{"id":10047,"date":"2025-08-28T13:13:22","date_gmt":"2025-08-28T13:13:22","guid":{"rendered":"https:\/\/www.centre-ortho.ch\/avancees-en-chirurgie-et-reeducation-du-genou-ligamentoplastie-et-prothese\/"},"modified":"2025-09-07T21:18:22","modified_gmt":"2025-09-07T21:18:22","slug":"advances-in-knee-surgery-and-rehabilitation-ligament-reconstruction-and-prosthesis","status":"publish","type":"page","link":"https:\/\/www.centre-ortho.ch\/en\/advances-in-knee-surgery-and-rehabilitation-ligament-reconstruction-and-prosthesis\/","title":{"rendered":"Advances in knee surgery and rehabilitation: ligament reconstruction and prosthesis"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"10047\" class=\"elementor elementor-10047\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dee1e5f5 conteneur_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"dee1e5f5\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b1b5b475 conteneur_ariane_vid_0 e-con-full e-flex e-con e-child\" data-id=\"b1b5b475\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-9be82a1c e-flex e-con-boxed e-con e-child\" data-id=\"9be82a1c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-dbf2e8d4 ariane_vid_0 elementor-widget elementor-widget-breadcrumbs\" data-id=\"dbf2e8d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<nav aria-label=\"breadcrumbs\" class=\"rank-math-breadcrumb\"><p><span class=\"last\">Welcome<\/span><\/p><\/nav>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b89e4c68 video_vid_1 e-flex e-con-boxed e-con e-child\" data-id=\"b89e4c68\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0b29a4f8 video_vid_1 elementor-widget__width-inherit elementor-widget elementor-widget-video\" data-id=\"0b29a4f8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;youtube_url&quot;:&quot;https:\\\/\\\/youtu.be\\\/NxngrMF2ps4&quot;,&quot;lazy_load&quot;:&quot;yes&quot;,&quot;video_type&quot;:&quot;youtube&quot;,&quot;controls&quot;:&quot;yes&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-wrapper elementor-open-inline\">\n\t\t\t<div class=\"elementor-video\"><\/div>\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-44a99b74 conteneur_principal_vid_0 e-flex e-con-boxed e-con e-parent\" data-id=\"44a99b74\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-16f20bf4 e-con-full sticky-sidebar colonne_gauche_0 e-flex e-con e-child\" data-id=\"16f20bf4\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-8f8c02e4 e-con-full e-flex e-con e-child\" data-id=\"8f8c02e4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e71a8c2a elementor-widget elementor-widget-shortcode\" data-id=\"e71a8c2a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8fdace4b e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"8fdace4b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-36a2bf3d colonne_vid_1 pv-tv-label aleft elementor-widget-icon-box wgl-icon-box wgl-view-default button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"36a2bf3d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fab-youtube\" aria-hidden=\"true\" viewbox=\"0 0 576 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M549.655 124.083c-6.281-23.65-24.787-42.276-48.284-48.597C458.781 64 288 64 288 64S117.22 64 74.629 75.486c-23.497 6.322-42.003 24.947-48.284 48.597-11.412 42.867-11.412 132.305-11.412 132.305s0 89.438 11.412 132.305c6.281 23.65 24.787 41.5 48.284 47.821C117.22 448 288 448 288 448s170.78 0 213.371-11.486c23.497-6.321 42.003-24.171 48.284-47.821 11.412-42.867 11.412-132.305 11.412-132.305s0-89.438-11.412-132.305zm-317.51 213.508V175.185l142.739 81.205-142.739 81.201z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Video type:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button no_text no_media\"><div class=\"button__content\"><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a339070 colonne_vid_2 pv-tv-value aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"0a339070\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Specialized presentation; Expertise presentation<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8e6d6740 e-con-full colonne_vid_0 e-flex e-con e-child\" data-id=\"8e6d6740\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3d7bd502 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"3d7bd502\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Anatomy:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Knee<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-80182a3b colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"80182a3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Surgery:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Ligamentoplasty; Total knee replacement<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3214f0e5 colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"3214f0e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Pathology:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">ACL injury; Gonarthrosis<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fae998bb colonne_vid_1 aleft button-left elementor-widget elementor-widget-wgl-infobox\" data-id=\"fae998bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper\"><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h3 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-d587a21\">Thematic:<\/span><\/span><\/h3><\/div><div class=\"wgl-button-wrapper\"><a  class=\"wgl-infobox_button wgl-button  no_media\"><div class=\"button__content\"><span class=\"button__text\">Surgery<\/span><\/div><\/a><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1f0b8875 e-con-full colonne_vid_0 pv-cta-card e-flex e-con e-child\" data-id=\"1f0b8875\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-227917ed conteneur_spec_vid_6 elementor-widget__width-inherit aleft elementor-widget-icon-box wgl-icon-box elementor-widget elementor-widget-wgl-button\" data-id=\"227917ed\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button  align-icon-left\" href=\"\/en\/consultation\/\" role=\"button\"><div class=\"button__content\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-calendar-day\" aria-hidden=\"true\" viewbox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 464c0 26.5 21.5 48 48 48h352c26.5 0 48-21.5 48-48V192H0v272zm64-192c0-8.8 7.2-16 16-16h96c8.8 0 16 7.2 16 16v96c0 8.8-7.2 16-16 16H80c-8.8 0-16-7.2-16-16v-96zM400 64h-48V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H160V16c0-8.8-7.2-16-16-16h-32c-8.8 0-16 7.2-16 16v48H48C21.5 64 0 85.5 0 112v48h448v-48c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><span class=\"button__text\">Consultations<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ce0b36b0 e-con-full e-flex e-con e-child\" data-id=\"ce0b36b0\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-95db4611 elementor-widget elementor-widget-shortcode\" data-id=\"95db4611\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6e1a6e58 e-con-full conteneur_droit_vid_0 e-flex e-con e-child\" data-id=\"6e1a6e58\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-da9d169d e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"da9d169d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9211250f titre_vid_1 elementor-widget elementor-widget-heading\" data-id=\"9211250f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Advances in knee surgery and rehabilitation: ligament reconstruction and prosthesis<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b938e0f6 paragraphe_vid_1 elementor-widget elementor-widget-text-editor\" data-id=\"b938e0f6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>This lecture explores modern approaches to knee surgery, including ligament reconstruction and knee replacement. Dr. Morgado presents current surgical techniques, while Dr. Muff details postoperative rehabilitation and return to sport. The emphasis is on personalized treatment and interdisciplinary collaboration.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b9e5c253 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"b9e5c253\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9acf2088 tabs_vid_1 tabs-full-width-yes elementor-widget elementor-widget-wgl-tabs\" data-id=\"9acf2088\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-tabs wgl-tabs_swiper-wrapper tabs_align-justify\">\n            <div class=\"wgl-tabs_headings-wrap swiper\">\n                <div class=\"wgl-tabs_headings swiper-wrapper\"><h4 data-tab-id=\"wgl-tab_2591\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Doctors<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_2592\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Topics<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_2593\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Treatments<\/span>\n\n                    \n                <\/h4><h4 data-tab-id=\"wgl-tab_2594\" class=\"wgl-tabs_header swiper-slide\">\n                    <span class=\"wgl-tabs_title\">Advice<\/span>\n\n                    \n                <\/h4><\/div>\n        <\/div>\n\n        <div class=\"wgl-tabs_content-wrap\">                <div data-tab-id=\"wgl-tab_2591\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Dr. Sylvia Morgado Pi\u00e7arra; Dr. Guillaume Muff<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_2592\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_dot list_primary_color\"><li>Introduction Medicol<\/li><li>ACL Surgery<\/li><li>Pre-operative preparation<\/li><li>Ligamentoplasty techniques<\/li><li>Meniscus repair<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_2593\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check_circle list_primary_color\"><li>Ligamentoplasty<\/li><li>Total knee replacement<\/li><li>Functional rehabilitation<\/li><\/ul>                <\/div>\n\n                            <div data-tab-id=\"wgl-tab_2594\" class=\"wgl-tabs_content\">\n                    <ul class=\"vireon_check list_primary_color\"><li>prepare the knee before surgery<\/li><li>adapt rehabilitation to the patient<\/li><li>delay returning to sport<\/li><li>analyze the patient&#039;s expectations<\/li><li>personalized follow-up<\/li><\/ul>                <\/div>\n\n                    <\/div>\n        <\/div><!-- .wgl-tabs -->\n        \t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f8481992 elementor-widget elementor-widget-shortcode\" data-id=\"f8481992\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c5e689fc e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"c5e689fc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-39ee64fe titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"39ee64fe\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Ligamentoplasty and knee replacement: issues, objectives and coordination of care<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e74027a3 elementor-widget elementor-widget-text-editor\" data-id=\"e74027a3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>The knee is a complex weight-bearing joint. When an anterior cruciate ligament (ACL) is torn or gonarthrosis sets in, stability and function deteriorate; pain, apprehension, and decreased performance disrupt daily life and sporting activities. In this context, the primary objective is twofold: to restore a stable, pain-free joint, and to enable a safe return to the intended activities.<br><br>Given the particularly active Swiss population, ligament injuries and knee osteoarthritis are a common reason for consultation. Modern care combines rational surgical intervention (ligamentoplasty, osteotomy, partial or total knee replacement) with high-quality, early-stage rehabilitation. The key message remains personalization: each patient has a specific history, expectations, and biomechanics.<br><br>Thus, success depends on a controlled sequence: clear information, preoperative preparation, appropriate surgical technique, and rigorous functional monitoring. Close coordination between orthopedic surgeons, sports physicians, anesthesiologists, and physiotherapists ensures continuity of care and progress in measurable stages, helping the knee regain stability and confidence.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c2b1458e e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"c2b1458e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1c18c43d titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"1c18c43d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">ACL rupture: therapeutic decision and preoperative preparation<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ee264aba elementor-widget elementor-widget-text-editor\" data-id=\"ee264aba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Ligamentoplasty is now the gold standard when instability compromises function, particularly in active patients. Emergency surgery remains the exception (bucket handle meniscal tear; associated repair). In the majority of situations, preoperative preparation is crucial: a pain-free knee, full mobility, and satisfactory muscle strength determine the results. This phase includes therapeutic education, pain management, and targeted muscle reactivation.<br><br>Intraoperatively, anatomical reconstruction of the ACL is associated with the treatment of concomitant lesions: repair of the posteromedial ramps, refixation of meniscal root avulsions, and, depending on the rotational instability profiles, lateral reinforcement or action on the anterolateral ligament. Morphological factors must be assessed (marked varus, increased tibial slope), which may lead to an additional osteotomy when the constraint prevents the plasty from working.<br><br>Finally, certain functional determinants at a distance from the knee interfere with the injury mechanism: a functional hallux limitus can promote a pronation-valgus-internal rotation sequence during changes of support. Global biomechanical analysis and adaptation of techniques aim to reduce the risk of recurrence and to preserve meniscal and cartilage capital in the long term.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7b6431e3 e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"7b6431e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-14e3235a conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"14e3235a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">The risk of post-traumatic osteoarthritis remains high after an ACL tear.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ee4536ea e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"ee4536ea\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-071a0793 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"071a0793\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Rehabilitation after ligament reconstruction: phases, criteria and return to sport<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff427133 elementor-widget elementor-widget-text-editor\" data-id=\"ff427133\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Rehabilitation begins early around three axes: pain and effusion control (notably by cryotherapy), mobility recovery (in compliance with surgical instructions) and quadriceps reactivation followed by progressive strengthening with neuromuscular and proprioceptive work. Adjuvants can be considered depending on the patient&#039;s condition: electrostimulation if necessary, flow restriction training (BFR) to stimulate hypertrophy under low loads, and regular functional tests to adjust the load.<br><br>Return to sport is a step-by-step process: participation, resumption of activity, and then return to performance. Decisions combine biological healing time, objective criteria (strength symmetry, jump tests, neuromuscular control, absence of flexion contracture), and psychological status. Recent data suggest avoiding a competitive return before the 8th month; each month gained beyond this reduces the risk of reinjury, provided defined functional milestones are reached.<br><br>The aim is to achieve a sustainable and safe recovery, while protecting the meniscus and cartilage. The quality of follow-up, patient compliance, and consistency of messages from the healthcare team determine the stability restored and confidence in the reconstructed knee.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b96d76a8 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"b96d76a8\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-53731061 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"53731061\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Gonarthrosis and prosthetic surgery: expectations, techniques and satisfaction<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a714f528 elementor-widget elementor-widget-text-editor\" data-id=\"a714f528\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>In advanced osteoarthritis, the surgical indication is based on clinical findings, long-leg radiographs, and a thorough discussion of expectations. Unicompartmental and total prostheses have benefited from innovations: 3D planning, personalized cutting guides, navigation, and robotics improve positioning accuracy. To date, the long-term functional benefit of these technologies, compared to conventional instruments, remains under evaluation; alignment tends toward measured customization to respect the anatomy without over-constraining the implant.<br><br>Current protocols combine tissue protection, multimodal analgesics, and perioperative optimization (adductor canal block, tranexamic acid, early ambulation). Despite this, a significant proportion of patients remain dissatisfied after total knee replacement; the key lies in honest preoperative information, the definition of realistic objectives, and support to help the patient integrate their prosthetic knee into the body schema.<br><br>Clinical examination, active listening and structured follow-up promote progressive adaptation, targeting residual pain, mobility and confidence during daily living and leisure activities.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e10166ae e-con-full conteneur_citation_vid_0 e-flex e-con e-child\" data-id=\"e10166ae\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e1060983 conteneur_citation_vid_1 aleft elementor-widget-icon-box wgl-icon-box wgl-view-default elementor-widget elementor-widget-wgl-infobox\" data-id=\"e1060983\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wgl-infobox.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wgl-infobox_bg_wrapper\"><\/div><div class=\"wgl-infobox\"><div class=\"wgl-infobox_wrapper wgl-layout-left\"><span class=\"media-wrapper icon-wrapper\"><span class=\"wgl-icon\" ><svg class=\"icon elementor-icon e-font-icon-svg e-fas-quote-left\" aria-hidden=\"true\" viewbox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M464 256h-80v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8c-88.4 0-160 71.6-160 160v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48zm-288 0H96v-64c0-35.3 28.7-64 64-64h8c13.3 0 24-10.7 24-24V56c0-13.3-10.7-24-24-24h-8C71.6 32 0 103.6 0 192v240c0 26.5 21.5 48 48 48h128c26.5 0 48-21.5 48-48V304c0-26.5-21.5-48-48-48z\"><\/path><\/svg><\/span><\/span><div class=\"content_wrapper\"><div class=\"wgl-infobox-title_wrapper\"><h5 class=\"wgl-infobox_title\"><span class=\"wgl-infobox_title-idle\"><span class=\"elementor-repeater-item-56c0705\">The patient must adapt to his prosthetic knee; it must become his knee.<\/span><\/span><\/h5><\/div><\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7c9bec4c e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"7c9bec4c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e37431df titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"e37431df\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Interdisciplinary support and personalized monitoring<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a6c366b elementor-widget elementor-widget-text-editor\" data-id=\"7a6c366b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Success depends on a seamless inter-specialty organization. The surgeon defines the indication and technical strategy, the sports medicine physician coordinates functional progression, and the physiotherapist guides the graduated exposure to load and movement complexity. Preoperative therapeutic education reduces anxiety, often shortens immediate convalescence, and improves adherence to instructions, although the magnitude of the effect varies depending on the profile.<br><br>Contemporary tools complement the treatment when it makes sense: telerehabilitation and virtual reality offer additional exposure and adherence monitoring, in a secure setting. The common thread remains progressiveness: stabilized pain, regained full extension, symmetry of dynamic strength and control before any sporting objective. Specific situations (driving, physical occupations) are addressed on a case-by-case basis, with the same principle of safety first.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c04003a7 e-con-full conteneur_vid_1 e-flex e-con e-child\" data-id=\"c04003a7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-77ccc760 titre_vid_2 elementor-widget elementor-widget-heading\" data-id=\"77ccc760\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Perspectives and key messages for the patient<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-951c12ea elementor-widget elementor-widget-text-editor\" data-id=\"951c12ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>After an ACL tear, preventing recurrence and protecting meniscal capital are central. A structured program of strengthening, balance, and weight-bearing control, combined with appropriate surgical techniques when indicated, reduces the risk of secondary destabilization and cartilage degradation. In the longer term, lifestyle factors (weight, smoking, training load management) contribute to knee health.<br><br>In osteoarthritis, prosthesis is not an end in itself but a means: the challenge is to restore reliable function, compatible with expectations, through precise planning and rigorous rehabilitation. Prevention remains a major lever: warm-up, physical preparation and movement education, particularly in pivot sports, help limit injuries. A clear and continuous alliance with the healthcare team allows you to move forward calmly, step by step.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3ff1e696 e-con-full conteneur_tags_0 e-flex e-con e-child\" data-id=\"3ff1e696\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-456edf2e conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"456edf2e\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/knee-surgery\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">knee surgery<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c599e89 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"6c599e89\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/ligament-reconstruction-2\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">ligament reconstruction<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-59521fef conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"59521fef\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/lca\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">LCA<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a11cca5 conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"5a11cca5\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/total-knee-replacement\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">total knee replacement<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ea01cb7a conteneur_tags_1 aleft elementor-widget elementor-widget-wgl-button\" data-id=\"ea01cb7a\" data-element_type=\"widget\" data-e-type=\"widget\" style=\"\" data-widget_type=\"wgl-button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"wgl-button\" href=\"https:\/\/www.centre-ortho.ch\/en\/research\/rehabilitation-2\/\" role=\"button\"><div class=\"button__content\"><span class=\"button__text\">rehabilitation<\/span><\/div><\/a>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-83228b15 e-con-full e-flex e-con e-parent\" data-id=\"83228b15\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-43722709 elementor-widget elementor-widget-shortcode\" data-id=\"43722709\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-474c4e3b e-con-full e-flex e-con e-parent\" data-id=\"474c4e3b\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1ba3775a elementor-widget elementor-widget-shortcode\" data-id=\"1ba3775a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b3e3691a e-con-full e-flex e-con e-parent\" data-id=\"b3e3691a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-caa71f2e elementor-widget elementor-widget-shortcode\" data-id=\"caa71f2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>This conference explores modern approaches to knee surgery, including ligament reconstruction and knee replacement. Dr. Morgado presents current surgical techniques, while Dr. Muff details postoperative rehabilitation and return to sport. <\/p>","protected":false},"author":1,"featured_media":15000,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[76],"tags":[170,172,171,173,174],"class_list":["post-10047","page","type-page","status-publish","has-post-thumbnail","hentry","category-videos","tag-chirurgie-du-genou","tag-lca","tag-ligamentoplastie","tag-prothese-totale-du-genou","tag-reeducation"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/10047","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/comments?post=10047"}],"version-history":[{"count":0,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/pages\/10047\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media\/15000"}],"wp:attachment":[{"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/media?parent=10047"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/categories?post=10047"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.centre-ortho.ch\/en\/wp-json\/wp\/v2\/tags?post=10047"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}