{"id":17842,"date":"2016-10-04T07:00:05","date_gmt":"2016-10-04T11:00:05","guid":{"rendered":"https:\/\/newyorkhipknee.com\/non-classifiee\/etude-de-cas-sur-larthroplastie-totale-du-genou\/"},"modified":"2016-10-04T07:00:05","modified_gmt":"2016-10-04T11:00:05","slug":"etude-de-cas-sur-larthroplastie-totale-du-genou","status":"publish","type":"post","link":"https:\/\/www.newyorkhipknee.com\/fr\/etude-de-cas\/etude-de-cas-sur-larthroplastie-totale-du-genou\/","title":{"rendered":"\u00c9tude de cas sur l\u2019arthroplastie totale du genou"},"content":{"rendered":"

Le patient est un homme de 50 ans qui s\u2019est plaint de douleurs au genou gauche. Le patient a d\u00e9clar\u00e9 qu\u2019il avait subi une arthroplastie totale du genou gauche<\/a> (ATG) il y a quelques ann\u00e9es dans un \u00e9tablissement ext\u00e9rieur.<\/p>\n

Le patient pr\u00e9sentait une amplitude de mouvement restreinte et ressentait une douleur intense. Le patient a apport\u00e9 des radiographies pour examen, comme indiqu\u00e9 ci-dessous.<\/p>\n

\"Arthroplastie

Les radiographies montrent une arthroplastie totale du genou gauche avec une clart\u00e9 autour de la composante tibiale de la proth\u00e8se. Les fl\u00e8ches indiquent la clart\u00e9<\/p><\/div>\n

Apr\u00e8s examen, la clart\u00e9 observ\u00e9e dans les radiographies indique un rel\u00e2chement de la proth\u00e8se. Le patient a \u00e9t\u00e9 invit\u00e9 \u00e0 subir une aspiration et des analyses sanguines pour v\u00e9rifier la pr\u00e9sence d\u2019une infection, et les r\u00e9sultats sont revenus n\u00e9gatifs.<\/p>\n

On a conseill\u00e9 au patient d\u2019avoir une r\u00e9vision de l\u2019ATG gauche de la proth\u00e8se, et puisque les r\u00e9sultats des tests sont revenus n\u00e9gatifs pour l\u2019infection, il ne devait s\u2019agir que d\u2019une reconstruction en une seule \u00e9tape. Toutes les options et toutes les autres alternatives, ainsi que tous les risques, ont \u00e9t\u00e9 discut\u00e9s avec le patient.<\/p>\n

\"Arthroplastie

Les radiographies pr\u00e9op\u00e9ratoires montrent une ost\u00e9olyse et un rel\u00e2chement de la proth\u00e8se TKA<\/p><\/div>\n

\"Arthroplastie

Les radiographies montrent des changements postop\u00e9ratoires de placement de l\u2019ATG de r\u00e9vision gauche<\/p><\/div>\n

Apr\u00e8s l\u2019op\u00e9ration, le patient s\u2019est pr\u00e9sent\u00e9 comme se portant tr\u00e8s bien et ne ressentant aucune douleur. Le patient a une bonne amplitude de mouvement et porte un poids tel que tol\u00e9r\u00e9.<\/p>\n

\"\"

Tibial Stem pour un plateau tibial modulaire<\/p><\/div>\n

La tige tibiale modulaire montr\u00e9e dans l\u2019image ci-dessus est utilis\u00e9e dans la chirurgie de r\u00e9vision du genou. La tige aide \u00e0 transmettre la pression sur le roulement en poly\u00e9thyl\u00e8ne distalement, \u00e9vitant ainsi une usure excessive.<\/p>\n

\"\"

Tige f\u00e9morale courte<\/p><\/div>\n

 <\/p>\n

\"\"

Plateau tibial modulaire avec os m\u00e9tallique augmente<\/p><\/div>\n

Les augmentations m\u00e9talliques montr\u00e9es dans l\u2019image ci-dessus peuvent \u00eatre fix\u00e9es au plateau tibial modulaire pour s\u2019adapter \u00e0 la perte osseuse subie en perop\u00e9ratoire.<\/p>\n

\"\"

Composant modulaire de r\u00e9vision f\u00e9morale<\/p><\/div>\n

Le composant f\u00e9moral modulaire utilis\u00e9 dans la chirurgie de r\u00e9vision du genou a un attachement pour la tige f\u00e9morale et les augmentations m\u00e9ta-osseuses.<\/p>\n

*Les identificateurs et les dates des patients ont \u00e9t\u00e9 modifi\u00e9s pour prot\u00e9ger la vie priv\u00e9e des patients.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Le patient est un homme de 50 ans qui s\u2019est plaint de douleurs au genou gauche. Le patient a d\u00e9clar\u00e9 qu\u2019il avait subi une arthroplastie totale du genou gauche (ATG) il y a quelques ann\u00e9es dans un \u00e9tablissement ext\u00e9rieur. Le patient pr\u00e9sentait une amplitude de mouvement restreinte et ressentait une douleur intense. Le patient a […]<\/p>\n","protected":false},"author":9,"featured_media":17214,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1159],"tags":[1160],"class_list":["post-17842","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas","tag-etude-de-cas"],"yoast_head":"\n\u00c9tude de cas sur l\u2019arthroplastie totale du genou [Free Case Study With Photos]<\/title>\n<meta name=\"description\" content=\"\u00c9tude de cas de remplacement total du genou d\u2019un homme de 50 ans que nous avons trait\u00e9 apr\u00e8s avoir eu une douleur au genou gauche. 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