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.
It has 5 operating time:
1 .Prélèvement transplantation: is withdrawn central 1/3 of the patellar tendon with a bone rod at each end.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.
2. Preparation and Calibration of the graft requires that the graft is about 10 cm long and 9 to 10 mm in diameter
3. Drilling tunnels under arthroscopic control, the diameter of the bone tunnels is 9 and 10 mm for the passage of the graft to the tibia and femur. The operation is performed entirely arthroscopically.
4 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.
This technique of reconstruction of the anterior cruciate ligament plasty involving extra and intra-articular fascia lata was described by Hey-Groves in 1917, modified in 1972 and MacIntosh Jaeger recently. This reconstruction is a technique increasingly practiced for controlling the tibial rotation and rotational jump experienced by the patient and the surgeon objectified by clinical examination.
This lateral grafting used in this technique is called the fascia lata is a transplant with high resistance comparable to other biomechanical transplants used. The fascia lata retains its tibial insertion, which is a natural attachment system and therefore superior to any other system used. This technique has the advantages of not having to levy tendon and therefore the hope of postoperative muscle recovery and normalization of the fastest isokinetic tests.
The coracoid bone block screwed in front of the glenoid realized today either open or arthroscopically.
The advantages of arthroscopic abutment technique are:
- Take stock of the damage to the joint, bead, cartilage, loss of bone substance, tendon injuries
- The precise positioning of the stop because under direct control by the camera,
- Of smaller sizes scars,
- The treatment of lesions as lesions of the biceps (SLAP lesion) or lesions of the rotator cuff (tendon rupture) that can be treated in the same operation
- Early functional recovery
Latarjet arthroscopic intervention
The procedure is most often performed under general anesthesia with an inter-scalene block made ??preoperatively by the anesthetist. It involves taking a bone block of about 2 cm at the expense of the coracoid and place it in the anterior and inferior part of the glenoid cavity, passing through the subscapularis muscle. The coracoid can be positioned upright and secured by a screw according to Bristow or lying and fixed by two screws according Latarjet. (read more..)
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 ...)
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..)