{"id":2,"date":"2015-09-18T15:48:30","date_gmt":"2015-09-18T14:48:30","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/?page_id=2"},"modified":"2021-06-24T09:55:59","modified_gmt":"2021-06-24T08:55:59","slug":"pathologies-et-prises-en-charge","status":"publish","type":"page","link":"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/pathologies-et-prises-en-charge\/","title":{"rendered":"Pathologies et prises en charge"},"content":{"rendered":"<p style=\"text-align: center;\"><span style=\"color: #003366;\"><strong> Le service d&rsquo;orthop\u00e9die-traumatologie prend en charge les patients pr\u00e9sentant des affections de l&rsquo;appareil locomoteur.<\/strong><\/span><\/p>\n<h3><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignright\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/radio3.jpg\" alt=\"radio\" width=\"180\" height=\"199\" align=\"right\" hspace=\"10\" vspace=\"10\" \/>L&rsquo;orthop\u00e9die<\/h3>\n<p>est une sp\u00e9cialit\u00e9 chirurgicale qui permet de corriger <span style=\"color: #003366;\"><strong>les d\u00e9fauts de l&rsquo;appareil locomoteur de nature cong\u00e9nitale ou acquise durant la croissance voire \u00e0 l&rsquo;\u00e2ge adulte<\/strong><\/span> (os, articulations, muscles, tendons et nerfs).<br \/>\nElle comprend le traitement chirurgical des affections des membres sup\u00e9rieurs (\u00e9paule, coude et main), des membres inf\u00e9rieurs (hanche, genou, cheville et pied) et du rachis.<br \/>\nLes patients sont admis dans le cadre d&rsquo;une activit\u00e9 de chirurgie programm\u00e9e apr\u00e8s une consultation externe.<\/p>\n<h3>La traumatologie<\/h3>\n<p>est la sp\u00e9cialit\u00e9 qui couvre<span style=\"color: #003366;\"><strong> les l\u00e9sions acquises de fa\u00e7on accidentelle de l&rsquo;appareil locomoteur<\/strong><\/span> (fractures, luxations, entorses, plaies, l\u00e9sions d&rsquo;\u00e9l\u00e9ments nobles\u00a0: art\u00e8res, veines, nerfs, tendons).<br \/>\nLes patients traumatis\u00e9s sont admis majoritairement apr\u00e8s un passage aux urgences.<br \/>\nLa sp\u00e9cialisation des diff\u00e9rents praticiens du service d&rsquo;orthop\u00e9die-traumatologie permet d&rsquo;optimiser la qualit\u00e9 de prise en charge des patients et de r\u00e9pondre aux missions de recours du Centre hospitalier universitaire.<br \/>\nQuatre grands champs d&rsquo;activit\u00e9 sont d\u00e9finis\u00a0:<\/p>\n<ul>\n<li>la chirurgie du membre sup\u00e9rieur et de la main,<\/li>\n<li>la chirurgie du membre inf\u00e9rieur et r\u00e9paratrice, la chirurgie du pied,<\/li>\n<li>la chirurgie du rachis,<\/li>\n<li>la chirurgie de l&rsquo;infection ost\u00e9o-articulaire, et la prise en charge des plaies complexes.<\/li>\n<\/ul>\n<p><span style=\"color: #003366;\"><strong>M\u00eame si chaque praticien a d\u00e9velopp\u00e9 un domaine de comp\u00e9tences sp\u00e9cifique, l&rsquo;\u00e9quipe chirurgicale d&rsquo;orthop\u00e9die-traumatologie reste polyvalente et chaque chirurgien peut assurer efficacement la prise en charge de toutes les pathologies.<\/strong> <\/span><\/p>\n<p>&nbsp;<\/p>\n<h2>LA CHIRURGIE DU MEMBRE SUP\u00c9RIEUR ET DE LA MAIN<\/h2>\n<p><strong>Prise de rendez-vous pour une consultation : 05 49 44 44 92.<\/strong><\/p>\n<p>Chirurgien r\u00e9f\u00e9rent : <span style=\"color: #003366;\"><strong>Dr Guillaume Roth.<\/strong><\/span><\/p>\n<p>La chirurgie du membre sup\u00e9rieur et de la main concerne \u00e0 la fois la chirurgie programm\u00e9e et la traumatologie.<br \/>\nPour la chirurgie programm\u00e9e, il s&rsquo;agit des pathologies de la main et du poignet (canal carpien, doigt \u00e0 ressaut, maladie de Dupuytren, arthrose, tendinite de de Quervain, kyste synovial&#8230;), du coude (compression du nerf cubital au coude, \u00e9picondylite, arthrose&#8230;) et de l&rsquo;\u00e9paule (rupture de la coiffe des rotateurs, calcifications, conflit sous acromial, instabilit\u00e9 de l&rsquo;\u00e9paule, arthrose gl\u00e9no-hum\u00e9rale).<\/p>\n<p>Les techniques arthroscopiques sont utilis\u00e9es au niveau de l&rsquo;\u00e9paule, notamment pour la chirurgie de la coiffe des rotateurs et de l&rsquo;instabilit\u00e9,\u00a0mais \u00e9galement au niveau du poignet et du coude.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet aligncenter\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/N_crose_1_et_2.jpg\" alt=\"N\u00e9crose de la t\u00eate hum\u00e9rale\" width=\"413\" height=\"287\" hspace=\"0\" \/><\/p>\n<table style=\"align: center;\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignright\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Proth_se__paule.jpg\" alt=\"Proth\u00e8se \u00e9paule\" width=\"255\" height=\"287\" hspace=\"0\" \/><\/td>\n<td><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/page-d-exemple\/prothese-epuale\/\" rel=\"attachment wp-att-82\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-82 alignleft\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/03\/prothese-epuale.jpg\" alt=\"\" width=\"270\" height=\"270\" srcset=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/03\/prothese-epuale.jpg 593w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/03\/prothese-epuale-150x150.jpg 150w, https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/03\/prothese-epuale-300x300.jpg 300w\" sizes=\"auto, (max-width: 270px) 100vw, 270px\" \/><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Pour la traumatologie, il s&rsquo;agit de la prise en charge des <span style=\"color: #003366;\"><strong>fractures<\/strong><\/span>, des <span style=\"color: #003366;\"><strong>luxations<\/strong><\/span> et des<span style=\"color: #003366;\"><strong> plaies de la main et du poignet<\/strong><\/span> (replantation, mains complexes avec perte de substance avec lambeaux de couverture, fractures et luxations complexes, sutures tendineuses, chirurgie nerveuse) trait\u00e9es avec des techniques de microchirurgie, du coude (fracture trait\u00e9e par ost\u00e9osynth\u00e8se et\/ou arthroplastie) et de l&rsquo;\u00e9paule (fracture ou luxation trait\u00e9e par ost\u00e9osynth\u00e8se et\/ou arthroplastie.<br \/>\n<span style=\"font-family: Arial; font-size: 10pt;\"><span style=\"font-family: Arial; font-size: 10pt;\">\u00a0<\/span><\/span><\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-family: Arial; font-size: 10pt;\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Pouce_1.jpg\" alt=\"Pouce amput\u00e9\" width=\"261\" height=\"234\" hspace=\"0\" \/><\/span><\/td>\n<td style=\"vertical-align: top;\"><span style=\"font-family: Arial; font-size: 10pt;\"><span style=\"font-size: large;\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Pouce_2.jpg\" alt=\"Pouce\" width=\"275\" height=\"211\" align=\"absBottom\" hspace=\"0\" \/><\/span><\/span><\/td>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Pouce_3.jpg\" alt=\"Pouce greff\u00e9\" width=\"267\" height=\"230\" hspace=\"0\" \/><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2>LA CHIRURGIE DU MEMBRE INF\u00c9RIEUR ET R\u00c9PARATRICE, LA CHIRURGIE DU PIED<\/h2>\n<p>Chirurgiens r\u00e9f\u00e9rents : <span style=\"color: #003366;\"><strong>Pr Louis-Etienne Gayet<\/strong><\/span>, membre inf\u00e9rieur et pied,\u00a0<span style=\"color: #003366;\"><strong>Dr Hamid Hamcha<\/strong><\/span>, membre inf\u00e9rieur et chirurgie r\u00e9paratrice\u00a0et <span style=\"color: #003366;\"><strong>Dr Bouget Pierre<\/strong><\/span>, membre inf\u00e9rieur.<\/p>\n<p>Ce champ d&rsquo;activit\u00e9 concerne :<\/p>\n<ul>\n<li>La chirurgie proth\u00e9tique classique de la hanche, du genou et de la cheville ainsi que les techniques r\u00e9centes de chirurgie par voie mini-invasive\u00a0;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<table style=\"align: center;\">\n<tbody>\n<tr>\n<td><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet alignright\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Proth_se.jpg\" alt=\"Proth\u00e8se totale de hanche sans ciment. Couple de frottement c\u00e9ramique-c\u00e9ramique. Mise par voie mini-invasice de 8cm. R\u00e9cup\u00e9ration fonctionnelle plus rapide.\" width=\"231\" height=\"308\" hspace=\"0\" \/><\/td>\n<td style=\"text-align: left;\">Proth\u00e8se totale de hanche sans ciment.<br \/>\nCouple de frottement c\u00e9ramique-c\u00e9ramique.<br \/>\nMise par voie mini-invasive de 8cm.<br \/>\nR\u00e9cup\u00e9ration fonctionnelle plus rapide.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet aligncenter\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Proth_se_cheville.jpg\" alt=\"Proth\u00e8se cheville\" width=\"691\" height=\"282\" hspace=\"0\" \/><\/p>\n<ul>\n<li>La chirurgie complexe de changement et de reprise d&rsquo;anciennes proth\u00e8ses articulaires us\u00e9es ou descell\u00e9es\u00a0;<\/li>\n<li>La chirurgie ligamentaire du genou et de toutes les l\u00e9sions ost\u00e9oarticulaires du sportif\u00a0;<\/li>\n<li>La chirurgie de correction des d\u00e9formations cong\u00e9nitales ou acquises du pied par des techniques classiques, et mini-invasives (ex : hallux valgus)<\/li>\n<\/ul>\n<table>\n<tbody>\n<tr>\n<td>\n<figure style=\"width: 217px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet\" src=\"https:\/\/www.chu-poitiers.fr\/wp-content\/uploads\/Pied.jpg\" alt=\"D\u00e9formation du gros orteil (hallux-valgus). Op\u00e9r\u00e9e par voie mini-invasive de 3 cm. R\u00e9cup\u00e9ration fonctionnelle plus rapide.\" width=\"217\" height=\"281\" hspace=\"0\" \/><figcaption class=\"wp-caption-text\">D\u00e9formation du gros orteil (hallux-valgus). Op\u00e9r\u00e9e par voie mini-invasive de 3 cm. R\u00e9cup\u00e9ration fonctionnelle plus rapide.<\/figcaption><\/figure><\/td>\n<td style=\"vertical-align: top;\">\n<figure id=\"attachment_81\" aria-describedby=\"caption-attachment-81\" style=\"width: 249px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/page-d-exemple\/prothese-genou\/\" rel=\"attachment wp-att-81\"><img loading=\"lazy\" decoding=\"async\" class=\"zoom filet wp-image-81 size-full\" src=\"https:\/\/www.chu-poitiers.fr\/specialites\/orthopedie-traumatologie\/wp-content\/uploads\/sites\/18\/2018\/03\/prothese-genou-e1520420865837.jpg\" alt=\"Proth\u00e8se totale de genou.\" width=\"249\" height=\"258\" \/><\/a><figcaption id=\"caption-attachment-81\" class=\"wp-caption-text\">Proth\u00e8se totale de genou.<\/figcaption><\/figure><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<ul>\n<li>La chirurgie des s\u00e9quelles graves des traumatismes ost\u00e9oarticulaires avec perte de substance par des techniques innovantes de reconstruction : ost\u00e9oinduction biologique associ\u00e9e \u00e0 des ost\u00e9osysnth\u00e8ses sp\u00e9cifiques.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Le service d&rsquo;orthop\u00e9die-traumatologie prend en charge les patients pr\u00e9sentant des affections de l&rsquo;appareil locomoteur. L&rsquo;orthop\u00e9die est une sp\u00e9cialit\u00e9 chirurgicale qui permet de corriger les d\u00e9fauts de l&rsquo;appareil locomoteur de nature cong\u00e9nitale ou acquise durant la croissance voire \u00e0 l&rsquo;\u00e2ge adulte (os, articulations, muscles, tendons et nerfs). Elle comprend le traitement chirurgical des affections des membres [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2","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>Pathologies et prises en charge - 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\/pathologies-et-prises-en-charge\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pathologies et prises en charge - Chirurgie orthop\u00e9dique-traumatologie\" \/>\n<meta property=\"og:description\" content=\"Le service d&rsquo;orthop\u00e9die-traumatologie prend en charge les patients pr\u00e9sentant des affections de l&rsquo;appareil locomoteur. L&rsquo;orthop\u00e9die est une sp\u00e9cialit\u00e9 chirurgicale qui permet de corriger les d\u00e9fauts de l&rsquo;appareil locomoteur de nature cong\u00e9nitale ou acquise durant la croissance voire \u00e0 l&rsquo;\u00e2ge adulte (os, articulations, muscles, tendons et nerfs). 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