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"
independent, randomized single-center, single-blind, single injector with an independent assessor, comparing the Hylan GF 20 (Synvisc) 3 injections versus a sodium hyaluronate (Hyalgan┬«) 5injections. 392 gonarthroses evaluated at 3 months, 6 months and 12 months. The results showed clear superiority of Synvisc┬« both EVA as the WOMAC pain, WOMAC function, the Oxford Knee Scores and scale of quality of life.
6 ml intra-articular in symptomatic knee osteoarthritis, led by Professor Xavier Chevalier de l'Hopital Henri Mondor in Cr├ęteil.
European multicenter, randomized, double-blind, placebo against (saline), including 253 patients evaluated 26 weeks on safety and efficacy. The results showed equivalent tolerability of Synvisc-one┬« to placebo and a few significant efficacy, 160 patients received a second injection at 26 weeks. Pending other more conclusive studies, evaluated over 12 months, I would reserve the mono-injection nomadic patients for whom three injections to 8 days apart is not adapted to their lifestyle.
Very few studies have been conducted, only two were selected by Professor Ren├ę -Marc Flipo the University Hospital of Lille, not independent. The study Altman on Hyalgan┬« and the Franco-German study of Synvisc. In the latter, the best results were observed in the group with a single injection than in group 2 injections!
Very few studies have been conducted with small series and with multiple protocols. A study conducted with Synvisc┬«, of 55 included patients, with osteoarthritis stage 2 Kellgren Lawrence, has shown efficacy at 6 months in 70% of patients who received a single injection against an efficiency of only 30% of patients received a second injection of 1, 2 or month intervals if pain persists. In the current state of knowledge, an injection can be attempted, its repetition in the lack of results is questionable.
Performed under fluoroscopy or under ultrasound, anterior or lateral approach, hip viscosupplementation was not part of the recommendations of the EULAR 2005 (European League Against Rheumatism) but appears in the recommendations of the OARSI (Osteoarthritis Research Society International). 16 studies were identified, to conclude a good safety and potential efficacy to be confirmed by further studies. A single injection may be sufficient, it could be a temporary solution to the implementation of PTH. The interest in osteoarthritis in young patients without malformation deserves to be studied.
iodinated contrast agents can chemically alter the HA molecule. It should be taken into account in clinical studies. Should HA injection is done under radiological identification with contrast or blind with a significant percentage of extra-articular injections? For the hip, echographic identification is it better to guide under fluoroscopy? Regarding the knee, the effectiveness is confirmed by clinical studies without radiological locating the injection site!
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 ...)
The injection of platelet concentrates, platelet rich plasma, or PRP, in the injured tissue has become widespread in recent years, especially in sports traumatic pathology. There is no consensus on the optimal concentration but a value between 200,000 and 1,000,000 ? L appears have a therapeutic effect. The autologous conditioned plasma (ACP TM) is a fast PRP to prepare but its average concentration of platelets is significantly lower compared to other PRP. The main purpose of the study was to analyze the platelet concentration of the ACPTM in a group of patients and compare it to that of whole blood in the same subjects. The secondary objective was to take stock of the interests of the ACP TM through a literature review.
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.
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'am├ęlioration technical design of the prosthesis, its integration into the ligament balance and the quality of materials has helped to make this reliable surgery.