PTG with 3D scanner on ancillary measurement of a total knee replacement: PTG My Knee efficiency

PTG MY KNEE INTERVENTION

A preoperative CT scan is performed 3 weeks before the operative date to carry out the cutting guide on measurement of the prosthesis by printing 3D printer. The various bone cuts are made ??using 3D custom cutting guides, then the instrumentation   adapted to the selected prosthesis (ancillary equipment), we must ensure the ligament balance and if necessary make releases (release) rarely ligament retentions. (read more ....)

Biology - Unlike other tissues, cartilage has very limited capacity of regeneration due to the absence of in-situ vascularization and low capacity of chondrocyte proliferation.

An update on this surgery is necessary because the quality of the results is based on a rigorous in the indication, the choice of the prosthesis, and chirurgicale.L'amélioration technical design of the prosthesis, its integration into the ligament balance and the quality of materials has helped to make this reliable surgery.

It is the restoration of homeostasis (stabilization of different physiological constants) and rheological properties (viscosity and elasticity) of a pathological synovial fluid by intra-articular injection of a "viscosupplementation" based on derivatives of hyaluronan.

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 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

Outpatient surgery: a practice that increases the patient's postoperative comfort:

Patients do not like to stay in hospitlier environment. Go home reassured .... read more.

Surgical technique - Many surgical techniques are available to perform the plastic surgery that will fit instead of the anterior cruciate ligament.

The principle of operation is to repair the anterior cruciate ligament (ACL) with a broken bone autograft bone tendon taken from the patellar tendon. KJ or Kenneth-Jones technique. Intervention performed under local or general anesthesia with a tourniquet.

You have suffered a breakdown in the anterior cruciate ligament of the knee. You have been described the surgery and the postoperative. Want more explanation. (read more ...)

Technical hamstring ligament or DT 4 or hamstring

Complications of the hamstring ligament reconstruction:

Statistics show few complications that although they are rare, constant concern to the medical team. This risk explains that some examinations and / or complementary treatments are prescribed

Complications of ligament KJ:

Statistics show few complications that although they are rare, constant concern to the medical team. This risk explains that some examinations and / or complementary treatments are prescribed

More than eight in ten French are ready to accept this surgical technique to only stay one day in the hospital for an operation. At stake, a billion euros in savings hoped for Safely year.

Patient information - The preoperative surgical consultation and pre-anesthetic consultation to select patients eligible for outpatient care.

The aim of this study Was to translate, validate and adapted in the Anterior Cruciate Ligament French-Return to Sport after-Injury (ACL-RSI), a 12-item scale English lan- guage Assessing the psychological impact of returning to sports after-ACL reconstruction .Methods The ACL-RSI Was scale forward and back trans- lated, cross-adapté Culturally and validated using international guidelines.

Technical SURGICAL - The purpose of this article is to present the theoretical principles and practical technical development of that originally described by Mac intosh with a transplant of fascia lata

Parameters of anterior cruciate ligament (ACL) using the technique hamstring (Tendons right-internal and semitendinosus. Schematic description of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control.

The rupture of the Anterior Cruciate Ligament (ACL) of the knee can potentially cause instability in the short term and long term can expose to the risk of osteoarthritis. ACL reconstruction is a widely practiced procedure that has made ??reliable over time ....

Little history - An investigation by Medicare, in February 2007, indicates that a large majority of French (80%) would be prepared to use the outpatient surgery ...

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Information - From now on we offer our patients to realize an intervention ligamentoplasty outpatient.

Medical purpose - This is a gain of comfort for as patients go home the same day and have a supported "bespoke" ...

The development of ambulatory surgery in France has fallen behind compared to other countries of the world and Europe. Comparing the practice of ambulatory surgery in the United States, Canada and the UK has shown some differences. These are financial constraints that motivated primarily the development of ambulatory surgery in the United States and Canada. In the US, financial incentives have been implemented by public and private payers. read more ......

The aim of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon) under arthroscopic control

New specifications of the anterior cruciate ligament (ACL) in the hamstring technique (right-Internal Tendons and semitendinosus. Schematic description of this operation is to achieve anatomic ACL reconstruction using autologous (patient's tendon ) under arthroscopic control.

Meniscal injuries athlete are frequent (fissure, fracture tear of the meniscus). These lesions should be properly diagnosed and treated. The treatment is no longer based on the simple meniscectomy may be the cause of cartilage changes over time. The term goal is to preserve the cartilage in this young athletic population and submitting his knees major constraints, priority should be given the meniscal economy (suture or abstention). (Continued ...)

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
Indeed three options are available depending on the type of meniscal tear:
Conservative treatment with no treatment.
Conservative treatment and suture meniscal repair.
Remove the lesion by partial meniscectomy

There are two menisci in the knee. They look like two crescents placed between the tibia and the femur. They crash and sometimes break when the knee twist, flip or flexes strongly! Through their shapes banked corner, they contribute to the stability of the knee. Above all, they cushion the stresses and distribute the pressure on the cartilage.