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"
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
short hospital: Either on the same day: "ambulatory" surgery or "day hospital"
Ie 2 days of hospitalization (if home-clinic distance> 1 hour)
regional anesthesia most often but also general anesthesia of short duration
Two small incisions of 5 mm either side of the ball joint enable switch the camera and instruments to perform arthroscopy.
It enables a comprehensive assessment of the lesions of the knee (meniscus, cartilage, ligaments ..)
Four areas are seen:
The internal compartment (medial meniscus cartilage)
The notch (anterior cruciate ligament, posterior cruciate ligament)
The outer compartment (lateral meniscus, cartilage, knee tendon)
Patellofemoral compartment (patella cartilage trochlea)
After analysis of the meniscus of the regularization lesion will be performed
This adjustment is done using small instruments (scissors, pliers ..).
Section of a tongue
Removal of a bucket handle
Regularization of a complex lesion
The operation takes place with a continuous washing saline. The closure is performed by absorbable sutures
or of simple dressing "Steri Stripp"
The output is possible on the evening of the intervention (necessarily accompanied by a person)
After consulting the surgeon and / or anesthetist.
- Follow the treatment given to you by your surgeon output (analgesics, anti-inflammatory, anti-coagulant injections etc ...)
- Icing your knee 3-4 times a day
- No rehabilitation, exceptions
- By contrast, rehabilitation auto with walking, immediate full support (unless otherwise advised by the surgeon), flexion and knee extension permitted without restriction, they are guided by the gene and pain (except meniscal suturing)
- No sport for a month, with exceptions
- Bathing is prohibited until complete healing (15 days), showers
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.