{"id":28134,"date":"2026-10-14T17:04:55","date_gmt":"2026-10-14T17:04:55","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=28134"},"modified":"2026-10-16T07:54:33","modified_gmt":"2026-10-16T07:54:33","slug":"chirurgie-des-lesions-multiligamentaires","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/chirurgie-des-lesions-multiligamentaires\/","title":{"rendered":"SURGERY FOR MULTILIGAMENTOUS INJURIES"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28134\" class=\"elementor elementor-28134\" 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 DES L\u00c9SIONS MULTILIGAMENTAIRES<\/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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Une op\u00e9ration n\u2019est pas d\u00e9cid\u00e9e sur la seule base des images : la stabilit\u00e9, la circulation, la fonction nerveuse et l\u2019\u00e9tat g\u00e9n\u00e9ral sont \u00e9galement \u00e9valu\u00e9s.<\/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-lesions-multiligamentaires-indications.webp\" class=\"attachment-full size-full wp-image-28159\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-indications.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-indications-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-indications-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-indications-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-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 LA CHIRURGIE DES L\u00c9SIONS MULTILIGAMENTAIRES ?<\/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 chirurgie peut \u00eatre discut\u00e9e lorsque plusieurs ligaments sont rompus et que l\u2019instabilit\u00e9 du genou compromet sa fonction ou ne peut pas \u00eatre contr\u00f4l\u00e9e par un traitement non chirurgical.<\/p><p>\u00a0<\/p><ul><li><strong>Instabilit\u00e9 importante<\/strong><br \/>Lorsque l\u2019examen met en \u00e9vidence une instabilit\u00e9 dans plusieurs directions, une reconstruction ou une r\u00e9paration peut \u00eatre envisag\u00e9e pour retrouver un genou plus stable.<\/li><li><strong>L\u00e9sions compl\u00e8tes de plusieurs ligaments<\/strong><br \/>La combinaison des l\u00e9sions, leur localisation et leur retentissement fonctionnel sont \u00e9valu\u00e9s ensemble. La strat\u00e9gie d\u00e9pend du profil pr\u00e9cis de chaque blessure.<\/li><li><strong>Besoins fonctionnels du patient<\/strong><br \/>Le niveau d\u2019activit\u00e9, le travail, les objectifs sportifs et les attentes du patient contribuent \u00e0 la d\u00e9cision, avec une \u00e9valuation r\u00e9aliste des possibilit\u00e9s de r\u00e9cup\u00e9ration.<\/li><li><strong>L\u00e9sion n\u00e9cessitant une r\u00e9paration pr\u00e9coce<\/strong><br \/>Certaines avulsions ou ruptures ligamentaires peuvent \u00eatre plus facilement r\u00e9par\u00e9es lorsqu\u2019elles sont prises en charge dans un d\u00e9lai adapt\u00e9. Le calendrier est d\u00e9cid\u00e9 selon l\u2019\u00e9tat des tissus et les autres priorit\u00e9s m\u00e9dicales.<\/li><\/ul><p>\u00a0<\/p><p>Une op\u00e9ration n\u2019est pas automatique. Elle peut \u00eatre diff\u00e9r\u00e9e si le genou est trop gonfl\u00e9 ou raide, si les tissus ne sont pas pr\u00eats, ou si d\u2019autres blessures doivent \u00eatre trait\u00e9es en priorit\u00e9. Les atteintes vasculaires, nerveuses, osseuses ou cutan\u00e9es peuvent modifier le plan de prise en charge.<\/p><p>\u00a0<\/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 pr\u00e9ciser les l\u00e9sions, de planifier les gestes n\u00e9cessaires et d\u2019organiser le retour \u00e0 domicile. Pour les traumatismes complexes, l\u2019\u00e9valuation peut aussi inclure la circulation sanguine et la fonction nerveuse.<\/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>L\u2019examen clinique est compl\u00e9t\u00e9 par l\u2019\u00e9tude des examens d\u2019imagerie et, selon la situation, par des examens compl\u00e9mentaires. 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 chirurgien d\u00e9termine quels ligaments peuvent \u00eatre r\u00e9par\u00e9s ou doivent \u00eatre reconstruits, s\u2019il faut traiter des l\u00e9sions associ\u00e9es et si les gestes seront r\u00e9alis\u00e9s en une ou plusieurs \u00e9tapes. Le choix des greffons et de leur fixation d\u00e9pend des l\u00e9sions et du patient.<\/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>Lorsque cela est possible, r\u00e9cup\u00e9rer une mobilit\u00e9 et une activation musculaire satisfaisantes avant l\u2019op\u00e9ration peut faciliter la suite. Les b\u00e9quilles, l\u2019attelle et l\u2019aide au domicile sont organis\u00e9es selon le protocole pr\u00e9vu.<\/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>Les consignes de je\u00fbne, d\u2019hygi\u00e8ne et de pr\u00e9paration de la peau sont transmises par l\u2019\u00e9quipe. Les m\u00e9dicaments habituels ne doivent pas \u00eatre arr\u00eat\u00e9s sans avis m\u00e9dical. Le tabac et les traitements en cours sont abord\u00e9s lors de la pr\u00e9paration.<\/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=\"1672\" height=\"941\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention.webp\" class=\"attachment-full size-full wp-image-28420\" alt=\"Chirurgie des l\u00e9sions multiligamentaires : patient en attelle \u00e9changeant avec un soignant avant l\u2019intervention\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention.webp 1672w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention-400x225.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention-1300x732.webp 1300w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention-768x432.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention-1536x864.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-deroulement-intervention-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-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>Le d\u00e9roulement d\u00e9pend du nombre et du type de ligaments atteints, de la pr\u00e9sence de l\u00e9sions associ\u00e9es et du calendrier retenu. L\u2019intervention peut associer arthroscopie et incisions cibl\u00e9es. Elle est g\u00e9n\u00e9ralement r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale, parfois compl\u00e9t\u00e9e par une anesth\u00e9sie locor\u00e9gionale. La dur\u00e9e et l\u2019hospitalisation varient selon la complexit\u00e9 des gestes.<\/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>Apr\u00e8s les v\u00e9rifications pr\u00e9op\u00e9ratoires, le patient est install\u00e9 de mani\u00e8re \u00e0 permettre l\u2019examen et la mobilisation contr\u00f4l\u00e9e du genou. L\u2019\u00e9quipe r\u00e9alise les contr\u00f4les de s\u00e9curit\u00e9, pr\u00e9pare la peau et met en place les champs st\u00e9riles.<\/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\u00e8s au genou <\/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 g\u00e9n\u00e9ralement d\u2019introduire l\u2019arthroscope et les instruments dans l\u2019articulation. Des incisions compl\u00e9mentaires peuvent \u00eatre n\u00e9cessaires pour acc\u00e9der \u00e0 certains ligaments collat\u00e9raux ou r\u00e9aliser leur fixation.<\/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 des ligaments l\u00e9s\u00e9s <\/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>Le chirurgien inspecte l\u2019articulation et confirme les l\u00e9sions. Selon leur emplacement et leur qualit\u00e9, certains ligaments peuvent \u00eatre r\u00e9ins\u00e9r\u00e9s ou r\u00e9par\u00e9s. Les ligaments qui ne peuvent pas \u00eatre r\u00e9par\u00e9s de fa\u00e7on fiable sont reconstruits \u00e0 l\u2019aide d\u2019un greffon, souvent pr\u00e9lev\u00e9 sur le patient ou choisi parmi des greffons disponibles. Des tunnels osseux sont pr\u00e9par\u00e9s pour faire passer le greffon, qui est ensuite fix\u00e9. Les l\u00e9sions m\u00e9niscales, cartilagineuses ou osseuses associ\u00e9es sont \u00e9valu\u00e9es et trait\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\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>La stabilit\u00e9 du genou est test\u00e9e dans plusieurs directions. Le chirurgien v\u00e9rifie la tension des greffons, leur fixation et la mobilit\u00e9 obtenue, en veillant \u00e0 \u00e9viter une tension excessive qui pourrait limiter les mouvements.<\/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 incisions sont referm\u00e9es et prot\u00e9g\u00e9es par un pansement. Une attelle peut \u00eatre mise en place. Le patient est ensuite transf\u00e9r\u00e9 en salle de r\u00e9veil pour surveillance.<\/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>L\u2019objectif est de traiter les ligaments responsables de l\u2019instabilit\u00e9 tout en pr\u00e9servant une mobilit\u00e9 compatible avec la r\u00e9\u00e9ducation.<\/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\">UNE STRAT\u00c9GIE ADAPT\u00c9E AUX LIGAMENTS L\u00c9S\u00c9S<\/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>Les l\u00e9sions multiligamentaires ne correspondent pas \u00e0 une op\u00e9ration unique et identique pour tous. Le plan op\u00e9ratoire d\u00e9pend des ligaments concern\u00e9s, de leur localisation, de leur qualit\u00e9 et des autres l\u00e9sions observ\u00e9es.<\/p><p>Le chirurgien tient \u00e9galement compte de l\u2019\u00e9tat des tissus, du gonflement, de la mobilit\u00e9 du genou, des risques associ\u00e9s au traumatisme et des objectifs fonctionnels du patient.<\/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\"> R\u00e9paration ligamentaire <\/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>Lorsque le ligament est arrach\u00e9 pr\u00e8s de son insertion et que les tissus sont de qualit\u00e9 suffisante, il peut parfois \u00eatre r\u00e9ins\u00e9r\u00e9 ou r\u00e9par\u00e9. Cette option n\u2019est pas adapt\u00e9e \u00e0 toutes les ruptures et d\u00e9pend de leur configuration.<\/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 par 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-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>Un greffon peut remplacer un ligament qui ne peut pas \u00eatre r\u00e9par\u00e9 de mani\u00e8re fiable. Le choix entre greffon pr\u00e9lev\u00e9 sur le patient et autre greffon d\u00e9pend de la strat\u00e9gie op\u00e9ratoire et du contexte.<\/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\"> Intervention en une ou plusieurs \u00e9tapes <\/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>Lorsque l\u2019\u00e9tat du genou et des tissus le permet, plusieurs gestes peuvent \u00eatre r\u00e9alis\u00e9s au cours d\u2019une m\u00eame op\u00e9ration. Une chirurgie en plusieurs temps peut \u00eatre retenue si le contexte m\u00e9dical, l\u2019\u00e9tat des tissus ou la raideur du genou le justifient. Les donn\u00e9es actuelles ne permettent pas d\u2019imposer un calendrier identique \u00e0 tous les patients.<\/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\"> Fixation et gestes associ\u00e9s <\/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>Les greffons sont fix\u00e9s dans des tunnels osseux avec des dispositifs choisis en fonction de la technique. Des gestes associ\u00e9s peuvent \u00eatre n\u00e9cessaires pour traiter d\u2019autres l\u00e9sions ou am\u00e9liorer la stabilit\u00e9. Leur indication est \u00e9tablie 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\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 genoux : le choix d\u00e9pend de l\u2019examen, des l\u00e9sions constat\u00e9es et des objectifs de r\u00e9cup\u00e9ration.<\/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-lesions-multiligamentaires-suites-immediates.webp\" class=\"attachment-full size-full wp-image-28406\" alt=\"Chirurgie des l\u00e9sions multiligamentaires : repos \u00e0 domicile apr\u00e8s l\u2019intervention\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suites-immediates.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suites-immediates-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suites-immediates-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suites-immediates-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suites-immediates-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 l\u2019intervention, l\u2019\u00e9quipe surveille le genou, la douleur et l\u2019\u00e9tat g\u00e9n\u00e9ral. La dur\u00e9e de l\u2019hospitalisation d\u00e9pend notamment de la complexit\u00e9 de l\u2019op\u00e9ration et de la mobilit\u00e9 obtenue.<\/p><p>Les consignes d\u2019appui, de mobilisation et d\u2019utilisation de l\u2019attelle sont sp\u00e9cifiques aux gestes r\u00e9alis\u00e9s. Elles sont pr\u00e9cis\u00e9es par le chirurgien et l\u2019\u00e9quipe de physioth\u00e9rapie.<\/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 sur la douleur, les naus\u00e9es et la r\u00e9cup\u00e9ration apr\u00e8s l\u2019anesth\u00e9sie. Les boissons et l\u2019alimentation sont reprises lorsque l\u2019\u00e9quipe l\u2019autorise.<\/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\">Appui, marche et attelle<\/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>L\u2019appui peut \u00eatre limit\u00e9 ou autoris\u00e9 selon les r\u00e9parations et reconstructions effectu\u00e9es. Des b\u00e9quilles et une attelle peuvent \u00eatre n\u00e9cessaires. Les premi\u00e8res mobilisations sont encadr\u00e9es par l\u2019\u00e9quipe soignante ou le physioth\u00e9rapeute.<\/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 a lieu lorsque les crit\u00e8res m\u00e9dicaux et fonctionnels sont remplis. Les consignes portent sur le pansement, la protection du genou et le suivi. Une douleur qui s\u2019aggrave fortement, une fi\u00e8vre, un gonflement inhabituel, un essoufflement ou un changement de sensibilit\u00e9 ou de couleur du pied n\u00e9cessite de contacter rapidement une \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\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 r\u00e9\u00e9ducation est progressive et suit les consignes li\u00e9es aux ligaments r\u00e9par\u00e9s ou reconstruits. <strong>La priorit\u00e9 initiale est de prot\u00e9ger les gestes chirurgicaux tout en \u00e9vitant une raideur excessive.<\/strong><\/p><p>\u00a0<\/p><p>Au d\u00e9but, le physioth\u00e9rapeute accompagne la gestion du gonflement, la r\u00e9cup\u00e9ration progressive de la mobilit\u00e9 autoris\u00e9e et l\u2019activation musculaire. <strong>Les amplitudes et les exercices sont adapt\u00e9s au protocole retenu.<\/strong><\/p><p>\u00a0<\/p><p>La progression comprend ensuite le renforcement, l\u2019\u00e9quilibre, le contr\u00f4le du mouvement et la r\u00e9cup\u00e9ration de la fonction du membre. Les exercices avancent selon la cicatrisation et les contr\u00f4les m\u00e9dicaux.<\/p><p>\u00a0<\/p><p>La marche, la conduite et le travail reprennent \u00e0 des moments variables. Ils d\u00e9pendent de l\u2019appui autoris\u00e9, de la mobilit\u00e9, de la force, de la douleur et des exigences de l\u2019activit\u00e9.<\/p><p>\u00a0<\/p><p>La reprise du sport demande une progression sp\u00e9cifique. Elle peut n\u00e9cessiter des tests de force, d\u2019\u00e9quilibre et de contr\u00f4le fonctionnel, ainsi qu\u2019une validation m\u00e9dicale avant les activit\u00e9s avec pivot ou contact.<\/p><p>\u00a0<\/p><p><strong>La reprise d\u00e9pend de la stabilit\u00e9 et des capacit\u00e9s fonctionnelles retrouv\u00e9es, pas uniquement du temps \u00e9coul\u00e9.<\/strong><\/p><p>\u00a0<\/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-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=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-reeducation-maison.webp\" class=\"attachment-full size-full wp-image-28421\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-reeducation-maison.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-reeducation-maison-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-reeducation-maison-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-reeducation-maison-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-reeducation-maison-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-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 chirurgie cherche \u00e0 am\u00e9liorer la stabilit\u00e9 du genou et \u00e0 permettre une r\u00e9cup\u00e9ration fonctionnelle adapt\u00e9e aux objectifs du patient. Le r\u00e9sultat d\u00e9pend de la gravit\u00e9 du traumatisme, des l\u00e9sions associ\u00e9es, de la r\u00e9cup\u00e9ration de la mobilit\u00e9 et de la r\u00e9\u00e9ducation.<\/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 reconstruction ne garantit pas un retour au niveau sportif ant\u00e9rieur. Une raideur, une faiblesse ou une g\u00eane r\u00e9siduelle peut persister, et certaines l\u00e9sions cartilagineuses ou nerveuses peuvent influencer l\u2019\u00e9volution.<\/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, cette intervention comporte des risques, notamment infection, saignement, thrombose, raideur, douleur persistante, l\u00e9sion nerveuse ou vasculaire, d\u00e9faut de cicatrisation, instabilit\u00e9 r\u00e9siduelle ou nouvelle rupture du greffon. Le chirurgien explique les risques propres \u00e0 la situation du patient.<\/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=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suivi-personnalise.webp\" class=\"attachment-full size-full wp-image-28422\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suivi-personnalise.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suivi-personnalise-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suivi-personnalise-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suivi-personnalise-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/chirurgie-lesions-multiligamentaires-suivi-personnalise-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-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>La chirurgie des l\u00e9sions multiligamentaires est planifi\u00e9e en fonction de chaque genou. Le nombre de ligaments concern\u00e9s ne suffit pas \u00e0 d\u00e9finir le traitement : leur localisation, leur qualit\u00e9, les l\u00e9sions associ\u00e9es et l\u2019\u00e9tat des tissus comptent \u00e9galement.<\/p><p>\u00a0<\/p><p>L\u2019\u00e2ge fonctionnel, les activit\u00e9s, le travail, les ant\u00e9c\u00e9dents et les attentes du patient sont pris en compte pour choisir les gestes, le calendrier et le protocole de r\u00e9cup\u00e9ration. La strat\u00e9gie peut \u00eatre ajust\u00e9e en fonction de l\u2019\u00e9volution clinique.<\/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  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\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#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\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#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#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n#faq-arthrose .faq-col .faq-item:last-child { border-bottom: none; }\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#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header { color: var(--coulin-orange); }\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#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#faq-arthrose .faq-btn {\n  box-sizing: border-box;\n  flex: 0 0 30px;\n  width: 30px;\n  min-width: 30px;\n  height: 30px;\n  min-height: 30px;\n  padding: 0;\n  aspect-ratio: 1 \/ 1;\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: border-color 0.2s ease, color 0.2s ease, transform 0.3s ease;\n}\n#faq-arthrose .faq-item.open .faq-btn { transform: rotate(45deg); }\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: max-height 0.35s ease, padding 0.3s ease;\n}\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n@media (max-width: 640px) {\n  #faq-arthrose { max-width: 100%; flex-direction: column; }\n  #faq-arthrose::after { display: none; }\n  #faq-arthrose .faq-col { width: 100%; }\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  #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  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n    justify-content: flex-start;\n  }\n  #faq-arthrose .faq-q {\n    display: block;\n    flex: 1 1 auto;\n    min-width: 0;\n    font-size: 12px;\n    white-space: normal !important;\n    overflow-wrap: anywhere;\n  }\n  #faq-arthrose .faq-btn { flex: 0 0 30px; }\n  #faq-arthrose .faq-body { padding: 0 18px; font-size: 15px; }\n  #faq-arthrose .faq-item.open .faq-body { padding: 0 18px 20px; }\n  #faq-arthrose .faq-q br { display: none; }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n  <div class=\"faq-col\">\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Qu\u2019est-ce qu\u2019une l\u00e9sion multiligamentaire du genou ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Il s\u2019agit d\u2019une blessure touchant plusieurs ligaments stabilisateurs du genou. La combinaison des l\u00e9sions et leur gravit\u00e9 varient selon le traumatisme.\n      <\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">La chirurgie est-elle toujours n\u00e9cessaire ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Non. La d\u00e9cision d\u00e9pend de l\u2019instabilit\u00e9, des ligaments atteints, des l\u00e9sions associ\u00e9es, de l\u2019\u00e9tat des tissus et des objectifs du patient. Elle est prise apr\u00e8s une \u00e9valuation compl\u00e8te.\n      <\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Les ligaments sont-ils tous reconstruits ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Pas n\u00e9cessairement. Certains ligaments peuvent \u00eatre r\u00e9par\u00e9s, d\u2019autres reconstruits, et le traitement de chacun d\u00e9pend de sa localisation, de la qualit\u00e9 des tissus et de la stabilit\u00e9 obtenue.\n      <\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">L\u2019op\u00e9ration se fait-elle en une seule fois ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Plusieurs gestes peuvent \u00eatre r\u00e9alis\u00e9s au cours d\u2019une m\u00eame intervention lorsque la situation le permet. Une prise en charge en plusieurs \u00e9tapes peut \u00eatre choisie selon l\u2019\u00e9tat du genou et les l\u00e9sions associ\u00e9es.\n      <\/div>\n    <\/div>\n  <\/div>\n  <div class=\"faq-col\">\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Combien de temps dure l\u2019intervention ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        La dur\u00e9e varie selon le nombre de ligaments \u00e0 traiter, la technique utilis\u00e9e et les \u00e9ventuels gestes associ\u00e9s. Elle est estim\u00e9e par l\u2019\u00e9quipe apr\u00e8s planification de l\u2019intervention.\n      <\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Faudra-t-il porter une attelle et utiliser<br> des b\u00e9quilles ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        C\u2019est fr\u00e9quent apr\u00e8s ce type de chirurgie, mais les consignes d\u2019attelle et d\u2019appui d\u00e9pendent des gestes r\u00e9alis\u00e9s. Le chirurgien et le physioth\u00e9rapeute pr\u00e9cisent le protocole individuel.\n      <\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quand pourrai-je reprendre le sport ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        La reprise se fait progressivement apr\u00e8s r\u00e9cup\u00e9ration de la mobilit\u00e9, de la force et du contr\u00f4le du genou. Les sports avec pivots ou contacts n\u00e9cessitent une validation m\u00e9dicale et fonctionnelle.\n      <\/div>\n    <\/div>\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quels sont les principaux risques de l\u2019intervention ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Les risques possibles comprennent notamment infection, thrombose, raideur, douleur persistante, instabilit\u00e9 r\u00e9siduelle ou nouvelle rupture du greffon. Les risques propres \u00e0 chaque cas sont expliqu\u00e9s avant l\u2019op\u00e9ration.\n      <\/div>\n    <\/div>\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n  if (!faq) return;\n  const items = faq.querySelectorAll(\".faq-item\");\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n        if (otherHeader) otherHeader.setAttribute(\"aria-expanded\", \"false\");\n      });\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\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\">UN AVIS SP\u00c9CIALIS\u00c9 POUR D\u00c9FINIR LA STRAT\u00c9GIE<\/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>Chaque l\u00e9sion multiligamentaire pr\u00e9sente des particularit\u00e9s. Une \u00e9valuation sp\u00e9cialis\u00e9e permet d\u2019analyser les ligaments concern\u00e9s, les l\u00e9sions associ\u00e9es et les options de traitement.<\/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 DES L\u00c9SIONS MULTILIGAMENTAIRES Restaurer la stabilit\u00e9 du genou en tenant compte de chaque ligament l\u00e9s\u00e9. La chirurgie des l\u00e9sions multiligamentaires vise \u00e0 traiter plusieurs ligaments du genou bless\u00e9s au cours d\u2019un m\u00eame traumatisme. Selon les structures atteintes, le chirurgien peut r\u00e9parer certains ligaments et en reconstruire d\u2019autres \u00e0 l\u2019aide de greffons. L\u2019indication et le [&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-28134","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28134","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=28134"}],"version-history":[{"count":14,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28134\/revisions"}],"predecessor-version":[{"id":28428,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28134\/revisions\/28428"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=28134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}