{"id":135,"date":"2018-04-10T10:03:37","date_gmt":"2018-04-10T09:03:37","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/?page_id=135"},"modified":"2021-06-24T09:51:53","modified_gmt":"2021-06-24T08:51:53","slug":"la-hanche","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/la-hanche\/","title":{"rendered":"La hanche"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignright wp-image-153\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-04.jpg\" alt=\"\" width=\"300\" height=\"118\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-04.jpg 550w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-04-300x118.jpg 300w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>Proth\u00e8se de hanche<\/h2>\n<p>Le cartilage articulaire n\u2019est pas un tissu inerte. Il est le si\u00e8ge d\u2019une intense activit\u00e9 cellulaire opposant des ph\u00e9nom\u00e8nes de destruction et de r\u00e9g\u00e9n\u00e9ration. Lorsque les ph\u00e9nom\u00e8nes de destruction l\u2019emportent sur la r\u00e9g\u00e9n\u00e9rescence cartilagineuse, l\u2019\u00e9paisseur du cartilage diminue et l\u2019articulation s\u2019alt\u00e8re d\u00e9finitivement donnant l\u2019arthrose de la hanche ou \u00ab\u00a0coxarthrose\u00a0\u00bb.<\/p>\n<h3>Les sympt\u00f4mes<\/h3>\n<p>Le signe principal est la douleur principalement au niveau de l&rsquo;aine, mais la douleur peut irradier vers le genou et parfois \u00eatre localis\u00e9e exclusivement au niveau de ce dernier. Les douleurs surviennent principalement \u00e0 la marche. Elles \u00e9voluent le plus souvent de fa\u00e7on progressive, avec une aggravation lente sur plusieurs ann\u00e9es.<\/p>\n<h3>Le traitement<\/h3>\n<p>Des radiographies standard sont r\u00e9alis\u00e9es afin de confirmer et appr\u00e9cier le grade arthrosique. Le traitement m\u00e9dical est dans un premier temps essentiel\u00a0:<\/p>\n<ul>\n<li>R\u00e8gles hygi\u00e9no-di\u00e9t\u00e9tiques :<\/li>\n<li>Perte de poids en cas de surcharge pond\u00e9rale<\/li>\n<li>Semelles de compensation<\/li>\n<li>Traitement antalgique adapt\u00e9<\/li>\n<li>Kin\u00e9sith\u00e9rapie<\/li>\n<li>Infiltration de hanche<\/li>\n<\/ul>\n<h3>La\u00a0chirurgie<\/h3>\n<p>Lorsque la douleur et la g\u00eane fonctionnelle deviennent handicapantes la solution th\u00e9rapeutique est la mise en place d\u2019une proth\u00e8se de hanche. Son indication doit \u00eatre pos\u00e9e en accord avec le patient. La\u00a0proth\u00e8se totale de hanche est constitu\u00e9e de trois ou quatre parties, certaines sont fix\u00e9es \u00e0 l\u2019os dans le f\u00e9mur et le bassin, d\u2019autres sont assembl\u00e9es entre elles.<\/p>\n<figure id=\"attachment_150\" aria-describedby=\"caption-attachment-150\" style=\"width: 220px\" class=\"wp-caption alignleft\"><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/pth-01\/\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-150 size-full\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-01.jpg\" alt=\"Proth\u00e8se de hanche. \u00a9 Serf\" width=\"220\" height=\"306\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-01.jpg 220w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-01-216x300.jpg 216w\" sizes=\"auto, (max-width: 220px) 100vw, 220px\" \/><\/a><figcaption id=\"caption-attachment-150\" class=\"wp-caption-text\">Proth\u00e8se de hanche. \u00a9 Serf<\/figcaption><\/figure>\n<p><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/pth-03\/\" rel=\"attachment wp-att-151\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignnone wp-image-151\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03.jpg\" alt=\"\" width=\"277\" height=\"300\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03.jpg 832w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03-277x300.jpg 277w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03-768x832.jpg 768w\" sizes=\"auto, (max-width: 277px) 100vw, 277px\" \/><\/a><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/pth-03-2\/\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignnone wp-image-152\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03.png\" alt=\"\" width=\"277\" height=\"300\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03.png 832w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03-277x300.png 277w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/PTH-03-768x832.png 768w\" sizes=\"auto, (max-width: 277px) 100vw, 277px\" \/><\/a><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<div id=\"wpfp_40bfd41fde0d9284926ad1b8ed965fe8\" data-item=\"{&quot;sources&quot;:[{&quot;src&quot;:&quot;https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/wp-content\\\/uploads\\\/sites\\\/18\\\/2018\\\/04\\\/hanche.mp4&quot;,&quot;type&quot;:&quot;video\\\/mp4&quot;},{&quot;src&quot;:&quot;https:\\\/\\\/www.chu-poitiers.fr\\\/specialites\\\/orthopedie-traumatologie\\\/wp-content\\\/uploads\\\/sites\\\/18\\\/2018\\\/04\\\/Prothe\\u0300se-de-hanche.wmv&quot;,&quot;type&quot;:&quot;video\\\/mp4&quot;}]}\" class=\"flowplayer no-brand is-splash is-paused skin-slim no-svg fp-slim fp-edgy\" data-fv-embed=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/la-hanche\/fvp\/\" style=\"position:relative; max-width: 640px; max-height: 360px; \" data-ratio=\"0.5625\">\n\t<div class=\"fp-ratio\" style=\"padding-top: 56.25%\"><\/div>\n\t<div class=\"fp-ui\"><noscript>Please enable JavaScript<\/noscript><div class=\"fp-play fp-visible\"><svg class=\"fp-play-sharp-fill\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 100 100\"><defs><style>.fp-color-play{opacity:0.65;}.controlbutton{fill:#fff;}<\/style><\/defs><title>play-sharp-fill<\/title><path class=\"fp-color-play\" d=\"M49.9217-.078a50,50,0,1,0,50,50A50.0564,50.0564,0,0,0,49.9217-.078Z\"\/><polygon class=\"controlbutton\" points=\"73.601 50 37.968 70.573 37.968 29.427 73.601 50\" filter=\"url(#f1)\"\/><\/svg><\/div><div class=\"fp-preload\"><b><\/b><b><\/b><b><\/b><b><\/b><\/div><\/div>\n<div class='fvp-share-bar'><ul class=\"fvp-sharing\">\r\n    <li><a class=\"sharing-facebook\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fwww.chu-poitiers.fr%2Fspecialites%2Forthopedie-traumatologie%2Fla-hanche%2F\" target=\"_blank\"><\/a><\/li>\r\n    <li><a class=\"sharing-twitter\" href=\"https:\/\/twitter.com\/intent\/tweet?text=Chirurgie+orthop%C3%A9dique-traumatologie++&url=https%3A%2F%2Fwww.chu-poitiers.fr%2Fspecialites%2Forthopedie-traumatologie%2Fla-hanche%2F\" target=\"_blank\"><\/a><\/li>\r\n    <li><a class=\"sharing-email\" href=\"mailto:?body=Check%20out%20the%20amazing%20video%20here%3A%20https%3A%2F%2Fwww.chu-poitiers.fr%2Fspecialites%2Forthopedie-traumatologie%2Fla-hanche%2F\" target=\"_blank\"><\/a><\/li><\/ul><div><a class=\"sharing-link\" href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/la-hanche\/\" target=\"_blank\">Link<\/a><\/div><div><label><a class=\"embed-code-toggle\" href=\"#\"><strong>Embed<\/strong><\/a><\/label><\/div><div class=\"embed-code\"><label>Copy and paste this HTML code into your webpage to embed.<\/label><textarea><\/textarea><\/div><\/div>\n<\/div>\n\n<p><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/04\/hanche-1.mp4\" target=\"_blank\" rel=\"noopener\">Cliquez ici si la vid\u00e9o ne fonctionne pas.<\/a><\/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 une hanche stable<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Proth\u00e8se de hanche Le cartilage articulaire n\u2019est pas un tissu inerte. Il est le si\u00e8ge d\u2019une intense activit\u00e9 cellulaire opposant des ph\u00e9nom\u00e8nes de destruction et de r\u00e9g\u00e9n\u00e9ration. Lorsque les ph\u00e9nom\u00e8nes de destruction l\u2019emportent sur la r\u00e9g\u00e9n\u00e9rescence cartilagineuse, l\u2019\u00e9paisseur du cartilage diminue et l\u2019articulation s\u2019alt\u00e8re d\u00e9finitivement donnant l\u2019arthrose de la hanche ou \u00ab\u00a0coxarthrose\u00a0\u00bb. Les sympt\u00f4mes Le [&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-135","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>La hanche - 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\/la-hanche\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"La hanche - Chirurgie orthop\u00e9dique-traumatologie\" \/>\n<meta property=\"og:description\" content=\"Proth\u00e8se de hanche Le cartilage articulaire n\u2019est pas un tissu inerte. Il est le si\u00e8ge d\u2019une intense activit\u00e9 cellulaire opposant des ph\u00e9nom\u00e8nes de destruction et de r\u00e9g\u00e9n\u00e9ration. Lorsque les ph\u00e9nom\u00e8nes de destruction l\u2019emportent sur la r\u00e9g\u00e9n\u00e9rescence cartilagineuse, l\u2019\u00e9paisseur du cartilage diminue et l\u2019articulation s\u2019alt\u00e8re d\u00e9finitivement donnant l\u2019arthrose de la hanche ou \u00ab\u00a0coxarthrose\u00a0\u00bb. 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