{"id":28533,"date":"2026-10-16T12:58:44","date_gmt":"2026-10-16T12:58:44","guid":{"rendered":"https:\/\/coulinmedical.com\/?page_id=28533"},"modified":"2026-10-21T11:11:38","modified_gmt":"2026-10-21T11:11:38","slug":"fracture-periprothetique","status":"publish","type":"page","link":"https:\/\/coulinmedical.com\/en\/fracture-periprothetique\/","title":{"rendered":"FRACTURE P\u00c9RIPROTH\u00c9TIQUE DE LA HANCHE"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"28533\" class=\"elementor elementor-28533\" 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\">Fracture p\u00e9riproth\u00e9tique<\/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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Ces \u00e9l\u00e9ments guident le choix du traitement et les \u00e9tapes de r\u00e9cup\u00e9ration.<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c33e344 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c33e344\" 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-8ffaa11 elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"8ffaa11\" 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 <strong>fracture p\u00e9riproth\u00e9tique<\/strong> est une fracture de l\u2019os situ\u00e9e autour ou \u00e0 proximit\u00e9 d\u2019une proth\u00e8se, le plus souvent de hanche ou de genou. Elle peut survenir apr\u00e8s une chute ou un traumatisme, et parfois apr\u00e8s un choc mod\u00e9r\u00e9 lorsque l\u2019os est fragilis\u00e9.<\/p><p>Le traitement d\u00e9pend de l\u2019emplacement et du d\u00e9placement de la fracture, mais aussi de la stabilit\u00e9 de la proth\u00e8se. Si l\u2019implant reste bien fix\u00e9, le chirurgien peut parfois stabiliser l\u2019os en le conservant. Si un composant est descell\u00e9 ou ne permet pas une fixation satisfaisante, une r\u00e9vision de la proth\u00e8se peut \u00eatre envisag\u00e9e.<\/p><p>Une fracture p\u00e9riproth\u00e9tique ne conduit donc pas automatiquement au m\u00eame traitement. L\u2019examen clinique et l\u2019imagerie aident \u00e0 choisir entre surveillance et protection de l\u2019appui, fixation chirurgicale ou r\u00e9vision proth\u00e9tique, parfois combin\u00e9es.<\/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 FRACTURE DU COL DU F\u00c9MUR<\/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\/fracture-periprothetique-symptomes.webp\" class=\"attachment-full size-full wp-image-28554\" alt=\"Patient pr\u00e9sentant une g\u00eane apr\u00e8s une fracture p\u00e9riproth\u00e9tique\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-symptomes.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-symptomes-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-symptomes-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-symptomes-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-symptomes-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\">RECONNA\u00ceTRE LES SIGNES D\u2019UNE FRACTURE P\u00c9RIPROTH\u00c9TIQUE<\/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>Une <strong>fracture p\u00e9riproth\u00e9tique<\/strong> peut provoquer une douleur brutale pr\u00e8s de la proth\u00e8se, \u00e0 la hanche, \u00e0 la cuisse ou au genou selon sa localisation. La douleur peut emp\u00eacher de prendre appui ou de bouger normalement le membre.<\/p><p>\u00a0<\/p><ul><li><strong>Douleur apr\u00e8s une chute ou un choc :<\/strong> elle peut appara\u00eetre autour de la hanche, de la cuisse ou du genou.<\/li><li><strong>Difficult\u00e9 ou impossibilit\u00e9 de prendre appui :<\/strong> la marche devient douloureuse, instable ou impossible.<\/li><li><strong>Gonflement ou ecchymose :<\/strong> ils peuvent appara\u00eetre pr\u00e8s de la zone fractur\u00e9e, mais leur absence n\u2019exclut pas une fracture.<\/li><li><strong>Changement de mobilit\u00e9 ou sensation d\u2019instabilit\u00e9 :<\/strong> le membre peut \u00eatre difficile \u00e0 mobiliser ou sembler moins stable qu\u2019avant.<\/li><\/ul><p>\u00a0<\/p><p>Apr\u00e8s un traumatisme pr\u00e8s d\u2019une proth\u00e8se, une douleur importante ou l\u2019impossibilit\u00e9 de prendre appui justifie une \u00e9valuation m\u00e9dicale rapide. \u00c9vitez de forcer la marche ou de mobiliser le membre douloureux.<\/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\">POURQUOI UNE FRACTURE P\u00c9RIPROTH\u00c9TIQUE SURVIENT-ELLE ?<\/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>Une fracture p\u00e9riproth\u00e9tique survient lorsqu\u2019une contrainte d\u00e9passe la r\u00e9sistance de l\u2019os autour d\u2019une proth\u00e8se. La cause, la qualit\u00e9 osseuse, l\u2019\u00e9tat de la proth\u00e8se et les circonstances du traumatisme sont pris en compte pour comprendre la situation et pr\u00e9parer le traitement.<\/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\">CHUTE OU TRAUMATISME<\/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>Une chute sur le c\u00f4t\u00e9 ou un choc direct peut provoquer une fracture pr\u00e8s d\u2019une proth\u00e8se de hanche ou de genou. Un traumatisme plus important peut entra\u00eener une fracture plus complexe.<\/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\">FRAGILIT\u00c9 DE L\u2019OS<\/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>L\u2019ost\u00e9oporose ou une qualit\u00e9 osseuse diminu\u00e9e peut rendre l\u2019os plus vuln\u00e9rable. Une chute de faible hauteur peut alors suffire \u00e0 provoquer une fracture.<\/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\">STABILIT\u00c9 DE LA PROTH\u00c8SE<\/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 fixation de la proth\u00e8se \u00e0 l\u2019os est un \u00e9l\u00e9ment essentiel du bilan. Un composant descell\u00e9 peut modifier le choix du traitement et conduire \u00e0 envisager une r\u00e9vision.<\/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\">\u00c9TAT DE L\u2019OS AUTOUR DE L\u2019IMPLANT<\/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>La quantit\u00e9 et la qualit\u00e9 de l\u2019os disponible influencent les possibilit\u00e9s de fixation. Le chirurgien tient aussi compte des fractures ou interventions ant\u00e9rieures et du type de proth\u00e8se.<\/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 class=\"elementor-element elementor-element-bc41f80 elementor-widget elementor-widget-text-editor\" data-id=\"bc41f80\" 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 style=\"text-align: center;\"><a href=\"https:\/\/coulinmedical.com\/prothese-totale-de-hanche\/\">\u2192 En savoir plus sur la proth\u00e8se totale de hanche<\/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\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\/fracture-periprothetique-diagnostic.webp\" class=\"attachment-full size-full wp-image-28553\" alt=\"fracture-periprothetique-diagnostic.webp \u00c9valuation clinique d\u2019une fracture p\u00e9riproth\u00e9tique\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-diagnostic.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-diagnostic-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-diagnostic-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-diagnostic-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-diagnostic-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\">POSER LE BON DIAGNOSTIC<\/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 diagnostic repose sur l\u2019examen clinique et l\u2019imagerie. Les radiographies permettent g\u00e9n\u00e9ralement de localiser la fracture et d\u2019observer la proth\u00e8se. Selon les r\u00e9sultats, un scanner ou d\u2019autres examens peuvent \u00eatre demand\u00e9s pour pr\u00e9ciser la fracture et planifier le traitement.<\/p><p>\u00a0<\/p><p><strong>01 \u2014 L\u2019EXAMEN CLINIQUE<\/strong><br \/>Le m\u00e9decin \u00e9value la douleur, la mobilit\u00e9, l\u2019appui possible et l\u2019\u00e9tat de la peau. La sensibilit\u00e9, la motricit\u00e9 et la circulation du membre sont \u00e9galement contr\u00f4l\u00e9es.<\/p><p><strong>02 \u2014 LES RADIOGRAPHIES<\/strong><br \/>Les radiographies montrent l\u2019emplacement de la fracture et aident \u00e0 appr\u00e9cier le d\u00e9placement ainsi que la position de la proth\u00e8se. Les images ant\u00e9rieures, lorsqu\u2019elles sont disponibles, peuvent aider \u00e0 comparer l\u2019\u00e9tat de l\u2019implant.<\/p><p><strong>03 \u2014 LE SCANNER ET LE BILAN PR\u00c9OP\u00c9RATOIRE<\/strong><br \/>Un scanner peut pr\u00e9ciser la forme de la fracture et les rapports entre l\u2019os et la proth\u00e8se. Si une intervention est envisag\u00e9e, le bilan comprend \u00e9galement l\u2019\u00e9valuation de l\u2019\u00e9tat g\u00e9n\u00e9ral et une consultation d\u2019anesth\u00e9sie.<\/p><p>\u00a0<\/p><p><strong>Le traitement d\u00e9pend de la fracture, mais aussi de la stabilit\u00e9 de la proth\u00e8se : ces deux \u00e9l\u00e9ments doivent \u00eatre \u00e9valu\u00e9s ensemble.<\/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\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\">TRAITER LA FRACTURE ET STABILISER L\u2019OS<\/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 prise en charge d\u2019une <strong>fracture p\u00e9riproth\u00e9tique<\/strong> d\u00e9pend de son d\u00e9placement, de la stabilit\u00e9 de l\u2019implant et de la qualit\u00e9 de l\u2019os. Dans certains cas s\u00e9lectionn\u00e9s, une protection de l\u2019appui et une surveillance sp\u00e9cialis\u00e9e peuvent \u00eatre discut\u00e9es. Une intervention peut \u00eatre propos\u00e9e pour stabiliser la fracture ou remplacer un composant proth\u00e9tique instable.<\/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\"> PROT\u00c9GER LA ZONE ET SOULAGER LA DOULEUR <\/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>L\u2019\u00e9quipe choisit une position confortable et pr\u00e9cise si l\u2019appui doit \u00eatre \u00e9vit\u00e9 ou limit\u00e9. La douleur est prise en charge et l\u2019\u00e9tat g\u00e9n\u00e9ral surveill\u00e9. Les consignes de d\u00e9placement sont adapt\u00e9es \u00e0 la fracture et \u00e0 la proth\u00e8se concern\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<\/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\"> FIXER LA FRACTURE EN CONSERVANT LA PROTH\u00c8SE <\/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>Si la proth\u00e8se est stable et que la fracture peut \u00eatre fix\u00e9e autour d\u2019elle, le chirurgien peut utiliser une plaque, des vis ou des c\u00e2bles. Le montage est choisi selon l\u2019emplacement de la fracture, l\u2019os disponible et la pr\u00e9sence de la tige proth\u00e9tique.<\/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\"> R\u00c9VISER UN COMPOSANT INSTABLE <\/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>Si un composant est descell\u00e9 ou ne permet pas une stabilisation satisfaisante, une r\u00e9vision de la proth\u00e8se peut \u00eatre envisag\u00e9e. Le composant remplac\u00e9 et le mode de fixation d\u00e9pendent de l\u2019os disponible et de la fracture.<\/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\"> ASSOCIER FIXATION ET R\u00c9VISION <\/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>Certaines fractures n\u00e9cessitent \u00e0 la fois de remplacer un composant et de fixer l\u2019os. Le choix de cette strat\u00e9gie d\u00e9pend de la stabilit\u00e9 recherch\u00e9e et de la possibilit\u00e9 d\u2019obtenir un montage adapt\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><strong>La strat\u00e9gie vise \u00e0 stabiliser l\u2019os tout en tenant compte de la proth\u00e8se et de la capacit\u00e9 de r\u00e9cup\u00e9ration du patient.<\/strong>Le traitement peut donc varier d\u2019une fracture \u00e0 l\u2019autre, m\u00eame lorsque les sympt\u00f4mes se ressemblent.<\/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\/fracture-periprothetique-traitement-patient.webp\" class=\"attachment-full size-full wp-image-28559\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-traitement-patient.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-traitement-patient-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-traitement-patient-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-traitement-patient-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-traitement-patient-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\">QUAND ENVISAGER UNE CHIRURGIE ?<\/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>La chirurgie peut \u00eatre envisag\u00e9e si la fracture est d\u00e9plac\u00e9e ou instable, si la proth\u00e8se est descell\u00e9e, ou si une stabilisation fiable ne peut pas \u00eatre obtenue sans intervention. Certaines fractures peu d\u00e9plac\u00e9es, avec une proth\u00e8se stable et une situation clinique compatible, peuvent parfois \u00eatre surveill\u00e9es avec des consignes adapt\u00e9es.<\/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\">SI LA FRACTURE EST D\u00c9PLAC\u00c9E OU INSTABLE<\/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 fixation chirurgicale peut \u00eatre propos\u00e9e pour maintenir les fragments et favoriser une consolidation dans une position satisfaisante.<\/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\">SI LA PROTH\u00c8SE EST DESCELL\u00c9E<\/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>Un composant instable peut n\u00e9cessiter une r\u00e9vision. Le chirurgien \u00e9value si cette r\u00e9vision doit \u00eatre associ\u00e9e \u00e0 une fixation de la fracture.<\/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\">SELON L\u2019\u00c9TAT G\u00c9N\u00c9RAL ET LES OBJECTIFS DU PATIENT<\/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>La d\u00e9cision tient compte de la douleur, de l\u2019autonomie, de la possibilit\u00e9 de reprendre l\u2019appui, de l\u2019\u00e9tat g\u00e9n\u00e9ral et des risques li\u00e9s \u00e0 l\u2019intervention. L\u2019op\u00e9ration n\u2019est pas d\u00e9cid\u00e9e \u00e0 partir d\u2019une image seule.<\/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\u00e9cup\u00e9ration d\u00e9pend de la fracture, de la fixation r\u00e9alis\u00e9e, de la stabilit\u00e9 de la proth\u00e8se et de l\u2019\u00e9tat g\u00e9n\u00e9ral. La r\u00e9\u00e9ducation commence lorsque l\u2019\u00e9quipe estime que les mouvements et l\u2019appui sont compatibles avec le traitement.<\/p><p>\u00a0<\/p><p><strong>01 \u2014 SE REMETTRE EN MOUVEMENT EN S\u00c9CURIT\u00c9<\/strong><br \/>Les premiers transferts et d\u00e9placements sont accompagn\u00e9s par l\u2019\u00e9quipe. Une aide \u00e0 la marche, comme des b\u00e9quilles ou un d\u00e9ambulateur, peut \u00eatre n\u00e9cessaire.<\/p><p><strong>02 \u2014 RESPECTER LES CONSIGNES D\u2019APPUI<\/strong><br \/>L\u2019appui peut \u00eatre autoris\u00e9, limit\u00e9 ou diff\u00e9r\u00e9 selon la fracture et la stabilit\u00e9 obtenue. Les consignes sont donn\u00e9es par le chirurgien et r\u00e9\u00e9valu\u00e9es au suivi.<\/p><p><strong>03 \u2014 RETROUVER LA MOBILIT\u00c9 ET LA FORCE<\/strong><br \/>La r\u00e9\u00e9ducation peut travailler la mobilit\u00e9, le renforcement musculaire, l\u2019\u00e9quilibre et la marche. Les exercices sont adapt\u00e9s \u00e0 la zone trait\u00e9e et \u00e0 l\u2019\u00e9volution.<\/p><p><strong>04 \u2014 REPRENDRE LES ACTIVIT\u00c9S QUOTIDIENNES<\/strong><br \/>Les d\u00e9placements dans le logement, les escaliers et les activit\u00e9s courantes reprennent progressivement, selon l\u2019autonomie, la douleur et la s\u00e9curit\u00e9 de la marche.<\/p><p><strong>05 \u2014 ADAPTER LA REPRISE DU TRAVAIL ET DU SPORT<\/strong><br \/>La reprise d\u00e9pend de la consolidation, des capacit\u00e9s fonctionnelles, de la nature du travail ou du sport et de la validation m\u00e9dicale.<\/p><p>\u00a0<\/p><p><strong>Le rythme de r\u00e9cup\u00e9ration est individuel et suit l\u2019\u00e9volution de la fracture et de la proth\u00e8se.<\/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=\"1374\" height=\"1145\" src=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-reeducation.webp\" class=\"attachment-full size-full wp-image-28557\" alt=\"R\u00e9\u00e9ducation \u00e0 la marche apr\u00e8s une fracture p\u00e9riproth\u00e9tique\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-reeducation.webp 1374w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-reeducation-360x300.webp 360w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-reeducation-960x800.webp 960w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-reeducation-768x640.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-reeducation-14x12.webp 14w\" sizes=\"(max-width: 1374px) 100vw, 1374px\" \/>\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-2fb3283 e-grid e-con-full e-con e-parent\" data-id=\"2fb3283\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-678d954 e-con-full e-flex e-con e-child\" data-id=\"678d954\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6353df8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6353df8\" 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-455454e elementor-widget elementor-widget-image\" data-id=\"455454e\" 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\/fracture-periprothetique-prise-en-charge.webp\" class=\"attachment-full size-full wp-image-28560\" alt=\"\" srcset=\"https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-prise-en-charge.webp 1536w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-prise-en-charge-400x267.webp 400w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-prise-en-charge-1200x800.webp 1200w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-prise-en-charge-768x512.webp 768w, https:\/\/coulinmedical.com\/wp-content\/uploads\/2026\/10\/fracture-periprothetique-prise-en-charge-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-41bca07 e-con-full e-flex e-con e-child\" data-id=\"41bca07\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-717554e elementor-widget elementor-widget-heading\" data-id=\"717554e\" 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 PRISE EN CHARGE 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-71175e9 elementor-widget elementor-widget-text-editor\" data-id=\"71175e9\" 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 fracture p\u00e9riproth\u00e9tique ne se traite pas uniquement \u00e0 partir de sa localisation. Une fracture semblable peut n\u00e9cessiter une fixation, une r\u00e9vision de proth\u00e8se ou une autre strat\u00e9gie selon la stabilit\u00e9 de l\u2019implant et la qualit\u00e9 de l\u2019os.<\/p><p>\u00a0<\/p><p>Le traitement est choisi en tenant compte de l\u2019\u00e2ge, de l\u2019anatomie, de l\u2019\u00e9tat g\u00e9n\u00e9ral, de l\u2019autonomie, du type de proth\u00e8se, de la fracture et des traitements ant\u00e9rieurs. La possibilit\u00e9 de reprendre l\u2019appui et les objectifs personnels comptent \u00e9galement dans la d\u00e9cision.<\/p><p>\u00a0<\/p><p>La technique, les consignes d\u2019appui et le programme de r\u00e9cup\u00e9ration sont adapt\u00e9s \u00e0 la situation et r\u00e9\u00e9valu\u00e9s lors du suivi.<\/p><blockquote><p style=\"text-align: center;\">\u00ab Le choix du traitement repose sur l\u2019analyse conjointe de la fracture, de la proth\u00e8se et de l\u2019\u00e9tat g\u00e9n\u00e9ral du patient. \u00bb<\/p><\/blockquote>\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-fedd6a7 elementor-widget elementor-widget-text-editor\" data-id=\"fedd6a7\" 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 mini invasive peut d\u00e9signer plusieurs m\u00e9thodes d\u2019acc\u00e8s \u00e0 l\u2019articulation et m\u00e9thodes de visualisation. Elle ne correspond pas \u00e0 une technique unique applicable \u00e0 toutes les pathologies du genou et de la hanche.<\/p><p>Le choix d\u00e9pend de la structure \u00e0 traiter, de l\u2019\u00e9tendue du geste et des objectifs fonctionnels. L\u2019arthroscopie\u00a0est l\u2019une des techniques mini invasives utilis\u00e9es pour explorer ou traiter l\u2019int\u00e9rieur d\u2019une articulation.<\/p><p><a href=\"https:\/\/coulinmedical.com\/arthroscopie-une-chirurgie-mini-invasive\/\">\u2192 En savoir plus sur l&rsquo;arthroscopie<\/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\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0ec73bd e-flex e-con-boxed e-con e-parent\" data-id=\"0ec73bd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb4d2e8 elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"cb4d2e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d2593bd elementor-widget elementor-widget-heading\" data-id=\"d2593bd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">QUESTIONS FR\u00c9QUENTES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-426434e elementor-widget elementor-widget-html\" data-id=\"426434e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<style>\n#faq-arthrose {\n  --coulin-green: #A8B5A8;\n  --coulin-green-light: rgba(168, 181, 168, 0.45);\n  --coulin-orange: #E58A2B;\n  --coulin-black: #111111;\n\n  position: relative;\n  max-width: 90%;\n  margin: 0 auto;\n  display: flex;\n  align-items: flex-start;\n}\n\n#faq-arthrose .faq-col {\n  flex: 1;\n  display: flex;\n  flex-direction: column;\n  border: 1px solid var(--coulin-green);\n  font-family: \"Arboria\", sans-serif;\n}\n\n#faq-arthrose .faq-col:first-child {\n  border-radius: 12px 0 0 12px;\n  border-right: none;\n  margin-right: 1px;\n}\n\n#faq-arthrose .faq-col:last-child {\n  border-radius: 0 12px 12px 0;\n  border-left: none;\n  margin-left: 1px;\n}\n\n#faq-arthrose::after {\n  content: \"\";\n  position: absolute;\n  left: calc(50% - 0.5px);\n  top: 0;\n  bottom: 0;\n  width: 1px;\n  background: var(--coulin-green);\n  pointer-events: none;\n}\n\n#faq-arthrose .faq-item {\n  border-bottom: 1px solid var(--coulin-green-light);\n  color: var(--coulin-black);\n}\n\n#faq-arthrose .faq-col .faq-item:last-child {\n  border-bottom: none;\n}\n\n#faq-arthrose .faq-header {\n  display: flex;\n  align-items: center;\n  justify-content: space-between;\n  width: 100%;\n  min-height: 90px;\n  padding: 26px 22px;\n  gap: 14px;\n  border: none;\n  background: transparent;\n  color: var(--coulin-black);\n  text-align: left;\n  cursor: pointer;\n  transition: color 0.2s ease;\n}\n\n#faq-arthrose .faq-header:hover,\n#faq-arthrose .faq-item.open .faq-header {\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-header:hover .faq-btn,\n#faq-arthrose .faq-item.open .faq-btn {\n  border-color: var(--coulin-orange);\n  color: var(--coulin-orange);\n}\n\n#faq-arthrose .faq-q {\n  font-family: \"Arboria\", sans-serif;\n  font-size: 13px;\n  font-weight: 400;\n  line-height: 1.45;\n  letter-spacing: 0.04em;\n  text-transform: uppercase;\n}\n\n#faq-arthrose .faq-btn {\n  flex-shrink: 0;\n  width: 30px;\n  height: 30px;\n  border: 1px solid var(--coulin-green);\n  border-radius: 50%;\n  display: flex;\n  align-items: center;\n  justify-content: center;\n  color: var(--coulin-orange);\n  font-size: 20px;\n  font-weight: 300;\n  line-height: 1;\n  background: transparent;\n  transition:\n    border-color 0.2s ease,\n    color 0.2s ease,\n    transform 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-btn {\n  transform: rotate(45deg);\n}\n\n#faq-arthrose .faq-body {\n  max-height: 0;\n  overflow: hidden;\n  padding: 0 22px;\n  color: var(--coulin-black);\n  font-family: \"Arboria\", sans-serif;\n  font-size: 14px;\n  font-weight: 300;\n  line-height: 1.7;\n  transition:\n    max-height 0.35s ease,\n    padding 0.3s ease;\n}\n\n#faq-arthrose .faq-item.open .faq-body {\n  max-height: 600px;\n  padding: 0 22px 22px;\n}\n\n@media (max-width: 640px) {\n  #faq-arthrose {\n    max-width: 100%;\n    flex-direction: column;\n  }\n\n  #faq-arthrose::after {\n    display: none;\n  }\n\n  #faq-arthrose .faq-col {\n    width: 100%;\n  }\n\n  #faq-arthrose .faq-col:first-child {\n    margin-right: 0;\n    border-right: 1px solid var(--coulin-green);\n    border-bottom: none;\n    border-radius: 12px 12px 0 0;\n  }\n\n  #faq-arthrose .faq-col:last-child {\n    margin-left: 0;\n    border-top: 1px solid var(--coulin-green);\n    border-left: 1px solid var(--coulin-green);\n    border-radius: 0 0 12px 12px;\n  }\n\n  #faq-arthrose .faq-header {\n    min-height: auto;\n    padding: 22px 18px;\n  }\n\n  #faq-arthrose .faq-q {\n    font-size: 12px;\n  }\n\n  #faq-arthrose .faq-body {\n    padding: 0 18px;\n    font-size: 15px;\n  }\n\n  #faq-arthrose .faq-item.open .faq-body {\n    padding: 0 18px 20px;\n  }\n}\n<\/style>\n\n<div class=\"faq-outer\" id=\"faq-arthrose\">\n\n  <!-- Colonne gauche -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Faut-il toujours op\u00e9rer une fracture <br>p\u00e9riproth\u00e9tique ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Non. La d\u00e9cision d\u00e9pend du d\u00e9placement de la fracture, de la stabilit\u00e9\n        de la proth\u00e8se, de l\u2019\u00e9tat de l\u2019os et de la situation clinique. Certaines\n        fractures peuvent \u00eatre surveill\u00e9es sans op\u00e9ration par une \u00e9quipe\n        sp\u00e9cialis\u00e9e.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          La proth\u00e8se doit-elle toujours \u00eatre remplac\u00e9e ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Non. Si la proth\u00e8se est stable, le chirurgien peut parfois fixer la\n        fracture en conservant l\u2019implant. Si un composant est descell\u00e9 ou ne\n        permet pas d\u2019obtenir une stabilit\u00e9 satisfaisante, une r\u00e9vision peut\n        \u00eatre n\u00e9cessaire.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Comment le diagnostic est-il pos\u00e9 ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        L\u2019examen clinique et les radiographies permettent g\u00e9n\u00e9ralement de\n        rep\u00e9rer la fracture et d\u2019\u00e9valuer la proth\u00e8se. Un scanner peut \u00eatre\n        demand\u00e9 pour pr\u00e9ciser la fracture ou planifier le traitement.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quel mat\u00e9riel peut \u00eatre utilis\u00e9 pour fixer l\u2019os ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Selon la fracture et la proth\u00e8se, le chirurgien peut utiliser une\n        plaque, des vis, des c\u00e2bles ou une combinaison de moyens de fixation.\n        Le mat\u00e9riel d\u00e9pend notamment de la quantit\u00e9 d\u2019os disponible et de la\n        stabilit\u00e9 de l\u2019implant.\n      <\/div>\n    <\/div>\n\n  <\/div>\n\n  <!-- Colonne droite -->\n  <div class=\"faq-col\">\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quelle anesth\u00e9sie est utilis\u00e9e ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Le type d\u2019anesth\u00e9sie d\u00e9pend de l\u2019intervention et de l\u2019\u00e9tat de sant\u00e9 du\n        patient. Il est discut\u00e9 avec l\u2019anesth\u00e9siste lors du bilan pr\u00e9op\u00e9ratoire.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Combien de temps dure l\u2019hospitalisation ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La dur\u00e9e varie selon la fracture, l\u2019intervention, l\u2019\u00e9tat g\u00e9n\u00e9ral et\n        l\u2019autonomie. L\u2019\u00e9quipe organise la sortie ou la r\u00e9adaptation lorsque la\n        situation m\u00e9dicale et les d\u00e9placements le permettent.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Quand peut-on recommencer \u00e0 marcher ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        La marche reprend lorsque le chirurgien et l\u2019\u00e9quipe estiment que la\n        fracture et sa fixation le permettent. L\u2019appui peut \u00eatre autoris\u00e9,\n        limit\u00e9 ou diff\u00e9r\u00e9 ; les consignes peuvent \u00e9voluer au fil du suivi.\n      <\/div>\n    <\/div>\n\n    <div class=\"faq-item\">\n      <button\n        class=\"faq-header\"\n        type=\"button\"\n        aria-expanded=\"false\"\n      >\n        <span class=\"faq-q\">\n          Une nouvelle intervention peut-elle<br> \u00eatre n\u00e9cessaire ?\n        <\/span>\n        <span class=\"faq-btn\" aria-hidden=\"true\">+<\/span>\n      <\/button>\n\n      <div class=\"faq-body\">\n        Cela peut \u00eatre envisag\u00e9 en cas de probl\u00e8me de consolidation, de fixation\n        insuffisante ou de descellement d\u2019un composant. Cette \u00e9ventualit\u00e9 d\u00e9pend\n        de l\u2019\u00e9volution et ne concerne pas tous les patients.\n      <\/div>\n    <\/div>\n\n  <\/div>\n<\/div>\n\n<script>\n(function () {\n  const faq = document.getElementById(\"faq-arthrose\");\n\n  if (!faq) return;\n\n  const items = faq.querySelectorAll(\".faq-item\");\n\n  items.forEach(function (item) {\n    const header = item.querySelector(\".faq-header\");\n\n    header.addEventListener(\"click\", function () {\n      const isOpen = item.classList.contains(\"open\");\n\n      items.forEach(function (otherItem) {\n        otherItem.classList.remove(\"open\");\n\n        const otherHeader = otherItem.querySelector(\".faq-header\");\n\n        if (otherHeader) {\n          otherHeader.setAttribute(\"aria-expanded\", \"false\");\n        }\n      });\n\n      if (!isOpen) {\n        item.classList.add(\"open\");\n        header.setAttribute(\"aria-expanded\", \"true\");\n      }\n    });\n  });\n})();\n<\/script>\n<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\">VOUS SOUHAITEZ MIEUX COMPRENDRE VOTRE FRACTURE ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9f5c73e elementor-widget__width-initial elementor-widget elementor-widget-text-editor\" data-id=\"9f5c73e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Une consultation permet d\u2019\u00e9valuer la fracture, la stabilit\u00e9 de la proth\u00e8se et les options de traitement. L\u2019examen clinique et l\u2019analyse de l\u2019imagerie aident \u00e0 discuter de la strat\u00e9gie adapt\u00e9e \u00e0 votre situation.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c5faaad elementor-align-justify elementor-mobile-align-justify elementor-widget__width-initial elementor-widget-mobile__width-initial elementor-widget elementor-widget-button\" data-id=\"c5faaad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/coulinmedical.com\/prendre-rendez-vous\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">PRENDRE RDV<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fracture p\u00e9riproth\u00e9tique Une fracture pr\u00e8s d\u2019une proth\u00e8se n\u00e9cessite de comprendre \u00e0 la fois l\u2019\u00e9tat de l\u2019os et la stabilit\u00e9 de l\u2019implant. Ces \u00e9l\u00e9ments guident le choix du traitement et les \u00e9tapes de r\u00e9cup\u00e9ration. Une fracture p\u00e9riproth\u00e9tique est une fracture de l\u2019os situ\u00e9e autour ou \u00e0 proximit\u00e9 d\u2019une proth\u00e8se, le plus souvent de hanche ou de [&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-28533","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28533","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=28533"}],"version-history":[{"count":8,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28533\/revisions"}],"predecessor-version":[{"id":28800,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/pages\/28533\/revisions\/28800"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=28533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}