{"id":17865,"date":"2016-11-14T07:00:04","date_gmt":"2016-11-14T12:00:04","guid":{"rendered":"https:\/\/newyorkhipknee.com\/non-classifiee\/chirurgie-de-sauvetage-dun-membre-a-laide-dun-espaceur-antibiotique-articule\/"},"modified":"2016-11-14T07:00:04","modified_gmt":"2016-11-14T12:00:04","slug":"chirurgie-de-sauvetage-dun-membre-a-laide-dun-espaceur-antibiotique-articule","status":"publish","type":"post","link":"https:\/\/www.newyorkhipknee.com\/fr\/etude-de-cas\/chirurgie-de-sauvetage-dun-membre-a-laide-dun-espaceur-antibiotique-articule\/","title":{"rendered":"Chirurgie de sauvetage d\u2019un membre \u00e0 l\u2019aide d\u2019un espaceur antibiotique articul\u00e9"},"content":{"rendered":"<p>La patiente est une femme de 80 ans qui \u00e9tait venue de l\u2019ext\u00e9rieur de l\u2019\u00c9tat apr\u00e8s avoir \u00e9t\u00e9 avis\u00e9e de recevoir une amputation de sa jambe gauche. La patiente a d\u00e9j\u00e0 subi 5 interventions chirurgicales, y compris l\u2019irrigation, le d\u00e9bridement et le drainage de son genou gauche apr\u00e8s avoir \u00e9t\u00e9 impliqu\u00e9e dans un accident de voiture il y a plusieurs ann\u00e9es. Les chirurgies pr\u00e9c\u00e9dentes ont \u00e9t\u00e9 effectu\u00e9es par un \u00e9tablissement de l\u2019\u00c9tat.<\/p>\n<p>Le patient est venu avec des radiographies pour examen, comme indiqu\u00e9 ci-dessous. Lors de l\u2019examen, le patient ressentait de la douleur et on lui a finalement conseill\u00e9 de subir une <a href=\"https:\/\/newyorkhipknee.com\/custom-knee-replacement-surgery\/total-knee-replacement\/\" target=\"_blank\" rel=\"noopener noreferrer\">arthroplastie totale du genou gauche<\/a> (ATG) Chirurgie de reconstruction. Toutes les alternatives et options ont \u00e9t\u00e9 longuement discut\u00e9es avec le patient.<\/p>\n<p>On a expliqu\u00e9 \u00e0 la patiente qu\u2019elle souffrait d\u2019une fracture comminutive dans laquelle l\u2019os s\u2019\u00e9tait bris\u00e9 en plusieurs morceaux et que les deux options \u00e9taient une proc\u00e9dure de fixation interne \u00e0 r\u00e9duction ouverte (ORIF) ou un remplacement, mais on lui a dit que le remplacement \u00e9tait la meilleure option pour obtenir de meilleurs r\u00e9sultats.<\/p>\n<div id=\"attachment_3331\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3331\" class=\"size-medium wp-image-3331\" title=\"f\u00e9moral et tibial 1\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-1-300x224.png\" alt=\"f\u00e9moral et tibial 1\" width=\"300\" height=\"224\" data-id=\"3331\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-1-300x224.png 300w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-1-150x112.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-1-510x382.png 510w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-1-20x15.png 20w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-1.png 645w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3331\" class=\"wp-caption-text\">Les radiographies montrent une ost\u00e9olyse de la composante f\u00e9morale et tibiale de la proth\u00e8se gauche de l\u2019ATG<\/p><\/div>\n<p>Il existe \u00e9galement une calcification capsulaire et une distension capsulaire ainsi qu\u2019un amincissement s\u00e9v\u00e8re du cortex autour de la face sup\u00e9rieure du f\u00e9mur. Les fl\u00e8ches montrent l\u2019ost\u00e9olyse de l\u2019os.<\/p>\n<div id=\"attachment_3332\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3332\" class=\"size-medium wp-image-3332\" title=\"f\u00e9moral et tibial 2\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-2-300x197.png\" alt=\"f\u00e9moral et tibial 2\" width=\"300\" height=\"197\" data-id=\"3332\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-2-300x197.png 300w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-2-150x99.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-2-20x13.png 20w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-2.png 423w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3332\" class=\"wp-caption-text\">Les radiographies montrent des changements pr\u00e9op\u00e9ratoires de la reconstruction de l\u2019ATG gauche<\/p><\/div>\n<p>Le patient a re\u00e7u une aspiration du genou gauche pour v\u00e9rifier l\u2019infection. Les r\u00e9sultats ont montr\u00e9 que le patient avait une proth\u00e8se tumorale du genou infect\u00e9e. Il a \u00e9t\u00e9 conseill\u00e9 au patient de recevoir une proth\u00e8se antibiotique articul\u00e9e avec des espaceurs antibiotiques articul\u00e9s \u00e0 forte dose pour traiter l\u2019infection.<\/p>\n<p>Les espaceurs antibiotiques seront laiss\u00e9s pendant environ 6 \u00e0 8 semaines, puis retir\u00e9s et remplac\u00e9s par une nouvelle proth\u00e8se. Le patient avait d\u00e9cid\u00e9 de proc\u00e9der \u00e0 l\u2019op\u00e9ration.<\/p>\n<div id=\"attachment_3333\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3333\" class=\"size-medium wp-image-3333\" title=\"f\u00e9moral et tibial 3\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-3-300x140.png\" alt=\"f\u00e9moral et tibial 3\" width=\"300\" height=\"140\" data-id=\"3333\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-3-300x140.png 300w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-3-150x70.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-3-20x9.png 20w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-3.png 477w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3333\" class=\"wp-caption-text\">Le scanogramme pr\u00e9op\u00e9ratoire montre de l\u00e9gers changements d\u00e9g\u00e9n\u00e9ratifs aux deux hanches et au genou droit<\/p><\/div>\n<p>Il y a une plaque orthop\u00e9dique et plusieurs vis dans le f\u00e9mur distal droit.<\/p>\n<div id=\"attachment_3334\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3334\" class=\"size-medium wp-image-3334\" title=\"f\u00e9moral et tibial 4\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-4-300x207.png\" alt=\"f\u00e9moral et tibial 4\" width=\"300\" height=\"207\" data-id=\"3334\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-4-300x207.png 300w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-4-150x103.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-4-20x14.png 20w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-4.png 421w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3334\" class=\"wp-caption-text\">Les radiographies pr\u00e9chirurgicales montrent une luxation gauche de l\u2019ATG avec translation dorsale du tibia et \u00e9largissement de l\u2019articulation tibiof\u00e9morale<\/p><\/div>\n<div id=\"attachment_3335\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3335\" class=\"size-medium wp-image-3335\" title=\"f\u00e9moral et tibial 5\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-5-300x138.png\" alt=\"f\u00e9moral et tibial 5\" width=\"300\" height=\"138\" data-id=\"3335\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-5-300x138.png 300w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-5-150x69.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-5-20x9.png 20w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-5.png 642w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3335\" class=\"wp-caption-text\">Les radiographies montrent des changements perop\u00e9ratoires du genou gauche, y compris une proth\u00e8se f\u00e9morale et tibiale \u00e0 longue tige<\/p><\/div>\n<div id=\"attachment_3336\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3336\" class=\"size-medium wp-image-3336\" title=\"f\u00e9moral et tibial 6\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-6-300x141.png\" alt=\"f\u00e9moral et tibial 6\" width=\"300\" height=\"141\" data-id=\"3336\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-6-300x141.png 300w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-6-150x70.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-6-20x9.png 20w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-6.png 709w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-3336\" class=\"wp-caption-text\">Images de fluoroscopie perop\u00e9ratoire<\/p><\/div>\n<div id=\"attachment_3337\" style=\"width: 278px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-3337\" class=\"size-full wp-image-3337\" title=\"f\u00e9moral et tibial 7\" src=\"\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-7.png\" alt=\"f\u00e9moral et tibial 7\" width=\"268\" height=\"259\" data-id=\"3337\" srcset=\"https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-7.png 268w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-7-150x145.png 150w, https:\/\/www.newyorkhipknee.com\/wp-content\/uploads\/2016\/08\/femoral-and-tibial-7-20x20.png 20w\" sizes=\"(max-width: 268px) 100vw, 268px\" \/><p id=\"caption-attachment-3337\" class=\"wp-caption-text\">Les radiographies montrent une ATG du genou gauche un an apr\u00e8s l\u2019op\u00e9ration<\/p><\/div>\n<p>Lors du suivi, le patient se plaint de l\u2019absence de douleur, a une bonne amplitude de mouvement, porte un poids tel que tol\u00e9r\u00e9 et se porte bien par la suite.<\/p>\n<div id=\"attachment_9176\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9176\" class=\"size-medium wp-image-9176\" title=\"1T5A0350\" src=\"https:\/\/newyorkhipknee.com\/wp-content\/uploads\/2016\/11\/1T5A0350-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\"><p id=\"caption-attachment-9176\" class=\"wp-caption-text\">Plateau tibial modulaire avec manchon m\u00e9taphysaire<\/p><\/div>\n<p>Une image ci-dessus montre un plateau tibial modulaire utilis\u00e9 dans la chirurgie de remplacement du genou de r\u00e9vision. Le plateau modulaire permet la fixation d\u2019une tige et l\u2019os m\u00e9tallique augmente.<\/p>\n<div id=\"attachment_9177\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9177\" class=\"size-medium wp-image-9177\" title=\"1T5A0318\" src=\"https:\/\/newyorkhipknee.com\/wp-content\/uploads\/2016\/11\/1T5A0318-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\"><p id=\"caption-attachment-9177\" class=\"wp-caption-text\">Composant f\u00e9moral modulaire<\/p><\/div>\n<p>L\u2019image montre une composante f\u00e9morale modulaire (stabilis\u00e9e post\u00e9rieurement). La modularit\u00e9 de l\u2019implant permet la fixation de la tige qui aide \u00e0 transmettre la charge de l\u2019articulation.<\/p>\n<div id=\"attachment_9178\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9178\" class=\"size-medium wp-image-9178\" title=\"1T5A0332\" src=\"https:\/\/newyorkhipknee.com\/wp-content\/uploads\/2016\/11\/1T5A0332-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\"><p id=\"caption-attachment-9178\" class=\"wp-caption-text\">Manchon m\u00e9taphysaire (trabecular) avec os m\u00e9tallique augmente<\/p><\/div>\n<p>L\u2019os augmente et les manchons m\u00e9taphysaires aident \u00e0 combler le vide osseux rencontr\u00e9 pendant la chirurgie. Lors de l\u2019extraction de l\u2019implant primaire ou en raison d\u2019une infection \/ d\u2019un rel\u00e2chement, il peut y avoir des trous osseux.<\/p>\n<p><em>*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":"<p>La patiente est une femme de 80 ans qui \u00e9tait venue de l\u2019ext\u00e9rieur de l\u2019\u00c9tat apr\u00e8s avoir \u00e9t\u00e9 avis\u00e9e de recevoir une amputation de sa jambe gauche. La patiente a d\u00e9j\u00e0 subi 5 interventions chirurgicales, y compris l\u2019irrigation, le d\u00e9bridement et le drainage de son genou gauche apr\u00e8s avoir \u00e9t\u00e9 impliqu\u00e9e dans un accident de [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":17203,"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-17865","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas","tag-etude-de-cas"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Chirurgie des membres avec espaceur antibiotique articul\u00e9 | NYHK (\u00c9tats-Unis)<\/title>\n<meta name=\"description\" content=\"La patiente est une femme de 80 ans qui \u00e9tait venue de l\u2019ext\u00e9rieur de l\u2019\u00c9tat apr\u00e8s avoir \u00e9t\u00e9 avis\u00e9e de recevoir une amputation de sa jambe gauche. 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