{"id":129,"date":"2018-04-10T09:54:11","date_gmt":"2018-04-10T08:54:11","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/?page_id=129"},"modified":"2021-06-24T09:52:20","modified_gmt":"2021-06-24T08:52:20","slug":"le-coude","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-coude\/","title":{"rendered":"Le coude"},"content":{"rendered":"<figure id=\"attachment_142\" aria-describedby=\"caption-attachment-142\" style=\"width: 200px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/coude-01\/\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-142\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude-01.jpg\" alt=\"Prtoh\u00e8se de coude. \u00ae Zimmer\" width=\"200\" height=\"260\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude-01.jpg 265w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude-01-231x300.jpg 231w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><figcaption id=\"caption-attachment-142\" class=\"wp-caption-text\">Proth\u00e8se de coude. \u00ae Zimmer<\/figcaption><\/figure>\n<h2>Proth\u00e8se de coude<\/h2>\n<p>L\u2019arthrose du coude atteint g\u00e9n\u00e9ralement des sujets plus jeunes et est mieux tol\u00e9r\u00e9e. Cette maladie est souvent d\u00e9tect\u00e9e bien plus tardivement que pour les autres articulations.<\/p>\n<p>L\u2019arthrose du coude survient dans la plupart des cas \u00e0 la suite d\u2019un traumatisme, fracture ou de luxation, quand elle ne s\u2019explique pas par une maladie syst\u00e9mique (arthrite rhumato\u00efde notamment).<\/p>\n<h3>Les sympt\u00f4mes<\/h3>\n<p>Le patient se plaint d\u2019une douleur apparaissant lors d\u2019un mouvement extr\u00eame, et dans le quotidien, d\u2019une douleur \u00e0 la fin du mouvement, c\u2019est-\u00e0-dire \u00e0 la fin de l\u2019extension ou lors d\u2019une flexion totale du bras.<\/p>\n<h3>Le traitement<\/h3>\n<p>Le premier stade de traitement de l\u2019arthrose du coude consiste \u00e0 soulager la douleur, \u00e0 l\u2019aide d\u2019anti-inflammatoires, voire d\u2019infiltrations de cortico\u00efdes. La r\u00e9\u00e9ducation s\u2019av\u00e8re tr\u00e8s utile pour limiter la douleur et permettre de retrouver une certaine mobilit\u00e9.<\/p>\n<h3>La\u00a0chirurgie<\/h3>\n<figure id=\"attachment_143\" aria-describedby=\"caption-attachment-143\" style=\"width: 200px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/coude-02\/\" rel=\"attachment wp-att-143\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-143\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude-02.jpg\" alt=\"\u00a9 Zimmer\" width=\"200\" height=\"130\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude-02.jpg 400w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude-02-300x195.jpg 300w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><\/a><figcaption id=\"caption-attachment-143\" class=\"wp-caption-text\">\u00a9 Zimmer<\/figcaption><\/figure>\n<p>Lorsque les douleurs deviennent invalidantes, une chirurgie de remplacement de l\u2019articulation us\u00e9e par une proth\u00e8se s\u2019indique. La proth\u00e8se totale est une intervention chirurgicale qui a pour but de remplacer l\u2019articulation du coude (hum\u00e9rus, ulna, et parfois t\u00eate radiale) par un implant chirurgical ou proth\u00e8se. Celle-ci est justifi\u00e9e soit devant une arthrose du coude, d\u2019origine post traumatique ou primitive, secondaire \u00e0 une maladie inflammatoire (polyarthrite rhumato\u00efde) ou exceptionnellement devant un fracas du coude.<\/p>\n<div style=\"width: 640px;\" class=\"wp-video\"><video class=\"wp-video-shortcode\" id=\"video-129-1\" width=\"640\" height=\"360\" preload=\"metadata\" controls=\"controls\"><source type=\"video\/mp4\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude.mp4?_=1\" \/><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude.mp4\">https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/coude.mp4<\/a><\/video><\/div>\n<h3>Apr\u00e8s l\u2019intervention<\/h3>\n<p>Apr\u00e8s quelques jours d\u2019hospitalisation, votre chirurgien autorisera votre sortie avec les ordonnances de soins n\u00e9cessaires (pansement, antalgiques, kin\u00e9sith\u00e9rapie). Vous serez revu en consultation avec des radiographies. Une r\u00e9\u00e9ducation vous est le plus souvent propos\u00e9e, soit imm\u00e9diate soit secondaire, effectu\u00e9e soit au d\u00e9part dans un centre de r\u00e9\u00e9ducation, soit et par la suite par un kin\u00e9sith\u00e9rapeute de ville.<\/p>\n<h3>Objectifs th\u00e9rapeutiques\u00a0:<\/h3>\n<ul>\n<li>Supprimer les douleurs<\/li>\n<li>Donner une mobilit\u00e9 satisfaisante<\/li>\n<li>Rendre un coude stable dans tous les plans<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Proth\u00e8se de coude L\u2019arthrose du coude atteint g\u00e9n\u00e9ralement des sujets plus jeunes et est mieux tol\u00e9r\u00e9e. Cette maladie est souvent d\u00e9tect\u00e9e bien plus tardivement que pour les autres articulations. L\u2019arthrose du coude survient dans la plupart des cas \u00e0 la suite d\u2019un traumatisme, fracture ou de luxation, quand elle ne s\u2019explique pas par une maladie [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-129","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Le coude - Chirurgie orthop\u00e9dique-traumatologie<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-coude\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le coude - Chirurgie orthop\u00e9dique-traumatologie\" \/>\n<meta property=\"og:description\" content=\"Proth\u00e8se de coude L\u2019arthrose du coude atteint g\u00e9n\u00e9ralement des sujets plus jeunes et est mieux tol\u00e9r\u00e9e. 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