{"id":133,"date":"2018-04-10T10:00:34","date_gmt":"2018-04-10T09:00:34","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/?page_id=133"},"modified":"2021-06-24T09:53:19","modified_gmt":"2021-06-24T08:53:19","slug":"le-genou","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/","title":{"rendered":"Le genou"},"content":{"rendered":"<h2>Proth\u00e8se de genou<\/h2>\n<p>La gonarthrose est l\u2019arthrose du genou. Les l\u00e9sions d\u2019arthrose se d\u00e9veloppent soit dans l\u2019articulation entre le f\u00e9mur et la rotule (35% des cas), soit dans l\u2019articulation entre le f\u00e9mur et le tibia (65% des cas).<\/p>\n<p>Le principal facteur de risque de\u00a0gonarthrose\u00a0est la\u00a0surcharge pond\u00e9rale\u00a0(surpoids ou ob\u00e9sit\u00e9). Les\u00a0traumatismes sportifs\u00a0s\u2019accompagnant de l\u00e9sions ligamentaires graves (football\u00a0et rugby) favorisent aussi, par leurs s\u00e9quelles, la survenue d\u2019une gonarthrose.<\/p>\n<figure id=\"attachment_148\" aria-describedby=\"caption-attachment-148\" style=\"width: 317px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/ptg01\/\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-148\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg\" alt=\"Proth\u00e8se de genou. \u00ae Zimmer\" width=\"317\" height=\"350\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg 399w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01-271x300.jpg 271w\" sizes=\"auto, (max-width: 317px) 100vw, 317px\" \/><\/a><figcaption id=\"caption-attachment-148\" class=\"wp-caption-text\">Proth\u00e8se de genou. \u00ae Zimmer<\/figcaption><\/figure>\n<p><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/ptg02\/\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignleft wp-image-149\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG02.jpg\" alt=\"\" width=\"466\" height=\"350\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG02.jpg 445w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG02-300x225.jpg 300w\" sizes=\"auto, (max-width: 466px) 100vw, 466px\" \/><\/a><\/p>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<h3><\/h3>\n<p><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/genou-02\/\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet aligncenter wp-image-144\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/genou-02.jpg\" alt=\"\" width=\"800\" height=\"200\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/genou-02.jpg 2700w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/genou-02-300x75.jpg 300w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/genou-02-768x192.jpg 768w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/genou-02-1024x256.jpg 1024w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/a><\/p>\n<h3>Les sympt\u00f4mes<\/h3>\n<p>L\u2019arthrose entre le f\u00e9mur et la rotule\u00a0(f\u00e9moro-patellaire)\u00a0 se manifeste par une douleur du genou \u00e0 la descente des escaliers et \u00e0 la station assise prolong\u00e9e\u00a0et est confirm\u00e9e par les\u00a0radiographies\u00a0explorant cette articulation.<\/p>\n<p>L\u2019arthrose\u00a0entre le f\u00e9mur et le tibia\u00a0(f\u00e9moro-tibiale)\u00a0se manifeste par une limitation de la mobilit\u00e9 du genou\u00a0et est confirm\u00e9e par les radiographies retrouvant les images caract\u00e9ristiques de l\u2019arthrose.<\/p>\n<h3>Le traitement<\/h3>\n<ul>\n<li>la r\u00e9duction de la surcharge pond\u00e9rale<\/li>\n<li>l\u2019entretien d\u2019une activit\u00e9 physique en endurance (marche, natation)<\/li>\n<li>l\u2019observation des conseils d\u2019\u00e9conomie articulaire<\/li>\n<li>la mobilisation de l\u2019articulation par des exercices de kin\u00e9sith\u00e9rapie adapt\u00e9s<\/li>\n<li>le recours aux aides techniques (genouill\u00e8re, semelles orthop\u00e9diques, canne)<\/li>\n<\/ul>\n<h3>Les\u00a0m\u00e9dicaments<\/h3>\n<ul>\n<li>les antalgiques<\/li>\n<li>les infiltrations intra articulaires<\/li>\n<\/ul>\n<h3>La\u00a0chirurgie<\/h3>\n<p>Le but de la proth\u00e8se du genou est d\u2019enlever les zones d\u2019os et de cartilage qui sont us\u00e9s, et de les remplacer par des pi\u00e8ces artificielles ayant les m\u00eames formes. Ces pi\u00e8ces sont en m\u00e9tal fait de diff\u00e9rents alliage (chrome, cobalt, titane\u2026) et sont articul\u00e9es entre elles par une pi\u00e8ce en poly\u00e9thyl\u00e8ne.<\/p>\n<p><video controls=\"controls\" width=\"800\" height=\"400\"><source src=\"https:\/\/www.chu-poitiers.fr\/specialites\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG.mov\" \/><\/video><\/p>\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 genou stable dans tous les plans<\/li>\n<\/ul>\n<p>La premi\u00e8re image En tant que symbole de la pathologie sur le squelette et comme illustration sur la page<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Proth\u00e8se de genou La gonarthrose est l\u2019arthrose du genou. Les l\u00e9sions d\u2019arthrose se d\u00e9veloppent soit dans l\u2019articulation entre le f\u00e9mur et la rotule (35% des cas), soit dans l\u2019articulation entre le f\u00e9mur et le tibia (65% des cas). Le principal facteur de risque de\u00a0gonarthrose\u00a0est la\u00a0surcharge pond\u00e9rale\u00a0(surpoids ou ob\u00e9sit\u00e9). Les\u00a0traumatismes sportifs\u00a0s\u2019accompagnant de l\u00e9sions ligamentaires graves (football\u00a0et [&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-133","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 genou - 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-genou\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le genou - Chirurgie orthop\u00e9dique-traumatologie\" \/>\n<meta property=\"og:description\" content=\"Proth\u00e8se de genou La gonarthrose est l\u2019arthrose du genou. Les l\u00e9sions d\u2019arthrose se d\u00e9veloppent soit dans l\u2019articulation entre le f\u00e9mur et la rotule (35% des cas), soit dans l\u2019articulation entre le f\u00e9mur et le tibia (65% des cas). Le principal facteur de risque de\u00a0gonarthrose\u00a0est la\u00a0surcharge pond\u00e9rale\u00a0(surpoids ou ob\u00e9sit\u00e9). Les\u00a0traumatismes sportifs\u00a0s\u2019accompagnant de l\u00e9sions ligamentaires graves (football\u00a0et [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/\" \/>\n<meta property=\"og:site_name\" content=\"Chirurgie orthop\u00e9dique-traumatologie\" \/>\n<meta property=\"article:modified_time\" content=\"2021-06-24T08:53:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"399\" \/>\n\t<meta property=\"og:image:height\" content=\"441\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/\",\"name\":\"Le genou - Chirurgie orthop\u00e9dique-traumatologie\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/wp-content\\\/uploads\\\/sites\\\/18\\\/2018\\\/04\\\/PTG01.jpg\",\"datePublished\":\"2018-04-10T09:00:34+00:00\",\"dateModified\":\"2021-06-24T08:53:19+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/wp-content\\\/uploads\\\/sites\\\/18\\\/2018\\\/04\\\/PTG01.jpg\",\"contentUrl\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/wp-content\\\/uploads\\\/sites\\\/18\\\/2018\\\/04\\\/PTG01.jpg\",\"width\":399,\"height\":441},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/le-genou\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"CHU de Poitiers\",\"item\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Services\",\"item\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/services\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Chirurgie orthop\u00e9dique-traumatologie\",\"item\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Le genou\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/#website\",\"url\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/\",\"name\":\"Chirurgie orthop\u00e9dique-traumatologie\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Le genou - Chirurgie orthop\u00e9dique-traumatologie","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/","og_locale":"fr_FR","og_type":"article","og_title":"Le genou - Chirurgie orthop\u00e9dique-traumatologie","og_description":"Proth\u00e8se de genou La gonarthrose est l\u2019arthrose du genou. Les l\u00e9sions d\u2019arthrose se d\u00e9veloppent soit dans l\u2019articulation entre le f\u00e9mur et la rotule (35% des cas), soit dans l\u2019articulation entre le f\u00e9mur et le tibia (65% des cas). Le principal facteur de risque de\u00a0gonarthrose\u00a0est la\u00a0surcharge pond\u00e9rale\u00a0(surpoids ou ob\u00e9sit\u00e9). Les\u00a0traumatismes sportifs\u00a0s\u2019accompagnant de l\u00e9sions ligamentaires graves (football\u00a0et [&hellip;]","og_url":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/","og_site_name":"Chirurgie orthop\u00e9dique-traumatologie","article_modified_time":"2021-06-24T08:53:19+00:00","og_image":[{"width":399,"height":441,"url":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_misc":{"Dur\u00e9e de lecture estim\u00e9e":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/","url":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/","name":"Le genou - Chirurgie orthop\u00e9dique-traumatologie","isPartOf":{"@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/#primaryimage"},"image":{"@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/#primaryimage"},"thumbnailUrl":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg","datePublished":"2018-04-10T09:00:34+00:00","dateModified":"2021-06-24T08:53:19+00:00","breadcrumb":{"@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/"]}]},{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/#primaryimage","url":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg","contentUrl":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTG01.jpg","width":399,"height":441},{"@type":"BreadcrumbList","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/le-genou\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"CHU de Poitiers","item":"https:\/\/www.chu-poitiers.fr\/"},{"@type":"ListItem","position":2,"name":"Services","item":"https:\/\/www.chu-poitiers.fr\/services\/"},{"@type":"ListItem","position":3,"name":"Chirurgie orthop\u00e9dique-traumatologie","item":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/"},{"@type":"ListItem","position":4,"name":"Le genou"}]},{"@type":"WebSite","@id":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/#website","url":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/","name":"Chirurgie orthop\u00e9dique-traumatologie","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"}]}},"_links":{"self":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/pages\/133","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/comments?post=133"}],"version-history":[{"count":5,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/pages\/133\/revisions"}],"predecessor-version":[{"id":280,"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/pages\/133\/revisions\/280"}],"wp:attachment":[{"href":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-json\/wp\/v2\/media?parent=133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}