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"
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
Anesthetic risks are explained in the consultation for preoperative anesthesia is required at least 48 hours prior to the intervention. (except for emergencies)
Withers risks: the tourniquet can be responsible for local cutaneous or neurological disorders, usually regressive. These complications are preventable systematic protection of the skin and continuous monitoring of the pressure of the withers.
Risks related to the surgical technique: some cases of pain at the donor site hamstring and bone cracking on the femur or tibia bone tunnels in the transplant receivers. These lesions are usually benign but can cause the surgeon to use other incisions and possibly of osteosynthesis material (screws, clip) to treat them.
Of tendon-muscle secondary lesions have also been described at the graft harvest site (tendinitis, tendon rupture) may require special treatment.
Severe damage to vascular or neurological injury are reported very rarely in the French and international literature. They need urgent treatment, the consequences can be very serious and penalizing.
The joint infection is very rare less than 0.37% of cases. A joint exhibiting in the days after surgery, swelling, inflammatory signs and possibly partnering with fever, should suggest this complication. It requires emergency treatment. These risks are minimized by strict aseptic protocols before, during and after surgery and intraoperative antiobioprophylaxie according to the protocol of the CLIN (Committee for the Fight against nosocomial infections).
Venous thrombosis or phlebitis of the lower limb is rare but can occur, usually favored by a particular field. It is the subject of preventive treatment with anticoagulant sting
Hemarthrosis (intra-articular bleeding) results in the rapid onset of a power effusion which can be very painful. It is linked to either a bleeding in the path of the incision, or bleeding of an intra-articular structure. Sometimes it is necessary to wash the joint block to relieve the patient.
The diffuse subcutaneous hematoma often results in delayed onset and progressive a subcutaneous hematoma is often little painful but very impressive. A simple rest, icing and elevation of the lower limb used to make disappear 2to 3 weeks.
Scars can be the seat of small local redness problems, delayed wound healing. It is not uncommon to note the presence of a small subcutaneous hematoma surrounding the scar and down on the leg and back of the knee. These hematomas resolve spontaneously within weeks. Finally, can occur unpleasant sensations of dysesthesia, paresthesia or anesthesia skin near the incision means any incision in the skin causes the nervous micro thread section, which cause these sensory disorders generally very localized and usually regressive within months.
Algodystrophy is a painful reaction and enraidissant of articulation, of unknown origin, which can occur after any surgery. It can significantly extend in the suites and leave sequelae persist (pain, partial loss of mobility, adaptive difficulty effort)
The "working cyclop"is a deficit of full extension of the knee, resulting in a process of healing own exuberant in some individuals. This syndrome causes a delay recovery with a mechanical locking sensation in front of the knee. It can cause the surgeon to carry out a new arthroscopic knee to release this excess scarring, though rarely before 6 th postoperative month.
Failed Registry for mechanical or biological, the ligament graft may break or necrotic, thus losing its effectiveness, can reproduce the initial symptoms. Reoperation can then be discussed.
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.