Minimally invasive: arthroscopy

An arthroscope is a pencil-sized instrument that contains a lens and a light source connected to a television camera. It is used to view joints through very small incisions. Initially used for the knee, the instrument allowed interventions to be performed on the meniscus and ligaments without having to make incisions to open the joint. Since the 1980s and 1990s, arthroscopy has increasingly been used for the shoulder and elbow and, less frequently, for the wrist. In this age of technological revolution, the development of state-of-the-art instruments makes complex reconstruction surgery of the shoulder, elbow and wrist, which previously required incisions and major dissections, easier. In addition to significantly reducing postoperative pain and shortening recovery time, the development of these arthroscopic techniques has lowered the rate of certain complications associated with open surgery.

However, the mastery of arthroscopic techniques requires specialized training which, in most cases, ensures that interventions will be successful. Thus, although generally very safe, arthroscopy can (in less than 1% of cases) lead to infectious, neurological, vascular or other complications.

Before the operation, it is advisable to discuss recommendations, success/failure rates and the benefits and complications of arthroscopic surgery with the arthroscopic surgeon.

In the mid-1990s, I decided to perform shoulder surgery by arthroscopy. I wanted to develop an expertise that would allow me to participate in the rapid development of this new technology while also staying competitive with my American and European colleagues.

Furthermore, I am contributing to the advancement of this technology by conducting applied clinical research and developing new surgical instruments. I have presented these technical advances at scientific conferences in both the United States and Europe. I have performed more than 7000 arthroscopic procedures to date.