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Gonarthroses sévères et orthèses de décharge compartimentaire

Severe knee arthritis and compartment unloader braces

  • Article de Synthèse / Review Article
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

Une orthèse crurosurale prolongée d’une coque talonnière ou une orthèse cruropédieuse permettent de mettre en décharge un compartiment fémorotibial arthrosique. Pour garantir l’efficacité de l’appareillage, il faut réunir plusieurs conditions: un certain degré de mobilité frontale, un moulage en contrainte, une orthèse rigide dans le plan frontal, des appuis bien placés et confortables.

Abstract

Unloading of an arthritic tibiofemoral compartment of the knee joint may be effected by a knee brace extended by a heel cup, or by a long leg brace terminating beyond the ankle joint. Several conditions must be satisfied to ensure effectiveness of the appliance. These include a certain degree of anterior mobility, moulding of the brace with the joint under stress, rigidity of the brace in the anterior aspect and well-placed and comfortable supports.

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Authors and Affiliations

  1. Service de rééducation neuro-orthopédique, hôpital Rothschild, AP-HP, 33, boulevard de Picpus, F-75012, Paris, France

    P. Sautreuil, P. Thoumie, B. Missaoui & S. Bendaya

  2. Service de médecine physique et réadaptation, HIA Percy, F-92141, Clamart, France

    P. Sautreuil, T. Vandermeersch & E. Lapeyre

  3. Service de médecine physique et réadaptation, hôpital Raymond-Poincaré, AP-HP, F-92380, Garches, France

    L. Darmon

Authors
  1. P. Sautreuil
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  2. T. Vandermeersch
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  3. L. Darmon
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  4. P. Thoumie
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  5. E. Lapeyre
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  6. B. Missaoui
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  7. S. Bendaya
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Corresponding author

Correspondence to P. Sautreuil.

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Sautreuil, P., Vandermeersch, T., Darmon, L. et al. Gonarthroses sévères et orthèses de décharge compartimentaire. Lett Med Phys Readapt 26, 136–141 (2010). https://doi.org/10.1007/s11659-010-0235-y

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  • DOI: https://doi.org/10.1007/s11659-010-0235-y

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