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Mardi 09:00 - 19:00 Mercredi 07:00 - 19:00 19:00 - 07:00 Jeudi 09:00 - 17:00 Vendredi 07:00 - 19:00

Dr Thibault Lafosse

Page d'Accueil
France
Annecy
Dr Thibault Lafosse

Hand, Upper Limb, Brachial plexus, Peripheral Nerve Surgery, Microrovascular surgery, Arthroscopy

09/06/2026

Three days at Alps Surgery Institute with and a lot to take away 🏔️

Day one started with the patients: their cases, their histories, the time taken to understand what each surgery would actually require. That part matters as much as what happens in the OR.

Then came the surgeries. Operating alongside was one of the highlights of this course. Her precision, her approach, the way she works: a genuine source of inspiration for the whole team.

The final workshop closed three days of hands-on learning, real cases and honest exchanges with a group of surgeons who came to work.

Three days built with , whose support made the depth of this course possible. From the preparation of cases to the workshop on the final day, the collaboration was hands-on and present at every stage, not just on paper.

It was a wonderful experience in every way, thank you all! 👏

29/05/2026

🗓️ Save the Date! June 10, 11 and 12, 2027 in Annecy, France.

We are in full preparation for the 11th edition of Annecy Live Surgery, and we cannot wait to see you all next year.

For those who are new here: no simulation, no staged cases. 35 real shoulder surgeries, performed live and broadcast to the congress hall. Participants interact in real time with the operating surgeon, the scientific committee and the moderators. Complex cases, current concepts, advanced techniques; and the kind of learning that only happens when everything is real.

Between sessions, Annecy takes care of the rest. The lake, the old town, the mountains, the dinners that run late. This congress has always been as much about the connections made outside the operating room as inside it.

10 editions and nearly 600 participants in 2025.

Pre-registrations are open, link in bio. See you there in 2027! 🏔️☀️

17/05/2026

Sometimes, stepping outside the operating room teaches you a lot about being a surgeon.

Yesterday, I had the privilege of spending a very special day training MMA with Nicolas Ott .fr , an extraordinary coach working with some of the best fighters in the world, including Benoît Saint Denis.

Beyond the impressive technical level, what struck me most was the mindset: humility, discipline, attention to detail, and the ability to stay calm under pressure. Despite his experience, Nicolas remained incredibly accessible, open to discussion, and generous with his time and knowledge.

But none of this would have happened without Benjamin Nagy, our sensei at .fr

Every single day, Benjamin transmits far more than martial arts. Through his teaching, patience, and daily commitment, he has created an environment where discipline, respect, self-control, and resilience become part of everyday life.

For me, this practice is a true source of balance.
Since childhood, martial arts have helped me focus, handle pressure, resist fatigue, and face the difficulties of daily life with greater clarity and calm.

And honestly, I find deep similarities between martial arts and surgery:
precision, repetition, humility, discipline… and the constant pursuit of improvement.

Very grateful for these encounters, and for the people who make them possible.

12/05/2026

Another Monday starting the week with extensive brachial plexus injury management.

For more than 10 years now, we have been treating brachial plexus injuries at

These are complex and demanding cases. Despite extensive clinical and academic training alongside Oberlin, every patient is unique and every surgery represents a new challenge.

Beyond the injury itself are individuals facing devastating life changes, making these procedures emotionally intense as well as surgically demanding.

I feel lucky to rely on my long-term partner in surgeries that have become far more than work, a true passion

09/05/2026

I love my job

I love the opportunities it gives me to meet incredible people

Thank you for dedicating time of your busy life in Hong Kong and come to spend several weeks with the Alps Surgery Institute

I am happy and honored to have given you the motivation to do arthroscopic Latarjet and CMC1 arthroplasty!

Come back anytime!

27/04/2026

A massive congress.
A huge applause to
A different energy.
A different way to think shoulder surgery.

Not everything resonates.
Not everything should.

That’s the point.

Europe builds with rigor.
The US moves with speed… and conviction.

Some ideas feel unfamiliar.
Some feel uncomfortable.
Good.

Because comfort rarely means progress.

Grateful for the discussions,
for the vision carried by Zimmer Biomet at a key moment,
and the opportunity to engage directly, beyond the stage,
and to exchange directly with Yvan Tornos.

Something is building.
You can feel it.

The question is not whether to follow.
But how you choose to be part of it.

18/04/2026

/ ASI live surgery course!

3 days. 100% live. No filters.

Real surgery. Real examination.
Complex cases… sometimes pushing the limits.

Open discussions around difficult / catastrophic situations.
No shortcuts. Just experience, doubts, and shared thinking.

Humility at every step.
Because that’s where progress starts.

Proud of the collaboration between Zimmer Biomet Institute & Alps Surgery Institute

Exceptional faculty
Outstanding fellows

On the way to ALS 2027!

14/04/2026

Multiple failed surgeries. Progressive loss of function. A forearm that no longer rotates.

This patient had a complex nonunion of both forearm bones after an open fracture initially treated with external fixation, then plate and screw fixation.
Over time:
- The radius shortened
- The ulna became relatively too long
- Pronation and supination were blocked

At ASI, we routinely manage complex bone loss with free osteocutaneous flaps.
Free fibula is our first choice for defects over 7 cm. Below that, the medial femoral condyle is a reliable option.
In this case:
→ Radial reconstruction with medial femoral condyle
→ Ulnar shortening

➡️ Swipe to see the preop imaging, surgical steps, and at the end, postop result.

This is the kind of reconstruction that reminds us why microsurgery remains part of our core practice.

06/04/2026

When life truly matters…

Back to the roots.
Africa.
Microsurgery.
La Chaîne de l’Espoir.
Friends.
My mentor.

Abidjan, again.
And that familiar fire, still there.

These kids…
Their strength.
Their smiles.
The energy. The people.

It gets under your skin.

Can’t wait to go back

17/02/2026

I keep asking myself the same question before rTSA in ER-deficient shoulders: Am I right to actively restore external rotation?
 Is the risk of complications higher? Or is lateralization alone enough?
Preoperative ER lag sign is an important argument. But it is not the only one.

Intraoperatively, when I find a greater tuberosity completely bare - no tendon attached - I worry. Even if preoperative ER is borderline, I fear a postoperative lag sign.

And honestly, in the past, I have more than once regretted not performing a latissimus dorsi transfer in some of these patients. Good elevation. Good implant position. But persistent active ER deficit.

They rarely want to go back to the OR… And I do not like that situation.

So we looked at our own mid-term results after combining reverse shoulder arthroplasty with isolated latissimus dorsi transfer, in order to thoroughly question our practice from an evidence-based medicine standpoint.

📖 Our paper has just been accepted in the Journal of Orthopaedics and Traumatology.
🔗 Link in bio.

Mean follow-up: 4.8 years • 95.5% ER lag resolution • ER improved from −13° to +10° • Constant: 32 → 71 • SSV: 30 → 80 • No revisions • No complications

This algorithm is, of course, a hot topic.
But this study reinforces my confidence in adding a tendon transfer in selected CLEER patients, including based on intraoperative findings.

I am genuinely interested in knowing which approach is currently most widespread among shoulder surgeons.
Do you add a tendon transfer? Or rely on implant design alone?

Let’s discuss 💬

Adresse

Annecy
74000

Heures d'ouverture

Mardi	09:00 - 19:00
Mercredi	07:00 - 19:00
	19:00 - 07:00
Jeudi	09:00 - 17:00
Vendredi	07:00 - 19:00

Téléphone

+33450330950

Site Web

http://www.plexusbrachial-microchirurgie.com/

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