Orthopedic surgery, lower limbs

The orthopedics center offers innovative surgical care. Eligible patients can benefit from the principles of Enhanced Recovery After Surgery (ERAS). This novel, comprehensive approach to care, delivered by a team motivated by the patient as a stakeholder in his or her own recovery, enables:

• enhanced comfort and improved recovery
• a decreased duration of hospitalization

To guide patients and help them prepare for every step of their ERAS healthcare journey, the center offers a treatment education session delivered by the chief preoperative nurse, as well as physical therapy support. This organization has been certified as a GRACE reference center (Francophone ERAS Group, Groupement Francophone de Réhabilitation Amélioré après Chirurgie), recognized by the HAS.

Hip surgery

Arthrosis of the hip, joint diseases, loose prostheses, etc. Each of these conditions requires a specific hip surgery whose goal is to optimize mobility and joint comfort.

Total hip prosthesis

Arthrosis of the hip, which corresponds to cartilage erosion, leads to a loss of mobility and pain. To address this, orthopedic surgery can be used to implant a hip prosthesis: this replaces the joint, restoring its mobility and eliminating any pain.

Artificial hip replacement

To resolve arthrosis of the hip, a prosthesis is installed. Sometimes, this prosthesis gets worn out and starts to loosen, or causes inflammation around the joint: to avoid pontifical complications and treat any discomfort, total replacement of the artificial hip is required.

Hip capsular repair

Sometimes the hip joint can lose mobility due to extreme movements or some athletic activities, which is exactly what occurs in the case of anterior hip conflict. The hip socket and the femur do not interact smoothly due to excessive contact between the different elements of the joint.

Hip arthroscopy

In the event of a bulge lesion or if a foreign body is introduced into the joint, hip arthroscopy is required. This intervention enables resolution of the problem at the source using a slim device, thus avoiding having to surgically open the hip.

Conservative hip surgery

When hip dysplasia is diagnosed, the therapeutic objective consists of avoid premature wear of the cartilage and the entire joint. By directly addressing the hip anomalies, the surgeon can rebalance the joint.

Femoral neck fracture

When the surgical risk is deemed acceptable, the operation consists of implanting an artificial hip (or a plate, depending on the type of fracture), often under epidural anesthesia. In young patients, surgical treatment is most commonly based on solid bone synthesis (stabilization of the fracture with a pin, a plate, etc.) after perfect reduction. But if the fracture is significant, an artificial hip may be implanted as first-line treatment.

Problems with the ligaments or menisci, arthritis, kneecap dysfunction, etc. These are common conditions involving knee surgery that require therapeutic attention to restore joint function.

Conservative surgery

Meniscus surgery

The menisci are the “cushions” that play the role of shock absorbers to protect the knees. Over time, they can thin. They become fragile and can tear during physical activity or in response to a blow. Meniscus surgery is performed arthroscopically through the knee: tiny incisions are made to repair the meniscal tears.

Kneecap realignment

When kneecap problems occur, causing symptoms such as discomfort, pain, swelling or knee locking, kneecap realignment is the therapeutic indication. This knee surgery rebalances the joint by precisely positioning the kneecap in the trochlear axis, that is to say the knee.

Knee cartilage surgery

Trauma, physical effort or aberrant growth are the primary causes of knee cartilage lesions. Causing pain, swelling or discomfort, this type of lesion can be repaired by knee cartilage surgery.

Tibial valgus osteotomy

One operation used to treat arthritis of the knee involves intervening at the upper end of the tibia to align it more closely with the knee joint: tibial valgus osteotomy, which is performed with radiological monitoring, involves installing a plate to guide bone mending.

Prosthetic surgery

Total knee replacement

Arthritis, or degeneration and damage to the cartilage, affects (among other joints) the knee, leading to pain and difficulty performing daily activities or certain specific activities. Implanting a prosthetic knee restores the joint’s freedom of movement.

-Unicompartmental knee replacement

In the case of arthritis, only a small part of the knee joint may be damaged. In this situation, the surgeon may perform a partial knee replacement, which means that only the damaged parts of the knee are replaced with a partial prosthetic.

Replacement of an artificial knee joint

Implanting a prosthesis gives the joint a second life. Nevertheless, this prosthesis can become worn, sometimes even leading to loosening of the prosthesis. When this occurs, it is no longer able to function correctly, so the surgeon will replace the prosthesis to restore painless freedom of movement to the joint.

Arthrosis of the ankle

Arthrosis is wearing of the cartilage. It results in inflammation, with swelling and joint pain. Surgical treatment may be needed if medical treatment is unsuccessful. The choice of surgery depends on the age of the patient and his or her level of activity, the degree of joint damage and the location of the arthrosis.

Ankle instability

Instability is a feeling, the impression that the ankle is giving out and is no longer under your control. It can occur due to impaired function of the ligament, which may be genetically too elastic or may have been damaged by repeated sprains. The goal of surgical treatment is to stabilize the ankle and thereby overcome the ligament weakness: ligamentoplasty.

Hallux valgus

Hallux valgus is when the joint of the big toe migrates to the outside of the foot. This condition occurs almost exclusively in women (95% of cases). The deformity leads to the appearance of bump on the inside edge of the foot (commonly referred to as a bunion). The deformity involves pain in the bump that is associated with stress to the joint, which is no longer functioning under anatomically correct mechanical conditions. This will then also lead to the development of arthrosis. Prolonged walking on a painful foot may also lead to changes in posture and the development of pain in associated joints: the knees, hips and lumbar region. Surgery is recommended when there is significant discomfort, as the situation will not improve on its own. The earlier the operation is performed, the longer its beneficial effects will last, and the less the rest of the foot and the entire limb will be affected by the influence of the hallux valgus. However, surgery is not indicated for purely aesthetic reasons; it must be justified by the presence of discomfort and pain.

Morton’s neuroma

This condition causes one of the most intense foot pains. It involves compression of an interdigital nerve between two metatarsal heads. The symptoms are a very sharp pain, which often occurs suddenly while walking or running in tight shoes. When examined, applying pressure to the space between the two bones is painful. If medical treatment is unsuccessful, surgery can be considered: from endoscopic neurolysis (surgical freeing of the nerve) to neuroma ablation.

Claw toe

This is a deformity that can affect any toe and is due to poor function of the tendons responsible for mobility. A claw toe forms when there is an imbalance between the extensor tendon and the flexor tendon. In these areas, the skin then becomes trapped between the bone and the shoe or the adjacent toe. The skin then responds by thickening, and this area of skin overgrowth is where the pain occurs. Important: this condition is caused by a mechanical imbalance, and pedicures do not address the root of the problem.

Knee ligamentoplasty

The knee ligament may tear during physical effort or after a trauma. To repair the anterior cruciate ligament, the surgeon will perform a knee ligamentoplasty.

Rupture of the anterior cruciate ligament

Rupture of the anterior cruciate ligament is seen in certain sports that subject the joint to rotational movements. It can be treated with rehabilitation or surgery. Surgical treatment enables the patient to resume all athletic activities and represents a definitive treatment. It is most often recommended in the case of persistent joint instability after rehabilitation, or in young or high-level athletes who want to achieve full knee stability. The operation is only performed after swelling of the knee has subsided completely, which as a general rule is 6 to 8 weeks after the accident. Most often, the operation consists of reconstructing the torn ligament (a procedure know as a “ligamentoplasty”). Rehabilitation will be needed before engaging in athletic activities again.

Rupture of the Achilles’ tendon

Rupture of the Achilles’ tendon is common in athletes. It is treated by immobilization or surgery. The classic surgery involves making an incision several centimeters in length and sewing the two halves of the tendon back together (known as “percutaneous” treatment). After the operation, the patient is given a walking boot (with or without crutches) to facilitate early rehabilitation.