{"id":27935,"date":"2026-10-14T08:40:07","date_gmt":"2026-10-14T08:40:07","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=27935"},"modified":"2026-10-14T14:53:14","modified_gmt":"2026-10-14T14:53:14","slug":"chirurgie-du-ligament-croise-posterieur","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/chirurgie-du-ligament-croise-posterieur\/","title":{"rendered":"CHIRURGIE DU LIGAMENT CROIS\u00c9 POST\u00c9RIEUR (LCP)"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"27935\" class=\"elementor elementor-27935\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14c72c0 e-grid e-con-boxed e-con e-parent\" data-id=\"14c72c0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc6fc58 elementor-widget-mobile__width-initial elementor-widget elementor-widget-heading\" data-id=\"dc6fc58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">CHIRURGIE DU LIGAMENT CROIS\u00c9 POST\u00c9RIEUR (LCP)<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-404f408 elementor-nav-menu__align-center elementor-nav-menu--dropdown-none elementor-widget-mobile__width-inherit home-page-3-buttons elementor-fixed elementor-widget elementor-widget-nav-menu\" data-id=\"404f408\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;sticky&quot;:&quot;top&quot;,&quot;_position&quot;:&quot;fixed&quot;,&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; 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Le plus souvent, le ligament est reconstruit \u00e0 l\u2019aide d\u2019un greffon tendineux fix\u00e9 dans des tunnels osseux.<\/p><p>Cette intervention n\u2019est pas syst\u00e9matique. La d\u00e9cision d\u00e9pend de la g\u00eane ressentie, de l\u2019examen clinique, de l\u2019importance de l\u2019instabilit\u00e9, des l\u00e9sions associ\u00e9es, des traitements d\u00e9j\u00e0 entrepris et des activit\u00e9s que le patient souhaite reprendre.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-f44e654 e-grid e-con-full e-con e-parent\" data-id=\"f44e654\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-7d4697f elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"7d4697f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cda79dd e-con-full e-flex e-con e-child\" data-id=\"cda79dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6bad02e elementor-widget__width-initial elementor-hidden-desktop elementor-hidden-tablet elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"6bad02e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COMPRENDRE LA CHIRURGIE DU LIGAMENT CROIS\u00c9 ANT\u00c9RIEUR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d52101 e-grid e-con-full e-con e-parent\" data-id=\"4d52101\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-16465eb e-con-full e-flex e-con e-child\" data-id=\"16465eb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-87edf16 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"87edf16\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5ceea2 elementor-widget elementor-widget-image\" data-id=\"e5ceea2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-indications.webp\" class=\"attachment-full size-full wp-image-28084\" alt=\"Patient \u00e9changeant avec un professionnel de sant\u00e9 sur la chirurgie du ligament crois\u00e9 post\u00e9rieur\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-indications.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-indications-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-indications-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-indications-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-indications-18x12.webp 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-abd889e e-con-full e-flex e-con e-child\" data-id=\"abd889e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6c34a81 elementor-widget elementor-widget-heading\" data-id=\"6c34a81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUAND ENVISAGER UNE CHIRURGIE DU LIGAMENT CROIS\u00c9 POST\u00c9RIEUR ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7229b9 elementor-widget elementor-widget-text-editor\" data-id=\"a7229b9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La reconstruction peut \u00eatre discut\u00e9e lorsqu\u2019une rupture du ligament crois\u00e9 post\u00e9rieur entra\u00eene une instabilit\u00e9 persistante qui g\u00eane les activit\u00e9s quotidiennes, professionnelles ou sportives malgr\u00e9 une prise en charge adapt\u00e9e.<\/p><p>\u00a0<\/p><ul><li><strong>Instabilit\u00e9 persistante<\/strong><br \/>Une sensation durable de d\u00e9robement ou de manque de contr\u00f4le peut conduire \u00e0 envisager la chirurgie, apr\u00e8s \u00e9valuation clinique.<\/li><li><strong>Rupture importante et retentissement fonctionnel<\/strong><br \/>L\u2019importance de la laxit\u00e9 est appr\u00e9ci\u00e9e avec les sympt\u00f4mes et l\u2019examen du genou. L\u2019imagerie seule ne suffit pas \u00e0 d\u00e9cider d\u2019une intervention.<\/li><li><strong>L\u00e9sions ligamentaires associ\u00e9es<\/strong><br \/>Une atteinte combin\u00e9e \u00e0 d\u2019autres ligaments peut n\u00e9cessiter une strat\u00e9gie chirurgicale sp\u00e9cifique, parfois en plusieurs \u00e9tapes.<\/li><li><strong>\u00c9chec d\u2019une prise en charge conservatrice<\/strong><br \/>Une physioth\u00e9rapie structur\u00e9e et, selon les cas, une attelle peuvent \u00eatre essay\u00e9es avant de proposer une reconstruction.<\/li><\/ul><p>\u00a0<\/p><p>L\u2019op\u00e9ration n\u2019est pas automatiquement n\u00e9cessaire apr\u00e8s une rupture du LCP. Une l\u00e9sion isol\u00e9e peut parfois \u00eatre prise en charge sans chirurgie. La d\u00e9cision tient aussi compte des attentes, du niveau d\u2019activit\u00e9, de l\u2019anatomie et des \u00e9ventuelles contre-indications.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9dc57dd e-con-full e-flex e-con e-parent\" data-id=\"9dc57dd\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-09fb0b9 e-con-full e-flex e-con e-child\" data-id=\"09fb0b9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e32d70f elementor-widget elementor-widget-heading\" data-id=\"e32d70f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PR\u00c9PARER L\u2019INTERVENTION<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd07fd9 elementor-widget elementor-widget-text-editor\" data-id=\"cd07fd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La pr\u00e9paration permet de confirmer le plan op\u00e9ratoire, d\u2019anticiper les besoins apr\u00e8s l\u2019intervention et de donner au patient des consignes adapt\u00e9es \u00e0 sa situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ac7a92f e-con-full e-grid e-con e-child\" data-id=\"ac7a92f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-84ebc77 e-con-full e-flex e-con e-child\" data-id=\"84ebc77\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2c3ca10 elementor-widget elementor-widget-heading\" data-id=\"2c3ca10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">BILAN PR\u00c9OP\u00c9RATOIRE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7ef4334 elementor-widget elementor-widget-text-editor\" data-id=\"7ef4334\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le chirurgien r\u00e9\u00e9value la stabilit\u00e9 du genou et les l\u00e9sions associ\u00e9es. Des examens d\u2019imagerie et des analyses peuvent \u00eatre demand\u00e9s selon le dossier. Une consultation d\u2019anesth\u00e9sie est organis\u00e9e avant l\u2019intervention.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ed0fa5b e-con-full e-flex e-con e-child\" data-id=\"ed0fa5b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-691533d elementor-widget elementor-widget-heading\" data-id=\"691533d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PLANIFICATION DE L\u2019INTERVENTION<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-453acde elementor-widget elementor-widget-text-editor\" data-id=\"453acde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le choix entre reconstruction et r\u00e9paration d\u2019une avulsion osseuse d\u00e9pend de la nature de la l\u00e9sion. Le chirurgien planifie le trajet et la fixation du greffon, en tenant compte des autres l\u00e9sions et des interventions ant\u00e9rieures \u00e9ventuelles.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-adf8056 e-con-full e-flex e-con e-child\" data-id=\"adf8056\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62e25ca elementor-widget elementor-widget-heading\" data-id=\"62e25ca\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PR\u00c9PARATION PHYSIQUE ET PRATIQUE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-871b4cc elementor-widget elementor-widget-text-editor\" data-id=\"871b4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une physioth\u00e9rapie pr\u00e9op\u00e9ratoire peut aider \u00e0 r\u00e9cup\u00e9rer la mobilit\u00e9 et \u00e0 renforcer les muscles avant l\u2019op\u00e9ration. Il est utile d\u2019organiser le domicile, de pr\u00e9voir les b\u00e9quilles si elles sont prescrites et d\u2019anticiper une aide pour les premiers jours.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c2db9a e-con-full e-flex e-con e-child\" data-id=\"4c2db9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-56ad699 elementor-widget elementor-widget-heading\" data-id=\"56ad699\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">CONSIGNES AVANT L\u2019OP\u00c9RATION<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ec455d6 elementor-widget elementor-widget-text-editor\" data-id=\"ec455d6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019\u00e9quipe pr\u00e9cise les consignes de je\u00fbne, d\u2019hygi\u00e8ne et de pr\u00e9paration de la peau. Les m\u00e9dicaments habituels ne doivent pas \u00eatre arr\u00eat\u00e9s sans avis m\u00e9dical. Il est \u00e9galement conseill\u00e9 de signaler le tabagisme \u00e0 l\u2019\u00e9quipe soignante.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a5ec2b5 e-grid e-con-full e-con e-parent\" data-id=\"a5ec2b5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-92e6614 e-con-full e-flex e-con e-child\" data-id=\"92e6614\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77b77e8 elementor-widget elementor-widget-image\" data-id=\"77b77e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1774\" height=\"887\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique.webp\" class=\"attachment-full size-full wp-image-28085\" alt=\"bloc op\u00e9ratoire arthroscopie du ligament crois\u00e9 post\u00e9rieur\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique.webp 1774w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique-400x200.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique-1300x650.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique-768x384.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique-1536x768.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-intervention-arthroscopique-18x9.webp 18w\" sizes=\"(max-width: 1774px) 100vw, 1774px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ae5bad5 e-con-full e-flex e-con e-child\" data-id=\"ae5bad5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-673ffd0 elementor-widget elementor-widget-heading\" data-id=\"673ffd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">COMMENT SE D\u00c9ROULE L\u2019INTERVENTION ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-73de5f4 elementor-widget elementor-widget-text-editor\" data-id=\"73de5f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La chirurgie du ligament crois\u00e9 post\u00e9rieur se d\u00e9roule le plus souvent sous arthroscopie, parfois avec une incision compl\u00e9mentaire selon la technique de fixation. Les gestes varient selon l\u2019anatomie, l\u2019importance de la l\u00e9sion et les atteintes associ\u00e9es.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-261f3c1 elementor-widget elementor-widget-n-accordion\" data-id=\"261f3c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3990\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3990\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> INSTALLATION ET ANESTH\u00c9SIE <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3990\" class=\"elementor-element elementor-element-8edb0cb e-con-full e-flex e-con e-child\" data-id=\"8edb0cb\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3990\" class=\"elementor-element elementor-element-5db27e0 e-flex e-con-boxed e-con e-child\" data-id=\"5db27e0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b93bd58 elementor-widget elementor-widget-text-editor\" data-id=\"b93bd58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le patient est install\u00e9 sur le dos. L\u2019intervention est g\u00e9n\u00e9ralement r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale ou locor\u00e9gionale, selon l\u2019\u00e9valuation de l\u2019anesth\u00e9siste et la situation m\u00e9dicale. Le genou est pr\u00e9par\u00e9 dans des conditions st\u00e9riles et l\u2019\u00e9quipe v\u00e9rifie le c\u00f4t\u00e9 op\u00e9r\u00e9 ainsi que le plan chirurgical.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3991\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3991\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> ACC\u00c8S \u00c0 L\u2019ARTICULATION <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3991\" class=\"elementor-element elementor-element-5895d42 e-con-full e-flex e-con e-child\" data-id=\"5895d42\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4a78252 elementor-widget elementor-widget-text-editor\" data-id=\"4a78252\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>De petites incisions permettent d\u2019introduire la cam\u00e9ra et les instruments d\u2019arthroscopie. Le chirurgien examine l\u2019int\u00e9rieur du genou et rep\u00e8re le ligament, les m\u00e9nisques, le cartilage et les autres ligaments. Des incisions suppl\u00e9mentaires peuvent \u00eatre n\u00e9cessaires pour pr\u00e9parer ou fixer le greffon.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3992\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3992\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Traitement de la l\u00e9sion <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3992\" class=\"elementor-element elementor-element-0376965 e-con-full e-flex e-con e-child\" data-id=\"0376965\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-267d95a elementor-widget elementor-widget-text-editor\" data-id=\"267d95a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Si le ligament est rompu au milieu, il est g\u00e9n\u00e9ralement remplac\u00e9 par un greffon tendineux. Le chirurgien pr\u00e9pare des tunnels osseux dans le f\u00e9mur et le tibia, puis fait passer le greffon selon le trajet anatomique du LCP. Il r\u00e8gle sa tension et le fixe \u00e0 l\u2019aide de dispositifs adapt\u00e9s. En cas d\u2019arrachement osseux \u00e0 l\u2019insertion du ligament, une fixation du fragment peut parfois \u00eatre envisag\u00e9e. Les l\u00e9sions associ\u00e9es peuvent n\u00e9cessiter des gestes compl\u00e9mentaires.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3993\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3993\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> CONTR\u00d4LE DU R\u00c9SULTAT <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3993\" class=\"elementor-element elementor-element-31a7c6b e-flex e-con-boxed e-con e-child\" data-id=\"31a7c6b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dc592f6 elementor-widget elementor-widget-text-editor\" data-id=\"dc592f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le chirurgien v\u00e9rifie le trajet et la tension du greffon, la stabilit\u00e9 du genou et la mobilit\u00e9 obtenue. Il contr\u00f4le \u00e9galement que les structures voisines ne sont pas g\u00ean\u00e9es par la reconstruction. Un contr\u00f4le radiographique perop\u00e9ratoire n\u2019est pas syst\u00e9matique ; il d\u00e9pend du geste et du mat\u00e9riel utilis\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-3994\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-3994\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> FERMETURE ET FIN DE L\u2019INTERVENTION <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-3994\" class=\"elementor-element elementor-element-0106252 e-flex e-con-boxed e-con e-child\" data-id=\"0106252\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dca8614 elementor-widget elementor-widget-text-editor\" data-id=\"dca8614\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les instruments sont retir\u00e9s, les petites incisions sont ferm\u00e9es et recouvertes d\u2019un pansement. Une attelle peut \u00eatre mise en place selon le protocole retenu. Le patient est ensuite transf\u00e9r\u00e9 en salle de r\u00e9veil pour la surveillance postop\u00e9ratoire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d932b91 elementor-widget elementor-widget-text-editor\" data-id=\"d932b91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>L\u2019objectif technique est de reconstruire le trajet fonctionnel du LCP et de fixer le greffon de fa\u00e7on stable, sans g\u00eaner les autres structures du genou.<\/strong><\/p><p>La dur\u00e9e de l\u2019intervention et celle du s\u00e9jour varient selon les gestes r\u00e9alis\u00e9s, les l\u00e9sions associ\u00e9es et l\u2019organisation de la clinique. Le mode ambulatoire ou l\u2019hospitalisation est d\u00e9termin\u00e9 par l\u2019\u00e9quipe m\u00e9dicale.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4c33e9a e-grid e-con-full e-con e-parent\" data-id=\"4c33e9a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-4d22fe8 e-con-full e-flex e-con e-child\" data-id=\"4d22fe8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-212e688 elementor-widget elementor-widget-heading\" data-id=\"212e688\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUEL GREFFON ET QUELLE TECHNIQUE CHOISIR ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d163419 elementor-widget elementor-widget-text-editor\" data-id=\"d163419\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Plusieurs m\u00e9thodes permettent de fixer un greffon au tibia et au f\u00e9mur. Le choix d\u00e9pend de la forme de la l\u00e9sion, de l\u2019anatomie, des ant\u00e9c\u00e9dents chirurgicaux et de l\u2019exp\u00e9rience de l\u2019\u00e9quipe.<\/p><p>Le greffon peut provenir d\u2019un tendon du patient ou, dans certaines situations, d\u2019un donneur. La technique de fixation et le recours \u00e0 un geste associ\u00e9 sont d\u00e9cid\u00e9s au cas par cas.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1935cd9 elementor-widget elementor-widget-n-accordion\" data-id=\"1935cd9\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2640\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2640\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Reconstruction \u00e0 un faisceau <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-52c8065 e-con-full e-flex e-con e-child\" data-id=\"52c8065\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2640\" class=\"elementor-element elementor-element-738d254 e-flex e-con-boxed e-con e-child\" data-id=\"738d254\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f92d1c9 elementor-widget elementor-widget-text-editor\" data-id=\"f92d1c9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Cette technique reconstruit principalement le faisceau ant\u00e9rolat\u00e9ral du LCP, qui contribue fortement \u00e0 la stabilit\u00e9 du genou. Elle peut \u00eatre choisie selon la l\u00e9sion et les objectifs op\u00e9ratoires. Elle ne reproduit pas toujours s\u00e9par\u00e9ment les deux faisceaux anatomiques.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2641\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2641\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Reconstruction \u00e0 deux faisceaux <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2641\" class=\"elementor-element elementor-element-f0cc119 e-con-full e-flex e-con e-child\" data-id=\"f0cc119\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cad70bb elementor-widget elementor-widget-text-editor\" data-id=\"cad70bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Deux faisceaux sont reconstruits afin de se rapprocher davantage de l\u2019organisation anatomique du ligament. Cette approche peut \u00eatre envisag\u00e9e dans certaines situations, mais elle implique une planification et des gestes plus complexes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2642\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2642\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Fixation du greffon au tibia <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2642\" class=\"elementor-element elementor-element-8840717 e-con-full e-flex e-con e-child\" data-id=\"8840717\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1c5a9b elementor-widget elementor-widget-text-editor\" data-id=\"e1c5a9b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Dans une reconstruction transtibiale, le greffon traverse un tunnel osseux tibial. Une autre possibilit\u00e9 est la technique dite \u00ab inlay \u00bb, qui fixe le greffon \u00e0 l\u2019arri\u00e8re du tibia. Cette derni\u00e8re peut \u00eatre discut\u00e9e selon l\u2019anatomie et le risque de courbure marqu\u00e9e du greffon au bord du tunnel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2643\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2643\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Choix et fixation du greffon <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><i aria-hidden=\"true\" class=\"icon icon-minus\"><\/i><\/span>\n\t\t\t<span class='e-closed'><i aria-hidden=\"true\" class=\"icon icon-plus\"><\/i><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2643\" class=\"elementor-element elementor-element-97b7f30 e-flex e-con-boxed e-con e-child\" data-id=\"97b7f30\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-97a9db2 elementor-widget elementor-widget-text-editor\" data-id=\"97a9db2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Un tendon pr\u00e9lev\u00e9 chez le patient ou un greffon de donneur peut \u00eatre utilis\u00e9. Le choix d\u00e9pend notamment de la qualit\u00e9 des tissus, des interventions ant\u00e9rieures et des gestes associ\u00e9s. Des vis ou d\u2019autres syst\u00e8mes de fixation peuvent maintenir le greffon pendant sa cicatrisation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a98687 elementor-widget elementor-widget-text-editor\" data-id=\"9a98687\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Aucune technique ne convient \u00e0 tous les patients : le choix repose sur l\u2019examen, l\u2019imagerie et les objectifs fonctionnels.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-61f3849 e-con-full e-flex e-con e-child\" data-id=\"61f3849\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fee1bfd elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"fee1bfd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe86703 elementor-widget elementor-widget-image\" data-id=\"fe86703\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-suites-postoperatoires.webp\" class=\"attachment-full size-full wp-image-28093\" alt=\"Jeune sportive r\u00e9apprenant \u00e0 marcher avec des b\u00e9quilles apr\u00e8s une chirurgie du ligament crois\u00e9 post\u00e9rieur\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-suites-postoperatoires.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-suites-postoperatoires-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-suites-postoperatoires-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-suites-postoperatoires-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-du-ligament-croise-posterieur-suites-postoperatoires-18x12.webp 18w\" sizes=\"(max-width: 1536px) 100vw, 1536px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ef058c7 e-con-full e-flex e-con e-parent\" data-id=\"ef058c7\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-e19cff2 e-con-full e-flex e-con e-child\" data-id=\"e19cff2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-51df04c elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"51df04c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">APR\u00c8S L\u2019INTERVENTION : LES PREMI\u00c8RES \u00c9TAPES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43729a9 elementor-widget elementor-widget-text-editor\" data-id=\"43729a9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Apr\u00e8s la chirurgie, l\u2019\u00e9quipe surveille l\u2019\u00e9tat g\u00e9n\u00e9ral, le genou et la douleur. La reprise des mouvements et de l\u2019appui est encadr\u00e9e selon le type de reconstruction et les l\u00e9sions associ\u00e9es.<\/p><p>Les consignes sont individualis\u00e9es. La protection du greffon, le contr\u00f4le du gonflement et la r\u00e9cup\u00e9ration progressive de la mobilit\u00e9 sont des \u00e9l\u00e9ments importants des premiers jours.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a6038b2 e-con-full e-grid e-con e-child\" data-id=\"a6038b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-a1d46e6 e-con-full e-flex e-con e-child\" data-id=\"a1d46e6\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-88b9f45 elementor-widget elementor-widget-heading\" data-id=\"88b9f45\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">SALLE DE R\u00c9VEIL ET DOULEUR<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56697c3 elementor-widget elementor-widget-text-editor\" data-id=\"56697c3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La surveillance porte notamment sur la douleur, le pansement et la circulation du membre. Des m\u00e9dicaments sont propos\u00e9s pour soulager la douleur et limiter les naus\u00e9es si n\u00e9cessaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6a9f58d e-con-full e-flex e-con e-child\" data-id=\"6a9f58d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90afccf elementor-widget elementor-widget-heading\" data-id=\"90afccf\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Mobilisation et protection du genou<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-219134e elementor-widget elementor-widget-text-editor\" data-id=\"219134e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La physioth\u00e9rapie d\u00e9bute selon les consignes de l\u2019\u00e9quipe. Une attelle et des b\u00e9quilles peuvent \u00eatre prescrites. L\u2019appui et l\u2019amplitude de flexion sont progressifs, car il faut \u00e9viter que le tibia ne recule pendant la phase initiale de cicatrisation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-aec14a9 e-con-full e-flex e-con e-child\" data-id=\"aec14a9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-40306f2 elementor-widget elementor-widget-heading\" data-id=\"40306f2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">RETOUR \u00c0 DOMICILE ET SURVEILLANCE<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c0b3f55 elementor-widget elementor-widget-text-editor\" data-id=\"c0b3f55\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Le retour est organis\u00e9 lorsque l\u2019\u00e9tat du patient et la prise en charge de la douleur le permettent. L\u2019\u00e9quipe explique les soins du pansement, les rendez-vous de contr\u00f4le et les signes n\u00e9cessitant un avis m\u00e9dical. La dur\u00e9e du s\u00e9jour d\u00e9pend de l\u2019intervention et de la situation individuelle.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-06c9f14 e-grid e-con-full e-con e-parent\" data-id=\"06c9f14\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-01eb791 e-con-full e-flex e-con e-child\" data-id=\"01eb791\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0dfc96f elementor-widget elementor-widget-heading\" data-id=\"0dfc96f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00c9\u00c9DUCATION ET REPRISE DES ACTIVIT\u00c9S<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-571f7c0 elementor-widget elementor-widget-text-editor\" data-id=\"571f7c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La physioth\u00e9rapie accompagne la r\u00e9cup\u00e9ration de la mobilit\u00e9, de la force et du contr\u00f4le du genou. Les \u00e9tapes sont ajust\u00e9es selon la fixation du greffon, les gestes associ\u00e9s et l\u2019\u00e9volution clinique.<\/p><p>\u00a0<\/p><ul><li><strong>Mobilit\u00e9 et marche<\/strong><br \/>Les premiers exercices respectent les limites de flexion prescrites et prot\u00e8gent le tibia contre un d\u00e9placement vers l\u2019arri\u00e8re. Les b\u00e9quilles sont utilis\u00e9es tant que la marche n\u2019est pas suffisamment s\u00fbre et contr\u00f4l\u00e9e. La progression de l\u2019appui et l\u2019abandon de l\u2019attelle suivent les instructions du chirurgien et du physioth\u00e9rapeute.<\/li><li><strong>Renforcement musculaire<\/strong><br \/>Le travail du quadriceps et le contr\u00f4le neuromusculaire sont progressivement d\u00e9velopp\u00e9s. Les exercices sollicitant fortement les ischio-jambiers peuvent \u00eatre retard\u00e9s ou adapt\u00e9s au d\u00e9but, car leur contraction peut tirer le tibia vers l\u2019arri\u00e8re.<\/li><li><strong>Conduite, travail et sport<\/strong><br \/>La conduite, le retour au travail et la reprise du sport d\u00e9pendent de la mobilit\u00e9, de la force, de la douleur, des exigences de l\u2019activit\u00e9 et de l\u2019autorisation m\u00e9dicale. Les sports avec changements de direction ou contacts sont repris tardivement, apr\u00e8s des crit\u00e8res fonctionnels et une progression supervis\u00e9e ; aucun calendrier unique ne convient \u00e0 tous.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c029554 e-con-full e-flex e-con e-child\" data-id=\"c029554\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-16cfa8d elementor-widget elementor-widget-image\" data-id=\"16cfa8d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1672\" height=\"941\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation.webp\" class=\"attachment-full size-full wp-image-28091\" alt=\"Jeune sportive r\u00e9alisant un exercice de r\u00e9\u00e9ducation du genou apr\u00e8s une chirurgie du ligament crois\u00e9 post\u00e9rieur\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation.webp 1672w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation-1300x732.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-exercice-reeducation-18x10.webp 18w\" sizes=\"(max-width: 1672px) 100vw, 1672px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-cf4bc90 e-con-full e-flex e-con e-parent\" data-id=\"cf4bc90\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-d5ffdca e-con-full e-flex e-con e-child\" data-id=\"d5ffdca\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a497c0 elementor-widget__width-initial elementor-widget elementor-widget-heading\" data-id=\"0a497c0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">R\u00c9SULTATS ATTENDUS, LIMITES ET RISQUES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9fc0bb2 elementor-widget elementor-widget-text-editor\" data-id=\"9fc0bb2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La d\u00e9cision repose sur une comparaison individualis\u00e9e entre le b\u00e9n\u00e9fice fonctionnel attendu, les contraintes de la r\u00e9\u00e9ducation et les risques op\u00e9ratoires.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8efc3bc e-con-full e-grid e-con e-child\" data-id=\"8efc3bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-3f90405 e-con-full e-flex e-con e-child\" data-id=\"3f90405\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-538464b elementor-widget elementor-widget-heading\" data-id=\"538464b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">OBJECTIFS ET R\u00c9SULTATS ATTENDUS<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4309ff8 elementor-widget elementor-widget-text-editor\" data-id=\"4309ff8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La reconstruction vise \u00e0 am\u00e9liorer la stabilit\u00e9 du genou et \u00e0 faciliter la reprise des activit\u00e9s adapt\u00e9es au patient. Le r\u00e9sultat se construit avec la cicatrisation du greffon et une r\u00e9\u00e9ducation suivie ; la chirurgie ne garantit pas le retour exact \u00e0 l\u2019\u00e9tat ant\u00e9rieur.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-118146d e-con-full e-flex e-con e-child\" data-id=\"118146d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0a21e24 elementor-widget elementor-widget-heading\" data-id=\"0a21e24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Limites<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b6f0219 elementor-widget elementor-widget-text-editor\" data-id=\"b6f0219\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>La r\u00e9cup\u00e9ration est variable. Une g\u00eane, une raideur ou une instabilit\u00e9 r\u00e9siduelle peuvent persister, notamment en cas de l\u00e9sions associ\u00e9es ou anciennes. Le greffon met du temps \u00e0 s\u2019int\u00e9grer et la r\u00e9\u00e9ducation joue un r\u00f4le important dans le r\u00e9sultat fonctionnel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4d0d969 e-con-full e-flex e-con e-child\" data-id=\"4d0d969\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c08f156 elementor-widget elementor-widget-heading\" data-id=\"c08f156\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Risques et complications<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-25ecc9f elementor-widget elementor-widget-text-editor\" data-id=\"25ecc9f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Comme toute chirurgie, la reconstruction comporte des risques, notamment infection, h\u00e9matome, phl\u00e9bite, raideur, douleur persistante ou complication li\u00e9e \u00e0 l\u2019anesth\u00e9sie. Une l\u00e9sion nerveuse ou vasculaire est rare mais possible. Le greffon peut ne pas cicatriser comme pr\u00e9vu, rester insuffisamment tendu ou subir une nouvelle rupture ; une intervention compl\u00e9mentaire peut alors \u00eatre discut\u00e9e. L\u2019\u00e9quipe met en place des mesures de pr\u00e9vention et un suivi adapt\u00e9.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-4a1039d e-grid e-con-full e-con e-parent\" data-id=\"4a1039d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-b63b325 e-con-full e-flex e-con e-child\" data-id=\"b63b325\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6e4aa36 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6e4aa36\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df4a596 elementor-widget elementor-widget-image\" data-id=\"df4a596\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1672\" height=\"941\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge.webp\" class=\"attachment-full size-full wp-image-28094\" alt=\"homme en consultation apr\u00e8s une chirurgie du ligament crois\u00e9 post\u00e9rieur\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge.webp 1672w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge-1300x732.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-ligament-croise-posterieur-priseencharge-18x10.webp 18w\" sizes=\"(max-width: 1672px) 100vw, 1672px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-262260f e-con-full e-flex e-con e-child\" data-id=\"262260f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cbbb5e8 elementor-widget elementor-widget-heading\" data-id=\"cbbb5e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE INTERVENTION ADAPT\u00c9E \u00c0 CHAQUE PATIENT<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d8d3cb elementor-widget elementor-widget-text-editor\" data-id=\"3d8d3cb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Deux personnes pr\u00e9sentant une rupture du ligament crois\u00e9 post\u00e9rieur peuvent avoir des sympt\u00f4mes et des besoins tr\u00e8s diff\u00e9rents. La chirurgie n\u2019est donc pas choisie sur la seule apparence de l\u2019imagerie.<\/p><p>\u00a0<\/p><p>Le Dr Beno\u00eet Coulin prend en compte l\u2019\u00e2ge, l\u2019anatomie, la qualit\u00e9 des tissus, le degr\u00e9 d\u2019instabilit\u00e9, les l\u00e9sions associ\u00e9es, les traitements ant\u00e9rieurs, le m\u00e9tier, les activit\u00e9s sportives et les objectifs du patient.<\/p><p>\u00a0<\/p><p>La technique, le moment de l\u2019intervention et le programme de r\u00e9cup\u00e9ration sont d\u00e9finis en fonction de ces \u00e9l\u00e9ments. Le plan peut aussi \u00eatre adapt\u00e9 selon la r\u00e9ponse \u00e0 la r\u00e9\u00e9ducation et les constatations op\u00e9ratoires.<\/p><p>\u00a0<\/p><p style=\"text-align: center;\">\u00ab La bonne strat\u00e9gie est celle qui r\u00e9pond \u00e0 la g\u00eane r\u00e9elle et aux objectifs du patient, en prot\u00e9geant au mieux son genou. \u00bb<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ec73bd e-flex e-con-boxed e-con e-parent\" data-id=\"0ec73bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb4d2e8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cb4d2e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2593bd elementor-widget elementor-widget-heading\" data-id=\"d2593bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426434e elementor-widget elementor-widget-html\" data-id=\"426434e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <!-- Colonne gauche -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Faut-il toujours op\u00e9rer une rupture du LCP ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Non. Une rupture isol\u00e9e peut parfois \u00eatre trait\u00e9e par une attelle et\n        une physioth\u00e9rapie structur\u00e9e. La chirurgie est discut\u00e9e surtout en\n        cas d\u2019instabilit\u00e9 importante ou persistante, ou lorsque d\u2019autres\n        ligaments sont aussi l\u00e9s\u00e9s.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quelle anesth\u00e9sie est utilis\u00e9e ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        L\u2019intervention se d\u00e9roule g\u00e9n\u00e9ralement sous anesth\u00e9sie g\u00e9n\u00e9rale ou\n        locor\u00e9gionale. Le choix est discut\u00e9 lors de la consultation\n        d\u2019anesth\u00e9sie en fonction de l\u2019\u00e9tat de sant\u00e9 du patient et de\n        l\u2019op\u00e9ration pr\u00e9vue.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Combien de temps dure l\u2019op\u00e9ration ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La dur\u00e9e varie selon la technique, le type de greffon et la pr\u00e9sence\n        de l\u00e9sions associ\u00e9es. L\u2019\u00e9quipe chirurgicale peut donner une estimation\n        adapt\u00e9e au plan op\u00e9ratoire.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          L\u2019op\u00e9ration est-elle douloureuse ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Une douleur et un gonflement sont possibles apr\u00e8s l\u2019intervention.\n        Des traitements antalgiques et des mesures de soins sont propos\u00e9s,\n        puis adapt\u00e9s selon l\u2019\u00e9volution.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <!-- Colonne droite -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Faut-il utiliser des b\u00e9quilles ou porter une attelle ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Souvent au d\u00e9but, mais leur dur\u00e9e d\u00e9pend de la reconstruction, des\n        l\u00e9sions associ\u00e9es et des consignes du chirurgien. L\u2019appui et la\n        progression des mouvements sont encadr\u00e9s par l\u2019\u00e9quipe de soins.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quand peut-on conduire et reprendre le travail ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Cela d\u00e9pend du c\u00f4t\u00e9 op\u00e9r\u00e9, de la mobilit\u00e9, de la douleur, du type de\n        v\u00e9hicule et des exigences professionnelles. La reprise doit \u00eatre\n        valid\u00e9e par le m\u00e9decin.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quand peut-on reprendre le sport ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La reprise se fait progressivement, apr\u00e8s r\u00e9cup\u00e9ration de la mobilit\u00e9,\n        de la force et du contr\u00f4le du genou. Les sports avec pivots,\n        changements de direction ou contacts n\u00e9cessitent une \u00e9valuation\n        fonctionnelle et un accord m\u00e9dical.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Existe-t-il un risque de nouvelle rupture ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Oui, une nouvelle rupture ou une insuffisance du greffon est possible,\n        m\u00eame si ce n\u2019est pas syst\u00e9matique. Le respect des consignes de\n        protection et une progression adapt\u00e9e en physioth\u00e9rapie contribuent\n        \u00e0 r\u00e9duire les contraintes pendant la r\u00e9cup\u00e9ration.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n\n<style>\n@media (max-width: 640px) {\n  #faq-arthrose .faq-header {\n    justify-content: flex-start;\n  }\n\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n\n  #faq-arthrose .faq-btn {\n    position: static;\n    flex: 0 0 26px;\n  }\n\n  #faq-arthrose .faq-q br {\n    display: none;\n  }\n}\n\n#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\n  flex: 0 0 30px;\n  border-radius: 50%;\n  line-height: 1;\n}\n<\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-20cca87 e-flex e-con-boxed e-con e-parent\" data-id=\"20cca87\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-655f077 elementor-widget elementor-widget-heading\" data-id=\"655f077\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">UNE CHIRURGIE DU LCP VOUS A-T-ELLE \u00c9T\u00c9 PROPOS\u00c9E ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une consultation permet d\u2019examiner la stabilit\u00e9 du genou, d\u2019analyser les examens r\u00e9alis\u00e9s et de discuter des options th\u00e9rapeutiques, notamment de la physioth\u00e9rapie et de la chirurgie, selon votre situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>CHIRURGIE DU LIGAMENT CROIS\u00c9 POST\u00c9RIEUR (LCP) Retrouver un genou plus stable lorsque la r\u00e9\u00e9ducation seule ne suffit pas. La chirurgie du ligament crois\u00e9 post\u00e9rieur vise \u00e0 restaurer une partie de la stabilit\u00e9 du genou lorsque le tibia a tendance \u00e0 reculer anormalement sous le f\u00e9mur. Le plus souvent, le ligament est reconstruit \u00e0 l\u2019aide d\u2019un [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-27935","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/27935","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=27935"}],"version-history":[{"count":16,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/27935\/revisions"}],"predecessor-version":[{"id":28112,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/27935\/revisions\/28112"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=27935"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}