{"id":28409,"date":"2026-10-16T07:56:02","date_gmt":"2026-10-16T07:56:02","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=28409"},"modified":"2026-10-16T10:11:04","modified_gmt":"2026-10-16T10:11:04","slug":"stabilisation-de-la-rotule","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/stabilisation-de-la-rotule\/","title":{"rendered":"STABILISATION CHIRURGICALE DE LA ROTULE"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28409\" class=\"elementor elementor-28409\" 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\">Stabilisation chirurgicale de la rotule<\/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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Selon l\u2019anatomie du genou, l\u2019intervention peut consister \u00e0 reconstruire un ligament stabilisateur et, dans certaines situations, \u00e0 corriger un facteur osseux associ\u00e9.<\/p><p>La d\u00e9cision d\u00e9pend de la g\u00eane, des \u00e9pisodes de luxation, de l\u2019examen clinique, des examens d\u2019imagerie, des traitements d\u00e9j\u00e0 essay\u00e9s et des objectifs de la personne. La chirurgie n\u2019est pas automatique apr\u00e8s une premi\u00e8re luxation.<\/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\/stabilisation-de-la-rotule-introduction.webp\" class=\"attachment-full size-full wp-image-28503\" alt=\"Stabilisation de la rotule : patient assis avant sa prise en charge du genou.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-introduction.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-introduction-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-introduction-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-introduction-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-introduction-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 STABILISATION DE LA ROTULE ?<\/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 stabilisation de la rotule est discut\u00e9e lorsque l\u2019instabilit\u00e9 est objectiv\u00e9e et g\u00eane les activit\u00e9s malgr\u00e9 les mesures adapt\u00e9es. L\u2019\u00e9valuation porte sur les sympt\u00f4mes, l\u2019examen clinique et les facteurs anatomiques visibles sur les examens appropri\u00e9s.<\/p><p>\u00a0<\/p><ul><li><strong>Luxations r\u00e9cidivantes<\/strong> <strong>:<\/strong> La rotule est sortie de son axe \u00e0 plusieurs reprises, spontan\u00e9ment ou lors d\u2019un mouvement.<\/li><li><strong>Instabilit\u00e9 persistante : <\/strong>\u00a0Une sensation de d\u00e9robement ou une appr\u00e9hension limite la marche, les escaliers ou les activit\u00e9s sportives.<\/li><li><strong>L\u00e9sion du MPFL avec instabilit\u00e9<\/strong> <strong>:<\/strong> Le ligament stabilisateur est l\u00e9s\u00e9 et la rotule reste instable apr\u00e8s la prise en charge initiale.<\/li><li><strong>Facteurs anatomiques associ\u00e9s :<\/strong> Une rotule haute, un d\u00e9salignement ou une forme particuli\u00e8re de la trochl\u00e9e peuvent modifier le choix de la technique.<\/li><\/ul><p>\u00a0<\/p><p>Une premi\u00e8re luxation ne conduit pas syst\u00e9matiquement \u00e0 une op\u00e9ration. Lorsque la rotule est stable et qu\u2019il n\u2019existe pas de l\u00e9sion associ\u00e9e n\u00e9cessitant un geste, une prise en charge non chirurgicale peut \u00eatre propos\u00e9e. Une image anormale ne suffit pas, \u00e0 elle seule, pour d\u00e9cider d\u2019op\u00e9rer.<\/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 l\u2019indication, de choisir la technique et d\u2019anticiper les premi\u00e8res \u00e9tapes de r\u00e9cup\u00e9ration.<\/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 bilan comprend une consultation et un examen du genou. Des radiographies, une IRM ou parfois un scanner peuvent \u00eatre demand\u00e9s selon les questions \u00e0 r\u00e9soudre. La consultation d\u2019anesth\u00e9sie pr\u00e9cise les options adapt\u00e9es \u00e0 votre \u00e9tat de sant\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<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 analyse la position de la rotule, la gorge f\u00e9morale, les tissus stabilisateurs et les \u00e9ventuelles l\u00e9sions associ\u00e9es. Le plan pr\u00e9cise si une reconstruction ligamentaire suffit ou si un geste osseux doit \u00eatre discut\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<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>La mobilit\u00e9 et le contr\u00f4le du genou sont \u00e9valu\u00e9s avant l\u2019intervention. Il peut \u00eatre utile d\u2019organiser le retour \u00e0 domicile, de d\u00e9gager les passages et de pr\u00e9voir une aide temporaire pour les d\u00e9placements si des b\u00e9quilles sont n\u00e9cessaires.<\/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 vous communique les consignes de je\u00fbne, d\u2019hygi\u00e8ne et d\u2019arriv\u00e9e \u00e0 la clinique. Ne modifiez ni n\u2019arr\u00eatez aucun m\u00e9dicament sans l\u2019avis de 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\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=\"1536\" height=\"1024\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-indications.webp\" class=\"attachment-full size-full wp-image-28506\" alt=\"Stabilisation de la rotule : patiente marchant avec prudence dans son domicile.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-indications.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-indications-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-indications-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-indications-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-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-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 LA STABILISATION DE LA ROTULE ?<\/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 geste pr\u00e9vu. Une reconstruction isol\u00e9e du MPFL est diff\u00e9rente d\u2019une intervention associant correction osseuse ou traitement d\u2019une l\u00e9sion du cartilage.<\/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>L\u2019intervention est g\u00e9n\u00e9ralement r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale, parfois compl\u00e9t\u00e9e par une anesth\u00e9sie r\u00e9gionale pour contribuer au contr\u00f4le de la douleur. Apr\u00e8s installation sur la table, l\u2019\u00e9quipe pr\u00e9pare la peau de fa\u00e7on st\u00e9rile et v\u00e9rifie le c\u00f4t\u00e9 op\u00e9r\u00e9, le plan chirurgical et le mat\u00e9riel n\u00e9cessaire avant l\u2019incision.<\/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 \u00e0 la zone trait\u00e9e <\/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>Le chirurgien peut utiliser l\u2019arthroscopie pour examiner l\u2019int\u00e9rieur de l\u2019articulation et traiter certaines l\u00e9sions associ\u00e9es. La reconstruction du MPFL n\u00e9cessite aussi de petites incisions pour acc\u00e9der au bord interne de la rotule et au f\u00e9mur. Un geste osseux, s\u2019il est indiqu\u00e9, demande une voie d\u2019abord adapt\u00e9e.<\/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\"> Geste chirurgical principal <\/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>Pour reconstruire le <strong>MPFL<\/strong> <strong>(<\/strong><strong class=\"rQesXe MPyX\" data-sfc-cp=\"\" data-sfc-root=\"ep\" data-epip=\"\">ligament f\u00e9moro-patellaire m\u00e9dial)<\/strong>, un greffon tendineux, souvent pr\u00e9lev\u00e9 sur un tendon du patient, est pr\u00e9par\u00e9. Le chirurgien cr\u00e9e des points de fixation au niveau de la rotule et du f\u00e9mur, puis positionne le greffon selon les rep\u00e8res anatomiques. Il ajuste sa tension en v\u00e9rifiant que la rotule reste guid\u00e9e sans \u00eatre excessivement contrainte au cours des mouvements du genou.<\/p><p>Si un d\u00e9salignement osseux contribue \u00e0 l\u2019instabilit\u00e9, une ost\u00e9otomie de la tub\u00e9rosit\u00e9 tibiale peut \u00eatre ajout\u00e9e : l\u2019insertion du tendon rotulien est d\u00e9plac\u00e9e puis fix\u00e9e dans une position planifi\u00e9e. Ce geste n\u2019est pas syst\u00e9matique et modifie les consignes d\u2019appui et de r\u00e9cup\u00e9ration. La technique retenue d\u00e9pend des constatations cliniques et de l\u2019imagerie.<\/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 la trajectoire et la mobilit\u00e9 de la rotule, la tension du greffon et la stabilit\u00e9 de ses fixations. Il contr\u00f4le \u00e9galement les structures voisines et, si une ost\u00e9otomie a \u00e9t\u00e9 r\u00e9alis\u00e9e, la position de la zone osseuse d\u00e9plac\u00e9e.<\/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 utilis\u00e9e selon le geste et le protocole choisi. 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><strong>Le but est de stabiliser la rotule sans limiter inutilement son mouvement.<\/strong><\/p><p>La dur\u00e9e, le type d\u2019anesth\u00e9sie et le caract\u00e8re ambulatoire ou non d\u00e9pendent du geste r\u00e9alis\u00e9 et de la situation 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\">QUELLE TECHNIQUE POUR LA STABILISATION DE LA ROTULE ?<\/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>La stabilisation de la rotule n\u2019est pas une op\u00e9ration identique pour tous. Le choix d\u00e9pend du <strong>m\u00e9canisme de l\u2019instabilit\u00e9, de l\u2019anatomie et des l\u00e9sions associ\u00e9es.<\/strong><\/p><p>Le geste le plus fr\u00e9quent dans l\u2019instabilit\u00e9 r\u00e9cidivante avec atteinte du ligament m\u00e9dial est la reconstruction du <strong>MPFL (<\/strong><strong class=\"rQesXe MPyX\" data-sfc-cp=\"\" data-sfc-root=\"ep\" data-epip=\"\">ligament f\u00e9moro-patellaire m\u00e9dial)<\/strong>. Une correction osseuse ou un traitement articulaire peut \u00eatre ajout\u00e9 si le bilan l\u2019indique.<\/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 du MPFL <\/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>Un greffon remplace le ligament f\u00e9moro-patellaire m\u00e9dial d\u00e9ficient. Cette technique vise \u00e0 mieux contr\u00f4ler le d\u00e9placement lat\u00e9ral de la rotule. Elle n\u2019est pas destin\u00e9e \u00e0 traiter \u00e0 elle seule toutes les anomalies d\u2019alignement.<\/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\"> Ost\u00e9otomie de la tub\u00e9rosit\u00e9 tibiale <\/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>La zone o\u00f9 s\u2019attache le tendon rotulien est d\u00e9plac\u00e9e puis fix\u00e9e pour modifier la traction exerc\u00e9e sur la rotule. Ce geste peut \u00eatre indiqu\u00e9 selon sa hauteur ou l\u2019alignement mesur\u00e9. Il implique une consolidation osseuse et des pr\u00e9cautions sp\u00e9cifiques.<\/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\"> \u00c9valuation arthroscopique et l\u00e9sions associ\u00e9es <\/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>Une arthroscopie peut permettre d\u2019examiner le cartilage et de traiter certaines l\u00e9sions associ\u00e9es lorsqu\u2019elles le justifient. Elle n\u2019est pas, \u00e0 elle seule, une stabilisation de la rotule.<\/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\"> Correction d\u2019une anomalie anatomique s\u00e9lectionn\u00e9e <\/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>Dans certaines situations particuli\u00e8res, une anomalie importante de la trochl\u00e9e ou de l\u2019axe du membre peut conduire \u00e0 discuter un geste compl\u00e9mentaire. Ces interventions sont r\u00e9serv\u00e9es \u00e0 des indications pr\u00e9cises et leur int\u00e9r\u00eat doit \u00eatre mis en balance avec leur complexit\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<\/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><p><a href=\"https:\/\/coulinmedical.com\/osteotomie-preserver-larticulation\/\">\u2192 En savoir plus sur l&rsquo;ost\u00e9otomie<\/a><\/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\/stabilisation-de-la-rotule-preparation.webp\" class=\"attachment-full size-full wp-image-28507\" alt=\"Stabilisation de la rotule : patient se pr\u00e9parant \u00e0 sortir en chaussant ses chaussures.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-preparation.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-preparation-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-preparation-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-preparation-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-preparation-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\u2019op\u00e9ration, l\u2019\u00e9quipe surveille la douleur, le genou et la tol\u00e9rance \u00e0 la mobilisation. Les consignes d\u2019appui varient selon que l\u2019intervention comporte une reconstruction ligamentaire seule ou un geste osseux associ\u00e9.<\/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 l\u2019\u00e9tat g\u00e9n\u00e9ral, le pansement et le confort. Des mesures antalgiques sont propos\u00e9es selon les besoins et l\u2019avis m\u00e9dical. Un gonflement mod\u00e9r\u00e9 peut survenir apr\u00e8s 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-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>La marche avec appui, les b\u00e9quilles et l\u2019attelle sont d\u00e9cid\u00e9es selon le geste et la stabilit\u00e9 du genou. Apr\u00e8s une ost\u00e9otomie, l\u2019appui peut \u00eatre limit\u00e9 pendant la consolidation. Les premiers exercices et leur amplitude sont d\u00e9finis par l\u2019\u00e9quipe et 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 est souvent organis\u00e9 le jour m\u00eame ou apr\u00e8s une courte surveillance, si l\u2019\u00e9tat du patient le permet. Gardez le pansement propre et suivez les consignes re\u00e7ues pour la cicatrice et le premier contr\u00f4le. Contactez l\u2019\u00e9quipe en cas de fi\u00e8vre, douleur qui s\u2019aggrave nettement, \u00e9coulement de la plaie, gonflement inhabituel du mollet, essoufflement ou changement de sensibilit\u00e9 du pied.<\/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 APR\u00c8S LA STABILISATION DE LA ROTULE<\/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>Au d\u00e9but, la r\u00e9\u00e9ducation vise \u00e0 contr\u00f4ler la douleur et le gonflement, prot\u00e9ger les incisions et retrouver progressivement la mobilit\u00e9 autoris\u00e9e. Les exercices d\u2019activation musculaire sont adapt\u00e9s au geste r\u00e9alis\u00e9 et aux consignes d\u2019appui.<\/p><p>\u00a0<\/p><p>La progression travaille ensuite la mobilit\u00e9, la force du quadriceps et des muscles de la hanche, l\u2019\u00e9quilibre et le contr\u00f4le du mouvement. Apr\u00e8s une ost\u00e9otomie, le programme tient aussi compte de la consolidation osseuse.<\/p><p>\u00a0<\/p><p>La marche, les escaliers, la conduite et le travail d\u00e9pendent de la mobilit\u00e9, de la force, de la douleur, des contraintes du poste et de l\u2019utilisation \u00e9ventuelle de b\u00e9quilles. La reprise se fait g\u00e9n\u00e9ralement par \u00e9tapes, selon l\u2019\u00e9volution et apr\u00e8s validation m\u00e9dicale.<\/p><p>\u00a0<\/p><p>Le sport reprend progressivement lorsque la cicatrisation, la mobilit\u00e9, la force et le contr\u00f4le fonctionnel le permettent. Les sports avec pivots, sauts ou contacts demandent une \u00e9valuation sp\u00e9cifique ; aucun calendrier ne peut \u00eatre garanti \u00e0 l\u2019avance.<\/p><p>\u00a0<\/p><p><strong>La r\u00e9\u00e9ducation accompagne la stabilisation : elle aide \u00e0 retrouver confiance et contr\u00f4le du genou.<\/strong><\/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\/stabilisation-de-la-rotule-reeducation-v2.webp\" class=\"attachment-full size-full wp-image-28521\" alt=\"Stabilisation de la rotule : patiente r\u00e9alisant un exercice d\u2019extension du genou en r\u00e9\u00e9ducation.\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-reeducation-v2.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-reeducation-v2-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-reeducation-v2-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-reeducation-v2-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-reeducation-v2-18x12.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 stabilisation de la rotule vise \u00e0 r\u00e9duire les \u00e9pisodes de luxation et la sensation d\u2019instabilit\u00e9, et \u00e0 faciliter la reprise progressive des activit\u00e9s. Le r\u00e9sultat d\u00e9pend de l\u2019indication, de l\u2019anatomie, des l\u00e9sions associ\u00e9es 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>Une intervention ne garantit pas l\u2019absence de douleur ou de r\u00e9cidive. Une raideur, une g\u00eane \u00e0 l\u2019avant du genou ou une r\u00e9cup\u00e9ration plus lente peuvent persister. Un geste osseux n\u00e9cessite une consolidation qui peut influencer le rythme de reprise.<\/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, elle comporte notamment des risques d\u2019infection, d\u2019h\u00e9matome, de phl\u00e9bite, de probl\u00e8me de cicatrisation, de raideur ou de douleur persistante. Selon le geste, une fixation peut poser probl\u00e8me, une consolidation osseuse peut \u00eatre retard\u00e9e ou l\u2019instabilit\u00e9 peut persister ou r\u00e9cidiver. Une nouvelle intervention reste parfois 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<\/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=\"1312\" height=\"1199\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-prise-en-charge-v2.webp\" class=\"attachment-full size-full wp-image-28522\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-prise-en-charge-v2.webp 1312w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-prise-en-charge-v2-328x300.webp 328w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-prise-en-charge-v2-875x800.webp 875w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-prise-en-charge-v2-768x702.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/stabilisation-de-la-rotule-prise-en-charge-v2-13x12.webp 13w\" sizes=\"(max-width: 1312px) 100vw, 1312px\" \/>\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 instabilit\u00e9 rotulienne similaire ne n\u00e9cessitent pas forc\u00e9ment la m\u00eame op\u00e9ration. Les facteurs qui provoquent le d\u00e9placement de la rotule et les cons\u00e9quences sur les activit\u00e9s peuvent diff\u00e9rer.<\/p><p>\u00a0<\/p><p>Le Dr Beno\u00eet Coulin tient compte de l\u2019\u00e2ge, de l\u2019anatomie, de la qualit\u00e9 des tissus, de l\u2019importance de l\u2019instabilit\u00e9, des l\u00e9sions associ\u00e9es, du niveau d\u2019activit\u00e9, du m\u00e9tier, des traitements d\u00e9j\u00e0 r\u00e9alis\u00e9s et des objectifs personnels.<\/p><p>\u00a0<\/p><p>La technique, le moment de l\u2019intervention et le programme de r\u00e9cup\u00e9ration sont d\u00e9termin\u00e9s \u00e0 partir de cette \u00e9valuation.<\/p><p>\u00a0<\/p><p style=\"text-align: center;\">\u00ab La strat\u00e9gie doit r\u00e9pondre au m\u00e9canisme de l\u2019instabilit\u00e9 et aux besoins de la personne. \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  <div class=\"faq-col\">\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Faut-il toujours se faire op\u00e9rer apr\u00e8s une <br>luxation de la rotule ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Non. Apr\u00e8s un premier \u00e9pisode, une prise en charge non chirurgicale peut \u00eatre propos\u00e9e selon la stabilit\u00e9 du genou et les l\u00e9sions associ\u00e9es. La chirurgie se discute notamment en cas d\u2019instabilit\u00e9 persistante ou de r\u00e9cidives.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quelle anesth\u00e9sie est utilis\u00e9e ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        L\u2019intervention est g\u00e9n\u00e9ralement r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale, parfois compl\u00e9t\u00e9e par une anesth\u00e9sie r\u00e9gionale. Le choix est discut\u00e9 avec l\u2019anesth\u00e9siste selon votre situation m\u00e9dicale.\n      <\/div>\n    <\/div>\n\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 d\u00e9pend du geste r\u00e9alis\u00e9. Une reconstruction isol\u00e9e du MPFL et une intervention associant une correction osseuse n\u2019ont pas la m\u00eame dur\u00e9e. L\u2019\u00e9quipe vous donnera une estimation adapt\u00e9e au plan op\u00e9ratoire.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">L\u2019intervention est-elle douloureuse ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Une douleur et un gonflement sont possibles apr\u00e8s l\u2019op\u00e9ration. L\u2019\u00e9quipe met en place une prise en charge adapt\u00e9e et vous explique les mesures \u00e0 suivre \u00e0 domicile.\n      <\/div>\n    <\/div>\n  <\/div>\n\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\">Faut-il des b\u00e9quilles ou une attelle ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Cela d\u00e9pend de la technique et des gestes associ\u00e9s. Une attelle ou des b\u00e9quilles peuvent \u00eatre prescrites temporairement ; les consignes pr\u00e9cises sont donn\u00e9es apr\u00e8s l\u2019intervention.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quand peut-on conduire et reprendre le travail ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        La reprise d\u00e9pend de la mobilit\u00e9, de la douleur, du c\u00f4t\u00e9 op\u00e9r\u00e9, de la conduite d\u2019un v\u00e9hicule et des exigences du travail. Elle est d\u00e9cid\u00e9e avec l\u2019\u00e9quipe m\u00e9dicale, apr\u00e8s \u00e9valuation de votre r\u00e9cup\u00e9ration.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Quand peut-on reprendre le sport ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        La reprise est progressive et d\u00e9pend de la force, de la mobilit\u00e9, du contr\u00f4le du genou et du geste effectu\u00e9. Les sports avec pivots ou contacts n\u00e9cessitent une validation m\u00e9dicale et fonctionnelle.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button class=\"faq-header\" type=\"button\" aria-expanded=\"false\">\n        <span class=\"faq-q\">Existe-t-il un risque que la rotule se d\u00e9bo\u00eete<br> \u00e0 nouveau ?<\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n      <div class=\"faq-body\">\n        Une r\u00e9cidive reste possible, m\u00eame apr\u00e8s une intervention. Le risque d\u00e9pend notamment de l\u2019anatomie, des l\u00e9sions associ\u00e9es, de la technique retenue et de l\u2019\u00e9volution de la r\u00e9\u00e9ducation.\n      <\/div>\n    <\/div>\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\">Votre rotule se d\u00e9bo\u00eete ou reste instable ?<\/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>Un examen clinique et l\u2019analyse des examens d\u2019imagerie permettent de pr\u00e9ciser l\u2019origine de l\u2019instabilit\u00e9 et de d\u00e9terminer si une stabilisation chirurgicale est indiqu\u00e9e.<\/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>Stabilisation chirurgicale de la rotule L\u2019objectif est de mieux maintenir la rotule dans son axe et de r\u00e9duire les \u00e9pisodes d\u2019instabilit\u00e9. La stabilisation de la rotule peut \u00eatre envisag\u00e9e lorsque celle-ci se d\u00e9bo\u00eete \u00e0 r\u00e9p\u00e9tition ou reste instable malgr\u00e9 une prise en charge adapt\u00e9e. Selon l\u2019anatomie du genou, l\u2019intervention peut consister \u00e0 reconstruire un ligament [&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-28409","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28409","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=28409"}],"version-history":[{"count":11,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28409\/revisions"}],"predecessor-version":[{"id":28528,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28409\/revisions\/28528"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=28409"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}