{"id":24849,"date":"2026-06-19T12:33:06","date_gmt":"2026-06-19T12:33:06","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=24849"},"modified":"2026-06-26T08:09:17","modified_gmt":"2026-06-26T08:09:17","slug":"eviter-une-prothese","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/eviter-une-prothese\/","title":{"rendered":"Avoiding a prosthesis: what are the solutions today?"},"content":{"rendered":"<h2 class=\"wp-block-heading\">Why try to avoid a prosthesis?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<p class=\"wp-block-paragraph\">When a <a href=\"https:\/\/www.ligues-rhumatisme.ch\/rhumatismes-de-a-a-z\/arthrose\" target=\"_blank\" rel=\"noopener\">osteoarthritis<\/a> When knee or hip problems progress, many patients quickly consider surgery. However, prosthesis implantation is generally only considered after the failure of other treatments. <a href=\"https:\/\/coulinmedical.com\/en\/traitement-non-chirurgical-hanche-genou\/\" data-type=\"page\" data-id=\"15864\">conservative treatments.<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Today, there are many strategies that allow us to avoid a prosthesis or at least postpone this procedure for several years. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The goal is not simply to reduce pain, but also to preserve mobility, maintain physical activity and preserve a good quality of life.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For patients who are still active, athletic or relatively young, avoiding a prosthesis is often a priority in order to preserve their natural joint for as long as possible.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Regular follow-up with Dr. Coulin allows this strategy to be adjusted over time, depending on the evolution of the osteoarthritis and the patient&#039;s needs.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<div style=\"max-width: 350px;\"><blockquote class=\"instagram-media\" data-instgrm-permalink=\"https:\/\/www.instagram.com\/reel\/DT-LExUFY7q\/?utm_source=ig_embed&amp;utm_campaign=loading\" data-instgrm-version=\"14\" style=\" background:#FFF; border:0; border-radius:3px; box-shadow:0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width:540px; min-width:326px; padding:0; width:99.375%; width:-webkit-calc(100% - 2px); width:calc(100% - 2px);\"><div style=\"padding:16px;\"> <a href=\"https:\/\/www.instagram.com\/reel\/DT-LExUFY7q\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" background:#FFFFFF; line-height:0; padding:0 0; text-align:center; text-decoration:none; width:100%;\" target=\"_blank\" rel=\"noopener\"> <div style=\" display: flex; flex-direction: row; align-items: center;\"> <div style=\"background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;\"><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;\"><\/div><\/div><\/div><div style=\"padding: 19% 0;\"><\/div> <div style=\"display:block; height:50px; margin:0 auto 12px; width:50px;\"><svg width=\"50px\" height=\"50px\" viewbox=\"0 0 60 60\" version=\"1.1\" xmlns=\"https:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"https:\/\/www.w3.org\/1999\/xlink\"><g stroke=\"none\" stroke-width=\"1\" fill=\"none\" fill-rule=\"evenodd\"><g transform=\"translate(-511.000000, -20.000000)\" fill=\"#000000\"><g><path d=\"M556.869,30.41 C554.814,30.41 553.148,32.076 553.148,34.131 C553.148,36.186 554.814,37.852 556.869,37.852 C558.924,37.852 560.59,36.186 560.59,34.131 C560.59,32.076 558.924,30.41 556.869,30.41 M541,60.657 C535.114,60.657 530.342,55.887 530.342,50 C530.342,44.114 535.114,39.342 541,39.342 C546.887,39.342 551.658,44.114 551.658,50 C551.658,55.887 546.887,60.657 541,60.657 M541,33.886 C532.1,33.886 524.886,41.1 524.886,50 C524.886,58.899 532.1,66.113 541,66.113 C549.9,66.113 557.115,58.899 557.115,50 C557.115,41.1 549.9,33.886 541,33.886 M565.378,62.101 C565.244,65.022 564.756,66.606 564.346,67.663 C563.803,69.06 563.154,70.057 562.106,71.106 C561.058,72.155 560.06,72.803 558.662,73.347 C557.607,73.757 556.021,74.244 553.102,74.378 C549.944,74.521 548.997,74.552 541,74.552 C533.003,74.552 532.056,74.521 528.898,74.378 C525.979,74.244 524.393,73.757 523.338,73.347 C521.94,72.803 520.942,72.155 519.894,71.106 C518.846,70.057 518.197,69.06 517.654,67.663 C517.244,66.606 516.755,65.022 516.623,62.101 C516.479,58.943 516.448,57.996 516.448,50 C516.448,42.003 516.479,41.056 516.623,37.899 C516.755,34.978 517.244,33.391 517.654,32.338 C518.197,30.938 518.846,29.942 519.894,28.894 C520.942,27.846 521.94,27.196 523.338,26.654 C524.393,26.244 525.979,25.756 528.898,25.623 C532.057,25.479 533.004,25.448 541,25.448 C548.997,25.448 549.943,25.479 553.102,25.623 C556.021,25.756 557.607,26.244 558.662,26.654 C560.06,27.196 561.058,27.846 562.106,28.894 C563.154,29.942 563.803,30.938 564.346,32.338 C564.756,33.391 565.244,34.978 565.378,37.899 C565.522,41.056 565.552,42.003 565.552,50 C565.552,57.996 565.522,58.943 565.378,62.101 M570.82,37.631 C570.674,34.438 570.167,32.258 569.425,30.349 C568.659,28.377 567.633,26.702 565.965,25.035 C564.297,23.368 562.623,22.342 560.652,21.575 C558.743,20.834 556.562,20.326 553.369,20.18 C550.169,20.033 549.148,20 541,20 C532.853,20 531.831,20.033 528.631,20.18 C525.438,20.326 523.257,20.834 521.349,21.575 C519.376,22.342 517.703,23.368 516.035,25.035 C514.368,26.702 513.342,28.377 512.574,30.349 C511.834,32.258 511.326,34.438 511.181,37.631 C511.035,40.831 511,41.851 511,50 C511,58.147 511.035,59.17 511.181,62.369 C511.326,65.562 511.834,67.743 512.574,69.651 C513.342,71.625 514.368,73.296 516.035,74.965 C517.703,76.634 519.376,77.658 521.349,78.425 C523.257,79.167 525.438,79.673 528.631,79.82 C531.831,79.965 532.853,80.001 541,80.001 C549.148,80.001 550.169,79.965 553.369,79.82 C556.562,79.673 558.743,79.167 560.652,78.425 C562.623,77.658 564.297,76.634 565.965,74.965 C567.633,73.296 568.659,71.625 569.425,69.651 C570.167,67.743 570.674,65.562 570.82,62.369 C570.966,59.17 571,58.147 571,50 C571,41.851 570.966,40.831 570.82,37.631\"><\/path><\/g><\/g><\/g><\/svg><\/div><div style=\"padding-top: 8px;\"> <div style=\" color:#3897f0; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:550; line-height:18px;\">View this post on Instagram<\/div><\/div><div style=\"padding: 12.5% 0;\"><\/div> <div style=\"display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;\"><div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);\"><\/div> <div style=\"background-color: #F4F4F4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;\"><\/div> <div style=\"background-color: #F4F4F4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);\"><\/div><\/div><div style=\"margin-left: 8px;\"> <div style=\" background-color: #F4F4F4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;\"><\/div> <div style=\" width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg)\"><\/div><\/div><div style=\"margin-left: auto;\"> <div style=\" width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);\"><\/div> <div style=\" background-color: #F4F4F4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);\"><\/div> <div style=\" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);\"><\/div><\/div><\/div> <div style=\"display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;\"> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;\"><\/div> <div style=\" background-color: #F4F4F4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;\"><\/div><\/div><\/a><p style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;\"><a href=\"https:\/\/www.instagram.com\/reel\/DT-LExUFY7q\/?utm_source=ig_embed&amp;utm_campaign=loading\" style=\" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none;\" target=\"_blank\" rel=\"noopener\">A post shared by Coulin Center of Movement (@coulinmedical)<\/a><\/p><\/div><\/blockquote>\n<script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">In what cases can a prosthesis be avoided?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The possibility of avoiding a prosthesis depends mainly on the stage of osteoarthritis and the general condition of the joint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The best results are observed when:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the osteoarthritis is early or moderate; ;<\/li>\n\n\n\n<li>part of the cartilage is still preserved; ;<\/li>\n\n\n\n<li>the joint remains mobile; ;<\/li>\n\n\n\n<li>The pain is present but not totally debilitating.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The earlier the intervention, the greater the chances of avoiding a prosthesis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The importance of physical activity<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Contrary to popular belief, movement is often beneficial for an arthritic joint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Appropriate physical activity allows you to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>to strengthen the muscles; ;<\/li>\n\n\n\n<li>to improve joint stability; ;<\/li>\n\n\n\n<li>to reduce certain pains; ;<\/li>\n\n\n\n<li>to preserve mobility.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Walking, cycling, swimming, and certain muscle-strengthening exercises are particularly recommended.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Physical activity is often the first step to avoid a prosthesis and slow the progression of osteoarthritis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Weight loss: an often underestimated lever<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">In overweight patients, losing even a few pounds can have a significant impact on joint pain.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In particular, at the knee level, each kilogram lost reduces the stress exerted on the cartilage with each step.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This reduction in mechanical overload often allows:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>a reduction in pain; ;<\/li>\n\n\n\n<li>an improvement in mobility; ;<\/li>\n\n\n\n<li>a slowing of joint wear and tear.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In some cases, this simple measure significantly helps to avoid the need for a prosthesis for several years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Rehabilitation and physiotherapy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Physiotherapy plays a central role in the management of osteoarthritis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A tailored program allows you to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>strengthen the muscles around the joint; ;<\/li>\n\n\n\n<li>improve range of motion; ;<\/li>\n\n\n\n<li>correct certain mechanical imbalances; ;<\/li>\n\n\n\n<li>reduce stress on cartilage.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rehabilitation is often combined with other treatments to optimize results and help avoid the need for a prosthesis for as long as possible.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Infiltrations: an effective alternative<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When the pain becomes more severe, injections may be offered.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Hyaluronic acid<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">L&#039;\u2019<strong>hyaluronic acid<\/strong>&nbsp;It acts as a joint lubricant. It improves the gliding of joint surfaces and can reduce pain for several months.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In some patients with moderate osteoarthritis, this solution makes it possible to significantly delay surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The PRP<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">THE&nbsp;<strong>PRP (Platelet Rich Plasma)<\/strong>&nbsp;uses the growth factors present in the patient&#039;s blood.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The goal is to reduce inflammation and improve the joint environment. While it doesn&#039;t regrow cartilage, it can help improve symptoms and avoid the need for a joint replacement in some selected patients.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Orthobiological treatments<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">THE <strong>orthobiological treatments<\/strong> are playing an increasingly important role in the management of osteoarthritis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to the indications, they can be used to try to preserve the joint and slow the progression of symptoms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conservative surgeries<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">When osteoarthritis is localized to a part of the joint, certain interventions can sometimes make it possible to avoid a prosthesis.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Osteotomy<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">L&#039;\u2019<strong>osteotomy<\/strong>&nbsp;consists of modifying the axis of the limb in order to better distribute the loads on the joint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This technique is particularly used in relatively young patients with localized osteoarthritis of the knee.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It can provide lasting pain relief and postpone the need for a prosthesis for several years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Cartilage treatments<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">In certain very specific situations, cartilage repair techniques may be considered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The goal is to treat a localized lesion before it progresses to more widespread osteoarthritis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When does a prosthesis become necessary?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Despite all available treatments, sometimes a joint is too damaged to be saved.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Prosthesis implantation is generally considered when:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>the pain becomes a daily occurrence; ;<\/li>\n\n\n\n<li>Conservative treatments are no longer effective; ;<\/li>\n\n\n\n<li>Mobility is severely reduced; ;<\/li>\n\n\n\n<li>The quality of life is impaired.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In these situations, surgery often remains the best solution to regain satisfactory function.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Is it really possible to delay surgery?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, in many cases.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The progress made in recent years allows many patients to retain their natural joint for longer than before.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The combination of several measures:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>physical activity; ;<\/li>\n\n\n\n<li>weight loss; ;<\/li>\n\n\n\n<li>rehabilitation; ;<\/li>\n\n\n\n<li>infiltrations; ;<\/li>\n\n\n\n<li>Orthobiological treatments often allow us to gain several years before considering more invasive surgery.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This is precisely the goal sought when one wishes to avoid a prosthesis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Wanting to avoid a joint replacement is a legitimate desire, especially when osteoarthritis is still in its early or moderate stages. Today, there are many solutions that can preserve the joint, reduce pain, and maintain a good quality of life without immediately resorting to surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Adapted physical activity, weight loss, physiotherapy, injections, and certain conservative surgeries offer effective alternatives for slowing the progression of osteoarthritis. The earlier these treatments are implemented, the greater the chances of avoiding a prosthesis or delaying its implantation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Faced with persistent joint pain, a specialist assessment helps to identify the most suitable solutions for each situation and to build a personalized strategy to preserve the joint for as long as possible.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Many patients wish to avoid a prosthesis for as long as possible. Thanks to advances in orthopedic medicine, several treatments now make it possible to relieve pain, preserve the joint, and sometimes postpone surgery for several years.<\/p>","protected":false},"author":1,"featured_media":24851,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[104,101],"tags":[],"class_list":["post-24849","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-comprendre-informer","category-traitement-non-invasif"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/24849","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"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=24849"}],"version-history":[{"count":3,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/24849\/revisions"}],"predecessor-version":[{"id":25089,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/24849\/revisions\/25089"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/24851"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=24849"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=24849"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=24849"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}