Current Practice

 

I established the Tonkin Emergency Hand Surgery Unit in 1997. 

In 1999, I was joined by Dr Rostoucher, associate member of the French Society of Hand Surgery. 

We were then joined by Dr Elkholti (2003) and Dr Erhard (2005), to create the Institute of Hand and Upper Limb Surgery, developing shoulder surgery.

 

Our practice deals specifically with the hand, the wrist, nerve surgery, microsurgery .

 

 We have admitted emergency hand surgery cases since1997, and have been fully accredited by The European Federation of Emergency Hand Surgery (FESUM)since 1999.

In 2009 Dr Locquet joined the team, followed by Dr Breden in 2010. 

They have developed the clinic’s activity in conjunction with Jean Mermoz Private Hospital.  In 2012 we were joined by Dr Pozzetto and Dr Gibert.

The 8-strong surgery team attends to all emergencies and shares all fees and overheads within the context of a limited company.

We admit 7000 patients a year.

Clinics are carried out at the Tonkin Clinic , Arnas Clinic and Jean Mermoz Private Hospital

 

 

 

Education

French Baccalaureat, Scientific Section, Perier High School, Marseille, France 1980

1981 – 1986 Medical Student, Regional University Hospital Center, Marseille, France

1986 Medical School, Regional University Hospital Center (RUHC), Marseille France, Surgical specialization

1989 Surgical Resident, RUHC, St Etienne, France – specializing in Orthopaedics, Traumatology, Surgery, Musculoskeletal Reconstructive Plastic Surgery

1996-8 Consultant, RUHC, St Etienne, France - Orthopaedic Surgery and Traumatology Department

1997-8 Consultant, RUHC – Edouard Herriot Hospital, Lyon, France – Upper Limb Orthopaedic Surgery Department

 

Qualifications - University Diplomas

 

Certificates

•     Medical English Certificate – St Etienne Faculty 1990

Certificate of Surgery under difficult conditions, St Antoine Medical Faculty, Paris 1993

 

Diplomas

•     Sport Traumatology, Strasbourg 1989 Prof Kemp & Prof Jaeger

Arthroscopy, Paris Bichat 1990 Pr KHAN & Dr BOYER

 

•     Biomechanics and Applied Biorheology TOULOUSE III, Prof UTHEZA 1990

 

Thesis ‘Biomechanic and Physiological Approach to Thinning of the Patella’

 

•     Surgery of the Hand and Upper Limb Pierre et Marie CURIE UniversityPARIS VI.  Prof. APOIL 1991

Thesis ‘Anatomical, Physiological and Biomechanical Aspects of post-traumatic prosthetic replacements of the radial head in the Adult’

 

 

•     Microsurgical Techniques Louis Pasteur University STRASBOURG 1991

 

•     Microsurgical Techniques Claude Bernard University, Lyon 1992

Thesis ‘Anatomical and Physiological Approach to the Cubital Nerve Branches of the Elbow’

 

•     Evaluation, Regeneration and Repair of the Peripheral Nervous System, Nancy 1993

 

•     Legal Reparations in case of Physical Damage Lyon University 1, 2010

 

•     Expertise Aptitude Lyon University 1, 2011

 

•     Medical Competence and Sports Biology, Medical Faculty, St Etienne, 1990

 

•     Medical Competence and Sports Biology, Medical Faculty, St Etienne, 1991

 

•     Biological and Medical Science Certificate 1 – Anatomy and Organogenesis, Claude Bernard University, Lyon 1991

 

•     Biological and Medical Science Certificate 2 – Anatomy and Organogenesis, Claude Bernard University, Lyon 1991

 

Masters Degrees

•     Competitive Examination in Medicine, Surgical specialization . 1987

     

•     Biological and Medical Science Masters – Specializing in Anatomy, Claude Bernard University, Lyon 1991

 

•     Research Masters (DEA), first year, Biological and Medical Engineering – Options Biomaterial, Biocompatability, Biomechanics Lyon 1992

 

•     Research Masters (DES), Orthopaedic Surgery and Traumatology 1994

 

Doctoral Degrees

•     Qualified General Surgeon, 1995

 

•     Medical Doctorate 21 April 1994, Medical Faculty, St Etienne, Awarded Summa Cum Laude

 

•     Chief Resident at University Hospitals – Orthopaedic and Traumatology Nancy, 1994

 

 

 

Registration

•     Liscenced Medical Practitioner (Rhone Region) Number 12281

•     Registered Qualified Specialist in General Surgery

•     Registered Qualified Specialist in Orthopaedic Surgery and Traumatology

 

 

Management Training

 

•        Computer Technology and Management Training Lyon Chamber of Commerce and Industry, Lyon

•        Training ‘patient satisfaction in the 21st century’ Seminar organised by Capio, chaired by Prof René Amalberti

•        Acute Stress Management Training St Exupery Airport, LyonUsed a Professional Pilot simulator to take-off  and land a Boeing 737

•        Business Tax Training  Chamber of Commerce and Industry, Lyon

•        Advanced Business Tax and Tax return training    Chamber of Commerce and Industry, Lyon

 

•        ‘Promoting a Ambulatory Surgery Center’ training       Vector services, Paris

•        ‘Accounting for non-accountants’ training    Chamber of Commerce and Industry, Lyon

 

 

 

 

Medical Posts

 

Intern Posts : 1988 to 1994  :  Lyon , Nancy and Saint Etienne

 

Senior Resident Posts

1994 – 1996  Musculoskeletal Reconstructive Plastic Surgery, Hand Department, Joan of Arc Hospital, Dommartin les Toul  Supervisor: Prof Merle

 

Consulting Physician Posts

1996 – 1998     Consultant at the Regional University Hospital Centre, St Etienne

                               Orthopaedic Surgery and Traumatology Department (Dr Farizon)

 

 1997 – 1998    Consultant at the Regional University Hospital Centre, Lyon

                             Upper Limb Orthopaedic Surgery Department

                              Edouard Herriot Hospital, Lyon (Prof Herzberg)

                         

 

 

French Training

 

•        March 1990   -Clinical visitor, Nollet Clinic, Paris

 

                  Obtained university diploma in Arthroscopy

•        June 1995    Clinical visitor, Orthopaedics and hand surgery department

 

                   Avicenne Hospital, Paris, Supervisor: Prof Masquelet

•        Nollet Clinic, Paris Obtained university diploma in Arthroscopy

•        Orthopaedics and Hand Surgery Department, Avicenne Hospital, Paris Supervisor: Prof Masquelet

•        S.O.S Main (Emergency Hand Surgery Unit), Etang de Berre Supervisor Dr Sassoon

•        Emergency Hand Surgery Unit, Dijon Supervisor, Dr J Iselin    

 

•        S.O.S Main (Emergency Hand Surgery Unit), Strasbourg Supervisor, Dr Foucher

•        La Francilienne and Jouvenet Clinics Technical training of locoregional anaesthesia   Supervisors Prof Leviet and Dr Valenti

•        Le Mans Supervisor Dr Bour

•       Park Clinic, Lyon Supervisor Prof Comtet

•       Robotic-assisted surgery of the Hand - Practical basic course, Strasbourg – Pr Ph LIVERNEAUX.

•        Introductory training in ultrasound for orthopaedic surgeons (upper limb) Sonosite, Villebon Sur Yvette

 

 

 

 

 

International Training

 

 

1995 – 1996:  Scientfic research trip to study the the micro- and reconstrucive surgery services in South East Asia  : foreign Resident.

 

08-11 to 14-11  Pr. Robert W.H. PHO. NUH,Singapore

15-11 to 03-1     Pr. Lam-Chuan TEOH, SGH. Singapore

04-12 to 10-1    Pr. P.C. LEUNG et Pr. L.K UNG, Prince of Wales Hospital,

Hong Kong.

11-12 to 18-12   Pr S.P. CHOW. Queen Mary Hospital Hong Kong

19-03 to 26-12   Pr Yu-dong GU, Hua Shan  Hospital, Shanghaï, PRC

27-12 to 01-01    Pr Ahou KUI-SHUI. Wuxi Hand  Surgery Hospital, PRCRC

01-01 to 10-02    Pr. Fu-Chan WEI. Chang Gung  Memorial Hospital. Taïpe. Taiwan.

10-02 to 24-02   Pr. ABE, Osaka Medical College   Takatsuki, Japon.

25-02 to 01-03    Pr. TAJIMA, Hand Surgery  Foundation, Niigata, Japon.

02-03 to 07-03    Pr IKUTA,Hiroshima University School  Medicine, Hiroshima, Japan 

08-03 to 10-0 3     Pr Kazuteru DOI.  Ogori Hospitam    Ogori,  Japon.

 

September 2008  

Anatomical Workshop – Manchester RU   Ascension Orthopedics – training in upper extremity arthroplasty

 

 

 

Papers, Conferences and Presentations

 

•     Biomechanic and Physiological Approach to Thinning of the Patella’ Biomechanics and Applied Biorheology University Diploma Thesis, Toulouse III, 1990

 

•     Anatomical, Physiological and Biomechanical Aspects of post-traumatic prosthetic replacements of the radial head in the Adult’ Surgery of the Hand and the Upper Limb University Diploma Thesis, Pierre and Marie Curie University, Paris 6, 1991

 

•     Anatomical and Physiological Approach to the Cubital Nerve Branches of the Elbow’ Microsurgical Techniques University Diploma Thesis, Clause Bernard University, Lyon 1992

 

•      Genu valgum in the Adult.  A Biomechanical Approach and Division Trials.  16 Case Studies, with 7 – 9 year Follow-up’ Doctoral Thesis, Awarded Magna Cum Laude, Medical Faculty St Etienne, 1994

 

•     ‘Management Strategies of Secondary Multiple Tissue Post-Traumatic Disorders of the Forearm’

    Musculoskeletal Federation Meeting ‘Fractures of the Forearm Bones’, Nancy,                   1994

 

•     Retrospective Study of Surgical Treatment of 21 Extra-Articulator Vicious Calluses of the Distal Radial Extremity, 31^st Congress of the French Society of Hand Surgery (GEM), Communication 28, 1995

 

•     Surgical Conservation Treatment of malunion of the proximal scaphoïd.  Retrospective of 20 Case Studies’

31^st Congress of the French Society of Hand Surgery (GEM) Communication 38, 1995

 

•     The Revascularisation of the Hand and Fingers, Excluding Replantations’

I.E.B.M Symposium, in conjunction with the French College of Hand, Orthopaedic and Plastic Surgery, Nancy 1995

 

•     Current Developments in Peripheral Nerve and Brachial Plexus Surgery’ a Report on the 4 –month Research Trip in South East Asia, I.E.B.M Symposium, Nancy 1996

 

•     Vicious Calluses of the Wrist’  Musculoskeletal Federation Meeting ‘Traumas of the Wrist’, Nancy, 1996

 

•     Vicious Calluses of the Distal Radius – 21 Case Studies’ Ninou et al.   5 Days of Upper limb Surgery ‘Old and Recent Distal Radius Fractures in the Adult’ Lyon, 1996

 

•     Reconstruction of lost bone, muscular and cutaneous leg tissue by composite osteo-speto-cutaneous flap of vascularised fibula. A Case Study’    Congress of the French Society of Reconstructive Plastic Surgery (SOFCPRE), 1996

 

•     Coverage by a double axial Fascio-cutaneous antebrachial radial flap at Distal Pedicle. Straightening of RollOver Hands (ROHs), A Case Study.’   32nd Congress of the French Society of Hand Surgery (GEM), 1996

 

•     Dorsal fracture Luxation of the Hamato-metacarpian Articulation.Mechanism,Diagnostics and Treatment.  4 Case Studies’  Communication,  32nd Congress of the French Society of Hand Surgery (GEM), 1996

 

•     The Carpal Tunnel Syndrome  – What’s new in 1998

     Post-Grad Study Organised in Lyon, 1998

 

•     Partial Carpal Arthrodeses in Post Traumatic Carpal Arthrosis’ Workshop Organised by the Tonkin Clinic in conjucntion wih Dr Bellemere and the Memométal Laboratory.  Lyon 2000

 

•     Therapeutic Strategies in case of Limb Substance Loss’ Autumn Days Post-grad study organised by the Tonkin Clinic.  Musculoskeletal Workshop Coordinator, 2003

 

•      Hand Trauma in the Workplace’ Medical Training Seminar organised by Quick

     Medical Service, Lyon 2004                                                              

 

•     Pronator quadratus Repair in Henry Approach with an Outward-return Running Suture’, 8th Scientific Meeting Mayo Hand Club, Barcelona, 2006

 

•     Surgical Treatment of Trigger/Index Fingers with reduced passive extension’ Communication French Society of Hand Surgery (GEM) 2007

 

•     Radio-Scapho-Lunar Arthrodesis modified by Triquetrectomy and Distal Scaphoïdectomy’, Communication French Society of Hand Surgery (GEM), 2007

 

•     Rhone Alps Colloquium of Hand Surgery

    Bi-monthly Scientific Meeting (5 meetings per year), organised alternately by

    the Park Clinic and the Tonkin Clinic, Lyon. 20 – 30 participants

    (doctors,surgeons, physiotherapists, occupational therapists)

 

•     Our role as supervisors of Nosocomial Infections’ FESUM Congress, Lyon 2010

 

•     Emergency Hand Surgery’ Post- grad Study organised by Jean Mermoz Private Hospital, Lyon 2009

 

•     Taking Care of Communication:  Communicating Better in Health Care’ French Conference Cycle; Lyon, Selestat, Bayonne, Orange, 2011 - 2012

 

 

Supervision

•       Mallet Finger and Tenodermodesis, De La Cafiniere, Thesis, 1995

•       Aneurysmal deformations of the Galien ampulla, Lorthois, Thesis, 1998

 

 

Teaching

1987-88 Exam preparation for students passing internal medical exams

1990-92 Anatomy classes given to Biology Masters students, Science Faculty, St Etienne

1991-92 Biomechanics classes given to physiotherapy students, St Etienne

1992-93  Exam preparation for students passing internal medical exams, Nancy

1994         Hand trauma classes given to

1993 Exam preparation for students passing internal medical exams, St Etienne

1996 classes given to medical students, Faculty of Medecine, Nancy - The musculoskeletal system, the  painful and traumatized shoulderDemonstration and practical work of Articulated Prosthetics, IEBM Nancy

 1998 Classes given to dialysis and nephrology nurses – The carpel tunnel and dialysis

           Classes given to Tonkin Clinic nurses, ‘Emergencies and surveillance of post-operation patients’

 

Awards

André Bouriez Foundation Prize – For research in Microsurgery and Hand Surgery 1995

 

Areas of Specialized Interest

 

•     Orthopedic Upper Limb surgery

•     Hand surgery and hand diseases

•     Elbow Wrist and Hand diseases

•     Microsurgery

•     Limbs reconstruction surgery

 

 

Societies

•      Member of Jacques Michon Club

•     Member of Franco-Japanese Asssociation Of Orthopaedics (A.F.J.O)

•     Member of the microsurgical advencement group ( GAM)

•     Member of The French Society Of Hand Surgery  ( GEM)

•     member of The European Federation of Emergency Hand Surgery (FESUM)

•     Member of Rhone-Alps Hand Group (GRAM)