Sports clinic Paris
Metro: Saint Marcel
Parking 6 rue test
The information provided on this website is provided by medical professionals: sports doctors, rheumatologists, functional rehabilitation doctors, orthopedic, clinical surgeons sport, podiatrist sports meeting within the group "chirurgiedusport.com"
The principle of operation is to repair the anterior cruciate ligament (ACL) with a broken bone autograft bone tendon taken from the patellar tendon.
Intervention performed under local or general anesthesia with a tourniquet to the limb.
is removed the central 1/3 of the patellar tendon with a bone rod at each end. The incision is 5 to 8 cm on the front of the knee.
It is necessary that the graft is about 10 cm long and 9 to 10 mm in diameter
the diameter of the bone tunnels is 9 to 10 mm to allow passage of the graft to the tibia and femur. The operation is performed entirely arthroscopically.
Positioning of the graft, arthroscopic control, with fixation of the graft by two resorbable screws or metal (titanium).
5. under arthroscopic control the correct positioning of the graft and the absence of conflict in the notch.
The end of surgery, a drain Redon (drain drainage) is set up and the scar is closed by an intradermal running suture with absorbable suture.
A sterile bandage is placed and then a splint immobilization.
The post-operative care
Postoperative pain is controlled by regional anesthesia (femoral block), performed by the anesthesiologist and / or analgesic and anti-inflammatory medications.
Rehabilitation is undertaken immediately after the intervention (stand and walk with crutches and splints, muscle toning and mobilization of the patella)
The Redon drain is removed usually on the 2nd postoperative day.
Clinic output is possible in 3/4 th day after explanation by the surgeon and physiotherapist self-rehabilitation exercises to perform at home.
Recovery work full extension, soft mobilization in flexion and muscle toning the muscles of the thigh.
The trips are with the splint in place, knee extended and crutches.
An order of analgesics and anti-inflammatory medication prescribed by the surgeon.
The dressing should be left in place or strengthened to ablation son.
Rehabilitation is undertaken by a physiotherapist after leaving the clinic at the rate to be modulated according to evolution, from 3 to 5 therapy sessions a week. (City or rehabilitation center)
Stopping the splint and crutches to the 4th postoperative week after active-controlled locking of the quadriceps.
Normal operation and resumption of professional activity possible from the 6 / 8th postoperative week to modulate depending on the occupation (later taken to a labor force)
The resumption of the sport:
Swimming (front crawl, back) from the 2nd postoperative month
Cycling from the 2nd postoperative month
light jogging with gradual increased efforts online, from the 4th postoperative month (flat)
Resumption of training pivot in sports, from 6erne months postoperatively
gradual recovery of the competition from the 8th postoperative month
This sports recovery plan represents a natural evolution in the majority of cases.
Recovery objectives are benchmarks to modulate depending on the evolution of each case.
The aim of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control. The principle of TLS is to use a single hamstring tendon in short graft (transplant economy). The half tendon tendon is one of two hamstring tendons (hamstring). It is thin (3-4 mm) and long (about 25 cm). It is the termination of the semitendinosus that ends on the bridle. The harvesting the graft is carried out by a short nearly horizontal incision of 2 cm to the surface of the tibia, is removed only the semitendinosus tendon over its entire length with a stripper. He bent over backwards to get a transplant ACL bundles 4 or 4 strands with diameters ranging from 7 to 9 mm. It's ashort 50 mm average length graft (Fig.8). At both ends of the graft are passed two textile strips for fixing the graft in tunnels. A traction table is used to make a claim to the graft to 500 Newtons
The shoulder dislocations and recurrent anterior instability is a common problem among young athletes making up 90% of shoulder dislocations. Surgical indication can be provided in these cases of glenohumeral dislocations previous recurrent, but also in cases of painful and unstable shoulders. A question now arises, should we offer it immediately after the first dislocation or should we expect one or more recurrences? (Read more ...)
Meniscus - Arthroscopic knee surgery is the gold standard of meniscal lesions of the knee. The goal is to treat meniscal tear (tear, crack, tongue, bucket handle ...) being the least traumatic possible for the knee and the most conservative to the meniscus.
Patient, 58, sporting good level with chronic tendinitis of the Achilles tendon of the left.
chronic Achilles tendon pain lasting for more than a year after a triathlon.
The patient has received medical treatment (necessary before any surgical decision): rehabilitation, Stanish stretching, shock wave, orthopedic soles. (read more...)
While muscle injuries of the posterior region of the thigh are common in athletes, the proximal hamstring rupture is a rare disease. A study published in 2003  analyzed in a consecutive series of 170 patients, 179 trauma hamstrings occurred over a period of 3 years. MRI and / or ultrasound showed that only 12% of the injuries were fractures of the proximal and 9% complete ruptures. It is also little known, the first cases described in the literature from 1988 . Clinically the patients describe a violent pain in the buttock (stab printing) followed by leg weakness. ( To be continued..)
The aim of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control. The principle of TLS is to use a single hamstring tendon graft in short. Parameters of ACL reconstruction with hamstring TLS.