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RhumatologueMédecins généralistes et spécialistes👤 Libéral intégral

M. Docteur JEAN-CHRISTIAN MULLER

📍 Amiens (80)Libéral💶 Secteur 1RPPS 10001830651

Diplômes

🎓 DES & spécialité ordinale

  • DES Rhumatologie
  • Rhumatologie (SM)

🎓 Diplômes

  • DE Docteur en médecine

Source : Annuaire Santé ANS (FHIR Practitioner.qualification) · Mises à jour quotidiennes.

Thèses universitaires

Source : catalogue national des thèses theses.fr (ABES). Ne couvre que les doctorats / HDR — les thèses d'exercice (DES) sont archivées dans les SCD universitaires.

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Adresses géocodées via la Base Adresse Nationale (api-adresse.data.gouv.fr). Précision indicative.

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🟢 Secteur 1 — Tarif conventionnéSource CNAM (Annuaire santé Ameli)
💳 Carte VitaleLibéral intégral
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Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).

Top publications · les plus citées

  • 1
    Developmental origin, functional maintenance and genetic rescue of osteoclasts

    Nature · 2019

    📚 380 citations🎯 RCR 15.71Top 1% NIH🔓 Open Access
  • 2
    Higher satisfaction after total knee arthroplasty using restricted inverse kinematic alignment compared to adjusted mechanical alignment

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022

    📚 140 citations🎯 RCR 26.36Top 0% NIH🔓 Open Access📄 PDF gratuit ↗
    Lire l'abstract Crossref ↓

    AbstractPurposeVarious alignment philosophies for total knee arthroplasty (TKA) have been described, all striving to achieve excellent long‐term implant survival and good functional outcomes. In recent years, in search of higher functionality and patient satisfaction, a shift towards more tailored and patient‐specific alignment is seen. The purpose of this study was to describe a restricted ‘inverse kinematic alignment’ (iKA) technique, and to compare clinical outcomes of patients that underwent robotic‐assisted TKA performed by restricted iKA vs. adjusted mechanical alignment (aMA).MethodsThe authors reviewed the records of a consecutive series of patients that received robotic‐assisted TKA with restricted iKA (n = 40) and with aMA (n = 40). Oxford Knee Score (OKS) and satisfaction on a visual analogue scale (VAS) were collected at a follow‐up of 12 months. Clinical outcomes were assessed according to patient acceptable symptom state (PASS) thresholds, and uni‐ and multivariable linear regression analyses were performed to determine associations of OKS and satisfaction with six variables (age, sex, body mass index (BMI), preoperative hip–knee–ankle (HKA) angle, preoperative OKS, alignment technique).ResultsThe restricted iKA and aMA techniques yielded comparable outcome scores (p = 0.069), with OKS, respectively, 44.6 ± 3.5 and 42.2 ± 6.3. VAS Satisfaction was better (p = 0.012) with restricted iKA (9.2 ± 0.8) compared to aMA (8.5 ± 1.3). The number of patients that achieved OKS and satisfaction PASS thresholds was significantly higher (p = 0.049 and p = 0.003, respectively) using restricted iKA (98% and 80%) compared to aMA (85% and 48%). Knees with preoperative varus deformity, achieved significantly (p = 0.025) better OKS using restricted iKA (45.4 ± 2.0) compared to aMA (41.4 ± 6.8). Multivariable analyses confirmed better OKS (β = 3.1; p = 0.007) and satisfaction (β = 0.73; p = 0.005) with restricted iKA.ConclusionsThe results of this study suggest that restricted iKA and aMA grant comparable clinical outcomes at 12‐month follow‐up, though a greater proportion of knees operated by restricted iKA achieved the PASS thresholds for OKS and satisfaction. Notably. in knees with preoperative varus deformity, restricted iKA yielded significantly better OKS and satisfaction than aMA.Level of evidenceLevel III, comparative study.

  • 3
    Robot-assisted knee arthroplasty improves component positioning and alignment, but results are inconclusive on whether it improves clinical scores or reduces complications and revisions: a systematic overview of meta-analyses

    Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022

    📚 91 citations🎯 RCR 16.77Top 1% NIH
    Lire l'abstract Crossref ↓

    AbstractPurposeThe purpose of this systematic overview was to identify, synthesise and critically appraise findings of meta‐analyses on robot‐assisted versus conventional unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). The hypothesis was that robotic assistance would reduce complications and revision rates, yield better clinical scores, and improve component positioning and alignment.MethodsTwo researchers independently conducted a literature search using Embase®, MEDLINE®, Web of Science, Allied and Complementary Medicine™ and Cochrane Database of Systematic Reviews on 2 November 2020 for meta‐analyses (Level I–IV) on robotic assistance in UKA and/or TKA. Outcomes were tabulated and reported as weighted mean difference (WMD), risk ratio (RR) or weighted odds ratio (WOR), and were considered statistically significant when p < 0.05.ResultsA total of ten meta‐analyses were identified; four on robot‐assisted UKA (n, 1880 robot‐assisted vs. 2352 conventional UKA; follow‐up, 0 to 60 months), seven on robot‐assisted TKA (n, 4567 robot‐assisted vs. 5966 conventional TKA; follow‐up, 0 to 132 months). Of the meta‐analyses on UKA, one found that robotic assistance reduced complication rates (relative risk (RR), 0.62), one found that it improved clinical scores (weighted mean difference (WMD), 19.67), three found that it extended operation times (WMD, 15.7 to 17.1 min), and three found that it improved component positioning and alignment (WMD, − 1.30 to − 3.02 degrees). Of the meta‐analyses on TKA, two found that robotic assistance improved clinical scores (WMD, 1.62–1.71), two found that that it extended surgery times (WMD, 21.5–24.26 min), and five found that it improved component positioning and alignment (WMD, − 0.50 to − 10.07 degrees). None of the meta‐analyses reported differences in survivorship between robot‐assisted versus conventional knee arthroplasty.ConclusionRobot‐assisted knee arthroplasty enabled more accurate component positioning and placement within target zones, but extended operation time considerably. Although robotic assistance improved component positioning, its benefits regarding clinical scores, patient satisfaction and implant survivorship remains to be confirmed. Finally, this overview revealed that six of the ten meta‐analyses were of ‘critically low quality’, calling for caution when interpreting results.Level of evidenceIV.

Publications scientifiques (50) — classées par pathologie

Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).

Transversal36

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Revue / méta-analyse5

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Revue générale5

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Qualité de vie / PROMs3

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Anti-TNF1

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Case report / série1

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Épidémiologie & registres1

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  • Incidence of unexpected positive histology in kyphoplasty

    European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018 · Journal Article

    Nowak S, Müller J, Schroeder HWS, Müller JU

    📚 10 cit.🔬→🩺 Translationnel

Essai clinique1

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Génétique1

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SAPL1

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