M. Docteur GUILLAUME SERVANT

Bibliographie

• Serum calprotectin as a predictive marker of therapeutic response to adalimumab in rheumatoid arthritis

  2019

  CongrèsEULAR 2019

• Fundamentals of constitutive equations for geornaterials

  2004

  Chapitre

• Failure in geomaterials : continuous and discrete analyses

  2004

  ArticleComputer Methods in Applied Mechanics and Engineering

• Discrete instabilities in granular materials

  2003

  ArticleRivista Italiana di Geotecnica

• Continuous and discrete modeling of failure modes in geomechanics

  2002

  CongrèsInternational Workshop on Bifurcations and Instabilities in Geomechanics

• On the use of ultrasound in chemistry : modelling of sonoreactors. Determination of cavitation bubble emergence, bubble migration through time, fluid flow induced by the propagation of an sound wave. Comparaison of theoretical and experimental results

  2001

  Congrès3th Int. Symp. on Comput. Techno.for Flu.Therm. Chem. Systm. with Indust. Appl.

• Spatio-temporal dynamics of cavitation bubble clouds in a low frequency reactor : comparison between theoretical and experimental results

  2001

  ArticleUltrasonics Sonochemistric

• Numerical simulation of cavitation bubble dynamics induced by ultrasound waves in high frequency reactor

  2000

  ArticleUltrasonics Sonochemistry

Source : HAL — archive ouverte CCSD/CNRS (couvre articles, chapitres EMC, communications congrès, thèses).

Lieux de consultation

• CABINET PRIVE DU DR GUILLAUME SERVANT

  CH DREUX — 44 AV DU PDT J FITZGERALD KENNEDY, 28102 Dreux

  Libéral

• CH DREUX

  44 Avenue PRESIDENT JOHN-FIT- KENNEDY, 28102 Dreux

  ☎ 0237515253Hospitalier🏥 Centre CH ↗🏥 Voir cet établissement

Tarifs & secteur de conventionnement

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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

  Evolution of Hip Muscles Strength in Femoroacetabular Impingement Patients Treated by Arthroscopy or Surgical Hip Dislocation: A Retrospective Exploratory Study

  Biology · 2022

  📚 5 citations🔓 Open Access📄 PDF gratuit ↗

  Lire l'abstract Crossref ↓

  Hip arthroscopy and surgical hip dislocation (SHD) can be adequate surgical options for patients suffering from femoroacetabular impingement (FAI) syndrome, but there is to date no published data on their impact on hip muscles strength. The purpose of this retrospective study was, therefore, to evaluate it on a consecutive series of 50 FAI patients treated either by arthroscopy (n = 29, aged 27.4 ± 7.5 years, 76% of women) or SHD (n = 21, aged 25.9 ± 6.5 years, 38% of women) at La Tour Hospital between 2020 and 2021. The bilateral isometric strengths of eight hip-related muscles were evaluated before and three months after surgery (halfway through the rehabilitation program). For arthroscopy, a statistically significant (p < 0.05) reduction in hip muscles strength could be noted on the operated hamstrings (1.49 ± 0.43 vs. 1.39 ± 0.38 Nm/kg), flexors (1.88 ± 0.46 vs. 1.73 ± 0.41 Nm/kg), abductors (1.97 ± 0.42 vs. 1.72 ± 0.40 Nm/kg) and external rotators (1.17 ± 0.40 vs. 1.04 ± 0.37 Nm/kg). The abductors were the most affected muscles, with 45% of the patients suffering from a strength reduction ≥15%. The non-operated external rotators were also affected but to a lesser extent (1.21 ± 0.38 vs. 1.10 ± 0.36 Nm/kg). For SHD, a statistically significant strength reduction could be noted on the operated extensors (2.28 ± 0.84 vs. 2.05 ± 0.70 Nm/kg), abductors (1.87 ± 0.49 vs. 1.65 ± 0.41 Nm/kg), quadriceps (2.96 ± 0.92 vs. 2.44 ± 0.89 Nm/kg), external rotators (1.16 ± 0.42 vs. 0.93 ± 0.36 Nm/kg) and internal rotators (1.26 ± 0.38 vs. 0.96 ± 0.30 Nm/kg). The internal rotators were the most affected muscles, with 75% of the patients suffering from a strength reduction ≥15%. To conclude, particular attention should be paid to operated abductors for patients treated by arthroscopy as well as operated internal/external rotators, abductors and quadriceps for those treated by surgical hip dislocation. It reinforces that a rehabilitation method based on isolated muscle reinforcement and functional exercises that goes beyond three postoperative months is needed.

• 2

  Hip Arthroscopy Followed by 6-Month Rehabilitation Leads to Improved Periarticular Muscle Strength, Except for Abductors and External Rotators

  Arthroscopy, sports medicine, and rehabilitation · 2024

  📚 3 citations🎯 RCR 1.74🔓 Open Access📄 PDF gratuit ↗

  Lire l'abstract Crossref ↓

  Purpose To evaluate the variations in hip muscles strength following arthroscopy and 6‐month rehabilitation in patients treated for femoroacetabular impingement (FAI). Methods A retrospective analysis was carried out on a series of patients who were arthroscopically treated for FAI at La Tour Hospital between 2020 and 2022. Bilateral isometric strengths of 8 hip‐related muscles (abductors, adductors, hamstrings, quadriceps, extensors, flexors, internal and external rotators) were assessed using a handheld dynamometer before surgery and postoperatively after 6 months of rehabilitation in terms of relative strength changes between time points. Results A total of 29 patients (aged 26.9 ± 7.1 years, 86% of women) were included. Except for the abductors, which remained of comparable strength than before surgery, a statistically significant ( P < .05) increase in hip muscle strength on the operated side could be noted at 6 postoperative months for hamstrings (9% ± 17%, P = .041), quadriceps (11% ± 27%, P = .045), extensors (17% ± 32%, P = .006), flexors (17% ± 29%, P = .003), adductors (18% ± 23%, P < .001), and internal rotators (32% ± 36%, P < .001). The proportion of patients who reached a strength level above their preoperative status ranged from 62% (quadriceps) to 86% (adductors and flexors), depending on the muscle studied. The external rotators were the only muscles that remained significantly weakened at 6 months on both operated (–13% ± 26%, P = .002) and nonoperated (–17% ± 25%, P < .001) sides, with a decrease beyond 15% in almost half of the patients (45% and 48%, respectively). Conclusions Arthroscopic treatment followed by 6‐month rehabilitation granted to most FAI patients a higher strength level for several hip muscles, except for abductors and external rotators, which remained comparable and weakened, respectively. Level of Evidence Level IV, therapeutic case series.

• 3

  Six-month rehabilitation following surgical hip dislocation for femoroacetabular impingement restores the preoperative strength of most hip muscles, except for external rotators

  Journal of hip preservation surgery · 2025

  📚 2 citations🎯 RCR 1.00🔓 Open Access📄 PDF gratuit ↗

  Lire l'abstract Crossref ↓

  Abstract The aim of this study was to evaluate the bilateral changes in hip muscle strength after a 6-month rehabilitation period for patients undergoing surgical hip dislocation (SHD) to treat femoroacetabular impingement syndrome (FAIS). We conducted a retrospective analysis on a cohort of 22 patients (mean ± SD age: 26 ± 7, 68% male) who underwent SHD for FAIS between March 2020 and January 2023 at La Tour Hospital. Bilateral isometric strength of eight hip muscle groups (abductors, adductors, hamstrings, quadriceps, extensors, flexors, internal, and external rotators) was assessed using a handheld dynamometer before surgery, and at 3 and 6 months postoperatively. After 6 months of rehabilitation, only the external rotators were weaker compared to preoperative levels (−13% ± 23%, P = .021). Strength levels were similar to preoperative levelsfor adductors (−2% ± 21%, P = .309), internal rotators (0% ± 25%, P = .444), quadriceps (0%± 23%, P = .501), hamstrings (7%± 20%, P = .232), extensors (7%± 19%, P = .336), flexors (8%± 34%, P = .781), and abductors (8% ± 25%, P = .266). At 6 months, 59% (abductors) to 82% (adductors) of patients did not achieve a clinically relevant strength improvement (>15%) compared to their preoperative status for aforementioned muscles. Additionally, 50% of the cohort experienced a clinically relevant loss of strength in the external rotators at 6 months post-surgery. To conclude, after SHD, most FAIS patients regained their preoperative strength for all muscle groups except the external rotators with a 6-month rehabilitation program. However, the effectiveness of the rehabilitation protocol varies on an individual level.

Publications scientifiques (7) — classées par pathologie

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

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