outcomes of tri-condylar posterior-stabilised TKA are similar to those obtained using otherposterior-stabilised implants. Neither patellar complications nor instability are more common, andimprovements in implant design have contributed to correct early flaws.Level of evidence: IV, historical cohort, retrospective assessment of prospectively collected data.

© 2016 Elsevier Masson SAS. All rights reserved.

Read more :

Publication

Anterior Opening Wedge Osteotomy of the Tibia for the Treatment of Genu Recurvatum

+

SPECIAL TECHNICAL ARTICLE

Vincent Villa, MD,* Romain Gaillard,* Jonathan Robin, MD,w Caroline Debette, MD,Elvire Servien, PhD,* Sebastien Lustig, PhD,* and Philippe Neyret, PhD*

 

Summary: Pathologic genu recurvatum is defined by knee hyperextension in excess of 15 degrees and is usually asymmetric. This is a rare disease that can be related to bony, soft tissue or a combination of both. Patients with genu recurvatum commonly present with anterior knee pain, knee instability, ambulation difficulty on uneven ground, and patellofemoral instability. Anterior opening wedge osteotomy of the tibia is indicated when deformity in the sagittal plane emanates from the tibia (reversed posterior tibial slope) or a combination of tibia and soft tissue. The aim of this study is to present a surgical technique for anterior high tibial osteotomy, with indications, limitations, and review of the literature. We explain the different steps of the surgery with radiologic preoperative planning, skin incision and approach, osteotomy and fluoroscopic control, fixation, and bone grafting. Although this surgery is uncommon and difficult, the overall results in the literature are very positive and lead to increased patient satisfaction and function.

Key Words: genu recurvatum—opening wedge—high tibial osteotomy— tibial tubercle osteotomy—staples—bone grafting.

(Tech Orthop 2017;32: 66–73)

Read More :

Publication Villa

 

Voir tous les articles