Knee prosthesis: total knee replacement (TKR) unicompartmental (PUC)

Introduction 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 surgical technique.After a difficult start in the...

The anterior cruciate ligament child (LCA and child)

Lesion of the anterior cruciate ligament in children. The pure ligamentous injuries of the child are certainly underestimated, with the commonly accepted concept of more fragile bones and ligaments of the concept lesions preferentially affecting...

The meniscal tear the sport: the crack or meniscus tear

What is a meniscus? The meniscus is semilunar fibrocartilage (orange area) triangular cut. Each knee has two menisci, a medial meniscus and a lateral meniscus.They are “shock absorbers” of the knee: they have a role...

Ambulatory surgery of the lower limb: ligamentoplasty

Introduction: Ambulatory surgery appears from the early twentieth century. It’s in the 70s it began to grow in the US, to grow rapidly in the 80s. According to the International Association for Ambulatory Surgery, the...

Cruciate ligament (ACL and PCL) scheme of the right knee

Arthroscopic debridement and perforations in the treatment of cartilage lesions of the knee.

Introduction The articulation consists of two major tissues: the articular cartilage and subchondral bone. The cartilage protects the subchondral bone of high stress, shock absorption, distributes the load and facilitates movement. Unlike other tissues, cartilage...

Ligamentoplasty outpatient knee

ligament knee outpatient (or day hospitalization) Traditionally, surgical reconstruction of knee ligaments required hospitalization for several nights at the clinic. The average term in France for this type of surgery is 3 to 5 nights. HENCEFORTH,...

GNRB® performance and that of Telos ™ in the diagnosis of a partial tear of the anterior cruciate ligament (ACL)

Summary: Objective: The main objective of the study was to compare the performance of GNRB® and that of Telos ™ in the diagnosis of a partial tear of the anterior cruciate ligament (ACL). Methods: A...

Rupture of the anterior ligament of the knee, what to do and who to believe?

Some numbers … 75% of ruptures of the anterior cruciate ligament occur during sports practice. 16,000 ruptures of the anterior cruciate ligament occur per year in France when skiing. The average age of onset is...

Particular fragility cruciate ligament in women during sports exercise: reasons and therapeutic attitudes

Introduction The last 30 years, there has been a significant increase sport participation of women in all fields and at all levels including State-united after the adoption of Amendment No. IX on Education in 1972...

Too sprains for sports! Torn anterior cruciate ligament (ACL) in women.

Studies show that women are 5 times more sprains than men. One begins to understand why! Preventive strategies are now resulting in more efficient!A sprain is a stretching see a ruptured ligament, the cord connecting...

Ambulatory surgery of knee ligament reconstruction: the course.

The ambulatory surgical ligament reconstruction: the course An outpatient surgery is now possible for surgery cruciate ligament of the knee.The implementation must be planned and anticipated. Patient safety conditions is the most important point. Protocols...

Ruptures of the anterior cruciate ligament during the menstrual cycle among recreational skiers

Ruptures of the anterior cruciate ligament during the menstrual cycle among recreational skiers summary Introduction Women have four to eight times more likely than men to have a ruptured anterior cruciate ligament (ACL). This risk...

I just learned that I have a complete break from my cruciate ligament (ACL)

The diagnosis was made ??by your doctor or sports already confirmed by MRI, it is not urgent to take a surgical decision. The first three weeks you are immobilized in a splint unarticulated, 20 ° of flexion,...

MRI and rupture of the anterior cruciate ligament (ACL)

Introduction: The diagnosis of a torn anterior cruciate ligament is clinical. (Fig 1) MRI of the knee may be requested to confirm the diagnosis, to take stock of associated lesions (meniscal lesions, lateral planes) and...

Failure risk factors ACL: female gender

Failure risk factors ACL: female gender The rupture of the anterior cruciate ligament (ACL) is one of the most common injuries in athletes. Many studies have shown that equivalent practical level the risk of ACL...

Partial ACL tear

Partial ACL tear Isolated ruptures of the anterior cruciate ligament (ACL) injuries are the most frequent ligament of the knee. These breaks may be complete or partial. In partial tears, clinical diagnosis is more difficult...

Surgical technique of KJ type of ligament or Kenneth Jones.

Specifications of ligamentoplasty cruciate ligament previous (LCA) according to kenneth-jones technical or KJ or patellar schematic description tendon of this operation is to achieve anatomic ACL reconstruction using autologous (patient’s tendon) under arthroscopic control ....

Anatomy and biomechanics of the anterior cruciate ligament (ACL: dual beam ligament)

DESCRIPTIVE ANATOMY The LCAE is the only ligament of purely intra-articular body INSERTS OF LCAE The tibia, the LCAE fits on pre-spinal area in front of the tibial spines, behind the anterior horn of the...

The contribution of new imaging techniques (MRI and 3D MRI diffusion cube) and measurement of laxity (GNRB and TELOS) on the management of partial tears and isolated ACL (surgery versus conservative treatment)

The contribution of new imaging techniques (MRI and 3D MRI diffusion cube) and measurement of laxity (GNRB and TELOS) on the management of partial tears and   isolated ACL (surgery versus conservative treatment)   Introduction The Anterior Cruciate...

ACL reconstruction: current techniques: hamstring, KJ, DT4 TLS, Macintosh fascia Lata, quadriceps tendon, double beam, Lemaire, partial rupture, navigation, allograft

The repair of the anterior cruciate ligament is one of the most practiced sport interventions surgery. Increasing the French sport of the past 30 years, majorises trauma exposure, particularly of the knee. The frequency of...

Sprained knee (anterior cruciate ligament and posterior). ACL: severe knee sprain.

What is a sprain? A sprain is a traumatic affection of one or more ligaments. This traumatic injury can be a simple stretching of the ligament (mild sprain), a partial tear of some ligament fibers...

Ligamentoplasty anterior cruciate ligament (ACL) using the technique hamstring TLS or TLS DT4

Introduction 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. Anatomy: ACLThe...

Surgery of the anterior cruciate ligament ACL by the hamstring technique (the new card image)

New data sheet ligamentoplasty ANTERIOR LIGAMENT (ACL) BY TECHNICAL hamstring (Tendons-national law and semitendinosus. Schematic description of this operation is to achieve anatomic ACL reconstruction using autologous (patient’s tendon) under arthroscopic control. Doctor Nicolas LEFEVRE, Doctor...

Ligamentoplasty anterior cruciate ligament (ACL) using the technique hamstring DT4 TLS or TLS: detail

Ligament reconstruction think antrieur with extra tuck and intraarticular fascia lata

Introduction 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...

Operation of the anterior cruciate ligament (ACL) or KJ DIDT

Anatomy A ligament is a fibrous cord that connects two bones together at a joint. He guides and controls its movement … until the amplitude exceeds the limits of its elasticity and this is the...

Technical TLS: ligamentoplasty anterior cruciate ligament (ACL) in the hamstring TLS or technical DT4 TL

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...

The meniscal tear the sport (crack, fracture or torn meniscus): Surgical treatment with meniscal suture.

Introduction: Meniscal injuries athlete are frequent. 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...

Anatomy of the meniscus

Definition: The meniscus is semilunar fibrocartilage (orange area) triangular cut.Each knee has two menisci, a medial meniscus and a lateral meniscus.They are “shock absorbers” of the knee: they have a role in the transmission and...

Knee arthroscopy: treatment of meniscus injury

Introduction 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...

Treatment of meniscal tab: Image arthroscopic

Meniscal tab The regularization of the tongue of the meniscus is performed arthroscopically. This adjustment is done using small instruments (scissors, pliers ..).Section of a tongue and regularization of the meniscus Doctor Nicolas LEFEVRE, Doctor Serge...

Anatomy and physiology of the meniscus

Definition : The meniscus is semilunar fibrocartilage (orange area) triangular cut.Each knee has two menisci, a medial meniscus and a lateral meniscus.They are “shock absorbers” of the knee: they have a role in the transmission...

Meniscus surgery, opt for self-rehabilitation

With the collaboration of Anne BAUMGARTNER, physiotherapist. Your surgeon removed a fragment of your broken meniscus in your knee. In the following weeks, a few physical therapy sessions are recommended but self-rehabilitation is also very...

Factsheet after knee arthroscopy

Appropriate conduct on check out are: 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...

Meniscal tongue, detail image.

Imaging of the meniscus

The main objective of this study was to present a synthesis of the current literature in order to provide a useful tool for clinicians in radiological analysis of the meniscus. The magnetic resonance imaging (MRI)...

Meniscal lesions (cracks, fractures or torn meniscus)

A meniscus, what is it? The meniscus is a small wedge between the two knee bones. At the top is the femur, the thigh bone. Downstairs there is the tibia, the leg bones. The bottom...

PRP – platelet concentrates scientific dossier

Doctor Yves GuglielmettiSport Clinic -Paris summary The use of PRP has become widespread in sports trauma for the last decade, as an alternative to surgery or as a surgical adjuvant. High-profile successes in high-level athletes,...

PRP – platelet concentrates information about the progress of the session

PRP – platelet concentrates Information and course of the meeting P ar Dr. Yves Guglielmetti Clinical Sports Paris V36, Bd Saint Marcel75005   paris 5 Before considering a platelet concentrates processing a visit is required to confirm the indication...

Total knee replacement (TKR) MY KNEE

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 procedure is performed...

PTG after scanner for ancillary custom PTG My Knee efficiency

Sport and replacement (total hip and knee PTH PTG)

Introduction In 2007, the average age and life expectancy of the French population increase but also the prevalence of hip and knee osteoarthritis.Approximately 100,000 total hip prostheses and 50,000 total knee arthroplastyare laid each year.Although...

Waste joints or prosthesis: Can we continue the sport?

Are the joints damaged or maintained by the sport? With a prosthetic hip or knee, can you return to sport or must you be careful? The answers are to be modulated. Boards must be customized....