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{"id":247,"date":"2018-06-29T06:01:45","date_gmt":"2018-06-29T06:01:45","guid":{"rendered":"https:\/\/www.dr-antoinecombes.com\/?page_id=247"},"modified":"2018-06-29T06:06:51","modified_gmt":"2018-06-29T06:06:51","slug":"reeducation-apres-une-chirurgie-conflit-femoro-acetabulaire","status":"publish","type":"page","link":"https:\/\/www.dr-antoinecombes.com\/reeducation\/reeducation-apres-une-chirurgie-conflit-femoro-acetabulaire\/","title":{"rendered":"R\u00e9\u00e9ducation apr\u00e8s une chirurgie conflit femoro-acetabulaire"},"content":{"rendered":"

\n\t<\/h1>\n

\t\t\t\t\"HD_0018_19\"<\/p>\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

\t\t\t\t\"HD_0019_20\"<\/p>\n

\n\t\tPrincipe g\u00e9n\u00e9ral
\n\t<\/h2>\n

La r\u00e9\u00e9ducation apr\u00e8s conflit f\u00e9moro-ac\u00e9tabulaire pr\u00e9sente deux phases\u00a0: une phase d\u2019environ 1 mois de cicatrisation. Le travail des mobilit\u00e9s et le renforcement musculaire ne sont pas une urgence. <\/p>\n

Une phase de mobilisation de hanche et de renforcement musculaire.<\/p>\n

\n\t\tLA MARCHE
\n\t<\/h2>\n

La marche est autoris\u00e9e imm\u00e9diatement le jour de l\u2019intervention, sauf avis contraire du chirurgien, avec un appui complet et \u00e0 l\u2019aide de cannes pendant 1 mois minimum.<\/p>\n

Il faut se lever progressivement, d\u2019abord en vous asseyant au bord du lit pendant quelques minutes, surtout le premier jour (vous \u00eates rest\u00e9s allong\u00e9s parfois 12 heures de suite, la t\u00eate peut tourner).<\/p>\n

Commencez par avancer vos b\u00e9quilles vers l\u2019avant, en appui principal sur la jambe non op\u00e9r\u00e9e, puis contractez, verrouillez vos avant bras, appuyez doucement sur la jambe op\u00e9r\u00e9e et avancez celle non op\u00e9r\u00e9e.<\/p>\n

La marche se fait progressivement selon votre ressenti.<\/p>\n

Les 15 premiers jours, il s\u2019agit de marcher dans sa maison, prendre les escaliers marche apr\u00e8s marche, avec les cannes.<\/p>\n

Les cannes sont retir\u00e9es apr\u00e8s 1 mois, en fonction de votre ressenti.<\/p>\n

Lutte contre la boiterie\u00a0: Marchez en prenant soin de maintenir vos \u00e9paules parall\u00e8les \u00e0 la ligne d\u2019horizon, la boiterie devrait r\u00e9gresser.<\/p>\n

\n\t\tLE RODAGE ARTICULAIRE
\n\t<\/h2>\n

Sur un v\u00e9lo d\u2019appartement, les premiers jours avec une selle haute, moulinez sans r\u00e9sistance. Puis abaissez progressivement la selle, la r\u00e9sistance peut \u00eatre augment\u00e9e apr\u00e8s 6 semaines.<\/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, le 1er<\/sup> mois les escaliers se monteront et se descendront marche apr\u00e8s marche.<\/p>\n

\n\t\tLA MOBILISATION DE LA HANCHE
\n\t<\/h2>\n

Le travail de mobilit\u00e9 se fera progressivement en privil\u00e9giant les mouvements passifs de flexion de hanche et d\u2019\u00e9tirement des adducteurs.<\/p>\n

\n\t\tLE RENFORCEMENT MUSCULAIRE
\n\t<\/h2>\n

Il n\u2019est pas essentiel, surtout en d\u00e9but de r\u00e9\u00e9ducation.<\/p>\n

Les exercices de renforcement doivent \u00eatre peu douloureux.<\/p>\n

\u00a0\u00a0<\/p>\n

Voici quelques exercices<\/h3>\n

Verrouillage 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

Renforcement des muscles fessiers\u00a0:<\/strong> Couch\u00e9 sur le cot\u00e9, vous levez la jambe vers le ciel et tenez la position. R\u00e9p\u00e9tez l\u2019effort une dizaine de fois.<\/p>\n

Debout\u00a0:<\/strong> levez la jambe lat\u00e9ralement de mani\u00e8re r\u00e9p\u00e9t\u00e9e.<\/p>\n

Rodage articulaire<\/strong> sur un v\u00e9lo en augmentant la puissance.<\/p>\n

R\u00e9\u00e9ducation \u00e0 l\u2019effort\u00a0:<\/strong> promenade \u00e0 l\u2019ext\u00e9rieur, progressivement plus longue \u00e0 partir de la 3\u00e8me semaine. 1\u00e0 2 km apr\u00e8s 6 semaines.<\/p>\n

\n\t\tQuelques \u00e9tapes
\n\t<\/h2>\n

Conduite :<\/strong> 2 semaines<\/p>\n

Marche sans canne :<\/strong> 4 semaines<\/p>\n

V\u00e9lo ext\u00e9rieur :<\/strong> 6 \u00e0 8 semaines<\/p>\n

Natation crawl\u00a0:<\/strong> 6 semaines<\/p>\n

Voyage lointain\u00a0:<\/strong> 3 mois<\/p>\n","protected":false},"excerpt":{"rendered":"

Voici les recommandations habituelles pour votre r\u00e9\u00e9ducation. Elles peuvent changer en fonction de la chirurgie r\u00e9alis\u00e9e, et doivent \u00eatre confirm\u00e9es par le chirurgien. 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. Principe g\u00e9n\u00e9ral La … Read more<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":206,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"generate_page_header":"","footnotes":""},"class_list":["post-247","page","type-page","status-publish","hentry"],"yoast_head":"\nR\u00e9\u00e9ducation apr\u00e8s une chirurgie conflit femoro-acetabulaire - DR ANTOINE COMBES<\/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.dr-antoinecombes.com\/reeducation\/reeducation-apres-une-chirurgie-conflit-femoro-acetabulaire\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"R\u00e9\u00e9ducation apr\u00e8s une chirurgie conflit femoro-acetabulaire - DR ANTOINE COMBES\" \/>\n<meta property=\"og:description\" content=\"Voici les recommandations habituelles pour votre r\u00e9\u00e9ducation. Elles peuvent changer en fonction de la chirurgie r\u00e9alis\u00e9e, et doivent \u00eatre confirm\u00e9es par le chirurgien. 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. Principe g\u00e9n\u00e9ral La ... 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