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{"id":236,"date":"2018-06-29T05:44:19","date_gmt":"2018-06-29T05:44:19","guid":{"rendered":"https:\/\/www.dr-antoinecombes.com\/?page_id=236"},"modified":"2018-07-02T21:24:34","modified_gmt":"2018-07-02T21:24:34","slug":"reeducation-apres-une-suture-meniscale","status":"publish","type":"page","link":"https:\/\/www.dr-antoinecombes.com\/reeducation\/reeducation-apres-une-suture-meniscale\/","title":{"rendered":"R\u00e9\u00e9ducation apr\u00e8s une suture m\u00e9niscale\u00a0"},"content":{"rendered":"
\n\t<\/h1>\n
Voici les recommandations habituelles pour votre r\u00e9\u00e9ducation.<\/p>\n
Elles peuvent changer en fonction de la chirurgie r\u00e9alis\u00e9e, et doivent \u00eatre confirm\u00e9es par le chirurgien. <\/p>\n
Votre kin\u00e9sith\u00e9rapeute saura vous guider, mais il est important que vous consacriez du temps \u00e0 votre r\u00e9\u00e9ducation entre vos s\u00e9ances avec lui, afin d\u2019optimiser le r\u00e9sultat de la chirurgie.<\/p>\n
\n\t\tPrincipe g\u00e9n\u00e9ral \n\t<\/h2>\n
La r\u00e9\u00e9ducation apr\u00e8s suture m\u00e9niscale est tr\u00e8s simple. <\/p>\n
Elle comprend 2 temps\u00a0: une phase de 6 semaines o\u00f9 la flexion est limit\u00e9e \u00e0 90\u00b0 afin de ne pas \u00e9craser la zone de suture ; puis une deuxi\u00e8me phase o\u00f9 la flexion n\u2019est plus limit\u00e9e. <\/p>\n
En dehors de cette particularit\u00e9, elle suit volontiers la m\u00eame r\u00e9\u00e9ducation que celle de la m\u00e9niscectomie partielle.<\/p>\n
\n\t\tMOBILISATION DU GENOU \n\t<\/h2>\n
Habituellement la r\u00e9cup\u00e9ration des mobilit\u00e9s est facile. <\/p>\n
Cependant, il ne faut pas oublier de mobiliser le genou afin d\u2019\u00e9viter l\u2019installation d\u2019une raideur, qui est toujours difficile \u00e0 r\u00e9cup\u00e9rer par la suite.<\/p>\n
Elle se fait en passif (pas de contraction musculaire autour du genou) ou en actif (contraction volontaire). Le travail passif n\u00e9cessite un rel\u00e2chement musculaire complet.<\/p>\n
Elle ne doit pas d\u00e9passer 90\u00b0 les 6 premi\u00e8res semaines.<\/p>\n
\n\t\tL\u2019EXTENSION \n\t<\/h2>\n
Au lit<\/strong><\/p>\n
Passif\u00a0: laissez l\u2019arri\u00e8re du genou toucher le plan du lit. Le gros orteil regarde vers le ciel. Attention \u00e0 la position genou fl\u00e9chi sur le cot\u00e9 qui permet au genou de toucher le plan du lit sans travailler l\u2019extension. <\/p>\n
Actif\u00a0: contraction flash pour \u00e9craser votre main sous votre genou.<\/p>\n
Sur une chaise<\/strong><\/p>\n
Posez votre pied sur un tabouret ou une autre chaise<\/p>\n
Debout<\/strong><\/p>\n
Le gain d\u2019extension maximale (\u00e9tirement du quadriceps) est possible au bout de 6 semaines. Debout en posant le talon sur un appui sur\u00e9lev\u00e9 jambe tendu et en ramenant le tronc sur la cuisse.<\/p>\n
\n\t\tLA FLEXION \n\t<\/h2>\n
Au bord du lit,<\/strong> assis de mani\u00e8re sym\u00e9trique, laissez tomber votre jambe \u00e0 la verticale, le pied restant libre.<\/p>\n
Sur une chaise,<\/strong> les fesses bien pos\u00e9es, la jambe non op\u00e9r\u00e9e poussera sur la jambe op\u00e9r\u00e9e afin d\u2019augmenter la flexion sans d\u00e9passer 90\u00b0 les 6 premi\u00e8res semaines.<\/p>\n
\n\t\tLE RODAGE ARTICULAIRE \n\t<\/h2>\n
Sur une chaise,<\/strong> \u00e0 l\u2019aide d\u2019une planche \u00e0 roulette, faites des mouvements de va et vient.<\/p>\n
Sur un v\u00e9lo,<\/strong> au d\u00e9but, moulinage sans r\u00e9sistance. Puis augmentation progressive.<\/p>\n
\n\t\tLA MARCHE \n\t<\/h2>\n
La marche est autoris\u00e9e avec un appui complet l\u2019aide de cannes si n\u00e9cessaire pendant 4-5 jours.<\/p>\n
\n\t\tLES ESCALIERS \n\t<\/h2>\n
Retrouver une marche fluide dans les escaliers n\u2019est pas toujours \u00e9vident. Aidez-vous de la balustrade<\/p>\n
\n\t\tLE RENFORCEMENT MUSCULAIRE \n\t<\/h2>\n
Les exercices de renforcement doivent \u00eatre peu douloureux. <\/p>\n
Voici quelques exercices<\/h3>\n
Verrouillage\u00a0 de la cuisse\u00a0:<\/strong> Sur le lit et sur le dos, levez la jambe, r\u00e9p\u00e9tez l\u2019effort une dizaine de fois.<\/p>\n
Rodage articulaire sur un v\u00e9lo<\/strong> en augmentant la puissance.<\/p>\n