{"id":169,"date":"2018-11-10T10:28:31","date_gmt":"2018-11-10T09:28:31","guid":{"rendered":"http:\/\/drpinar.fr\/?page_id=169"},"modified":"2026-09-22T17:07:14","modified_gmt":"2026-09-22T15:07:14","slug":"chirurgie-instabilite-chronique-cheville","status":"publish","type":"page","link":"https:\/\/drpinar.fr\/index.php\/chirurgie-instabilite-chronique-cheville\/","title":{"rendered":"L&rsquo;Entorse de la cheville"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00a0\u00bb1&Prime; fullwidth=\u00a0\u00bbon\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb admin_label=\u00a0\u00bbPage Header\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; parallax=\u00a0\u00bbon\u00a0\u00bb module_alignment=\u00a0\u00bbright\u00a0\u00bb filter_saturate=\u00a0\u00bb84%\u00a0\u00bb animation_direction=\u00a0\u00bbtop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_fullwidth_header title=\u00a0\u00bbChirurgie de l&rsquo;instabilit\u00e9 lat\u00e9rale chronique de la cheville\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb admin_label=\u00a0\u00bbHero Section\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; title_font=\u00a0\u00bbMontserrat|on|||\u00a0\u00bb title_text_color=\u00a0\u00bb#2e3a86&Prime; title_font_size=\u00a0\u00bb60px\u00a0\u00bb title_line_height=\u00a0\u00bb1.4em\u00a0\u00bb content_font=\u00a0\u00bb||||||||\u00a0\u00bb content_text_color=\u00a0\u00bb#FFFFFF\u00a0\u00bb content_font_size=\u00a0\u00bb22px\u00a0\u00bb content_line_height=\u00a0\u00bb1.8em\u00a0\u00bb subhead_font=\u00a0\u00bb||||||||\u00a0\u00bb background_color=\u00a0\u00bbrgba(255,255,255,0)\u00a0\u00bb background_image=\u00a0\u00bbhttp:\/\/drpinar.fr\/wp-content\/uploads\/2018\/11\/Dr-Nicolas-Pinar-Banner-transparant.jpg\u00a0\u00bb custom_button_one=\u00a0\u00bbon\u00a0\u00bb button_one_text_size=\u00a0\u00bb16px\u00a0\u00bb button_one_bg_color=\u00a0\u00bb#6eba01&Prime; button_one_border_width=\u00a0\u00bb2px\u00a0\u00bb button_one_border_color=\u00a0\u00bb#6eba01&Prime; button_one_border_radius=\u00a0\u00bb0&Prime; button_one_letter_spacing=\u00a0\u00bb2&Prime; button_one_font=\u00a0\u00bbMontserrat|||on|\u00a0\u00bb button_one_use_icon=\u00a0\u00bboff\u00a0\u00bb custom_button_two=\u00a0\u00bbon\u00a0\u00bb button_two_text_size=\u00a0\u00bb16px\u00a0\u00bb button_two_border_width=\u00a0\u00bb2px\u00a0\u00bb button_two_border_color=\u00a0\u00bb#ffffff\u00a0\u00bb button_two_border_radius=\u00a0\u00bb0&Prime; 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disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb admin_label=\u00a0\u00bbContact Info\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; custom_padding=\u00a0\u00bb90px||90px|\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbContact Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: justify;\">La stabilisation anatomique de la cheville sous arthroscopie (r\u00e9paration type Brostr\u00f6m ou reconstruction ligamentaire au gracilis) traite l&rsquo;instabilit\u00e9 lat\u00e9rale chronique tout en pr\u00e9servant l&rsquo;ensemble des mobilit\u00e9s physiologiques. R\u00e9alis\u00e9e en chirurgie ambulatoire sous anesth\u00e9sie locor\u00e9gionale, cette prise en charge mini-invasive permet une reprise d&rsquo;appui imm\u00e9diate prot\u00e9g\u00e9e par attelle ou botte de marche d\u00e8s le jour m\u00eame de l&rsquo;intervention.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider color=\u00a0\u00bb#2e3a86&Prime; divider_weight=\u00a0\u00bb3px\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb max_width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb height=\u00a0\u00bb5px\u00a0\u00bb custom_margin=\u00a0\u00bb||20px|\u00a0\u00bb custom_padding=\u00a0\u00bb||20px|\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbContact Section Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; text_font=\u00a0\u00bb||||||||\u00a0\u00bb text_text_color=\u00a0\u00bb#2e3a86&Prime; header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb36px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1><strong>CRIT\u00c8RES D&rsquo;INDICATION CHIRURGICALE<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbContact Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>L&rsquo;intervention chirurgicale est indiqu\u00e9e apr\u00e8s bilan clinique comparatif (recherche d&rsquo;un tiroir ant\u00e9rieur, d&rsquo;un b\u00e2illement en varus ou d&rsquo;une atteinte sous-talienne) devant la r\u00e9union des crit\u00e8res suivants :<\/p>\n<ul>\n<li><strong>\u00c9chec du traitement m\u00e9dical et fonctionnel :<\/strong> persistance des sympt\u00f4mes apr\u00e8s plus de 6 mois d&rsquo;autor\u00e9\u00e9ducation, de kin\u00e9sith\u00e9rapie proprioceptive et de renforcement des muscles fibulaires.<\/li>\n<li><strong>Instabilit\u00e9 chronique et r\u00e9cidives d&rsquo;entorses :<\/strong> perception d&rsquo;une cheville ins\u00e9curisante, \u00e9pisodes de d\u00e9robement ou r\u00e9cidives d&rsquo;accidents d&rsquo;inversion lors de la marche ou des activit\u00e9s quotidiennes.<\/li>\n<li><strong>Douleurs m\u00e9caniques et conflit ant\u00e9ro-lat\u00e9ral :<\/strong> douleurs persistantes de la goutti\u00e8re lat\u00e9rale associ\u00e9es \u00e0 des \u00e9pisodes d&rsquo;\u00e9panchement ou de synovite r\u00e9actionnelle.<\/li>\n<li><strong>Retentissement fonctionnel av\u00e9r\u00e9 :<\/strong> limitation ou arr\u00eat impos\u00e9 des activit\u00e9s professionnelles actives, des loisirs ou des sports avec mouvements de pivot-contact.<\/li>\n<li><strong>Score AISS (Ankle Instability Severity Score) :<\/strong> stratification clinique pr\u00e9op\u00e9ratoire \u00e9valuant le risque de r\u00e9cidive pour guider le choix technique entre r\u00e9paration ligamentaire directe.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider color=\u00a0\u00bb#2e3a86&Prime; divider_weight=\u00a0\u00bb3px\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb max_width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb height=\u00a0\u00bb5px\u00a0\u00bb custom_margin=\u00a0\u00bb||20px|\u00a0\u00bb custom_padding=\u00a0\u00bb||20px|\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbContact Section Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb36px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1><strong>GESTE CHIRURGICAL ET CHOIX DE LA TECHNIQUE<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbContact Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<div id=\"cc-m-10300474599\" class=\"j-module n j-text \">\n<p><strong>Objectifs anatomiques<\/strong><\/p>\n<p>L&rsquo;intervention a pour but de restaurer la stabilit\u00e9 m\u00e9canique de l&rsquo;articulation tibio-talienne et de la sous-talienne en reproduisant l&rsquo;anatomie exacte des ligaments lat\u00e9raux (ligament talo-fibulaire ant\u00e9rieur [LTFA] et ligament calcan\u00e9o-fibulaire [LCF]). Le r\u00e9tablissement du guidage ligamentaire supprime le conflit tissulaire de la goutti\u00e8re lat\u00e9rale et prot\u00e8ge l&rsquo;articulation contre les micro-mouvements de subluxation responsables de l\u00e9sions cartilagineuses et d&rsquo;arthrose post-traumatique.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Temps op\u00e9ratoire<\/strong><\/p>\n<ol>\n<li><strong>Arthroscopie ant\u00e9rieure exploratrice et d\u00e9bridement :<\/strong> r\u00e9alis\u00e9e par deux micro-incisions millim\u00e9triques ant\u00e9ro-m\u00e9diale et ant\u00e9ro-lat\u00e9rale. La transillumination permet d&rsquo;identifier et de pr\u00e9server les branches nerveuses du nerf fibulaire superficiel. Le premier temps traite les l\u00e9sions associ\u00e9es (synovectomie, r\u00e9section du tissu cicatriciel ant\u00e9ro-lat\u00e9ral, ex\u00e9r\u00e8se d&rsquo;ossicules mall\u00e9olaires &lt; 1 cm, traitement des l\u00e9sions ost\u00e9ochondrales) et \u00e9value la qualit\u00e9 du moignon du LTFA.<\/li>\n<li><strong>R\u00e9paration ligamentaire type Brostr\u00f6m sous arthroscopie :<\/strong> indiqu\u00e9e en pr\u00e9sence d&rsquo;un LTFA de bonne qualit\u00e9 m\u00e9canique. Une ou deux ancres de suture sont ins\u00e9r\u00e9es dans l&#8217;empreinte osseuse mall\u00e9olaire pr\u00e9alablement aviv\u00e9e. Les sutures capturent le moignon ligamentaire pour l\u2019amarrer solidement \u00e0 la mall\u00e9ole \u00e0 l\u2019aide d\u2019une petite ancre.<\/li>\n<li><strong>Reconstruction ligamentaire anatomique au gracilis sous arthroscopie :<\/strong> indiqu\u00e9e en cas de rupture intrasubstance, de tissu r\u00e9siduel absent ou dystrophique, d&rsquo;hyperlaxit\u00e9 constitutionnelle ou de score AISS \u00e9lev\u00e9. On pr\u00e9l\u00e8ve un transplant de tendon gracilis puis on l\u2019utilise pour reconstruire le faisceau ant\u00e9rieur et moyen du ligament externe. Il est \u00a0fix\u00e9 solidement \u00e0 la fibula, au talus et au calcan\u00e9us et reproduit les trajets ligamentaires.<\/li>\n<\/ol>\n<p><strong>Fixation et stabilit\u00e9<\/strong><\/p>\n<p>L&rsquo;amarrage anatomique s&rsquo;effectue \u00e0 l&rsquo;aide d&rsquo;implants d\u00e9di\u00e9s (ancres de suture enfouies ou vis d&rsquo;interf\u00e9rence dans les tunnels osseux talien et calcan\u00e9en). Cette fixation rigide assure une excellente tenue m\u00e9canique imm\u00e9diate, restaurant la stabilit\u00e9 axiale et rotatoire sans bloquer les mobilit\u00e9s physiologiques en flexion-extension de cheville.<\/p>\n<p><strong>Anesth\u00e9sie et s\u00e9jour<\/strong><\/p>\n<ul>\n<li><strong>Mode d&rsquo;anesth\u00e9sie :<\/strong> anesth\u00e9sie locor\u00e9gionale exclusive (bloc nerveux p\u00e9riph\u00e9rique assurant l&rsquo;analg\u00e9sie perop\u00e9ratoire et post-op\u00e9ratoire prolong\u00e9e), \u00e9ventuellement associ\u00e9e \u00e0 une s\u00e9dation de confort.<\/li>\n<li><strong>Dur\u00e9e op\u00e9ratoire :<\/strong> 30 \u00e0 60 minutes selon la proc\u00e9dure (r\u00e9paration ou reconstruction).<\/li>\n<li><strong>Modalit\u00e9 d&rsquo;hospitalisation :<\/strong> chirurgie ambulatoire avec retour \u00e0 domicile le jour m\u00eame.<\/li>\n<\/ul>\n<p style=\"text-align: justify;\">\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider color=\u00a0\u00bb#2e3a86&Prime; divider_weight=\u00a0\u00bb3px\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb max_width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb height=\u00a0\u00bb5px\u00a0\u00bb custom_margin=\u00a0\u00bb||20px|\u00a0\u00bb custom_padding=\u00a0\u00bb||20px|\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbContact Section Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb36px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>LE POST OPERATOIRE<\/h1>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbContact Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<ul>\n<li style=\"text-align: left;\"><strong>Modalit\u00e9s d&rsquo;appui :<\/strong> reprise d&rsquo;appui imm\u00e9diate d\u00e8s le jour m\u00eame de l&rsquo;intervention, s\u00e9curis\u00e9e par une une attelle de cheville. Deux cannes anglaises sont utilis\u00e9es de fa\u00e7on transitoire pour \u00e9quilibrer le pas durant les premiers jours.<\/li>\n<li><strong>Contr\u00f4le de l&rsquo;\u0153d\u00e8me et des douleurs :<\/strong> cryoth\u00e9rapie pluriquotidienne (syst\u00e8me compressif ou poches de glace) et sur\u00e9l\u00e9vation syst\u00e9matique de la cheville au repos pour drainer l&rsquo;\u0153d\u00e8me post-op\u00e9ratoire.<\/li>\n<li><strong>R\u00e9\u00e9ducation pr\u00e9coce :<\/strong> mobilisation active imm\u00e9diate des orteils et contractions musculaires isom\u00e9triques d\u00e8s J0 pour pr\u00e9server le tonus musculaire et stimuler le retour veineux.<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider color=\u00a0\u00bb#2e3a86&Prime; divider_weight=\u00a0\u00bb3px\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb max_width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb height=\u00a0\u00bb5px\u00a0\u00bb custom_margin=\u00a0\u00bb||20px|\u00a0\u00bb custom_padding=\u00a0\u00bb||20px|\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbContact Section Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb36px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1><strong>TIMELINE DE R\u00c9CUP\u00c9RATION POST-OP\u00c9RATOIRE<\/strong><\/h1>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbContact Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.23.1&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_padding=\u00a0\u00bb||0px|||\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p><em>Ces d\u00e9lais constituent des rep\u00e8res moyens soumis \u00e0 variabilit\u00e9 selon l&rsquo;\u00e9volution clinique individuelle et la technique employ\u00e9e.<\/em><\/p>\n<ul>\n<li><strong>Jour J (J0 \u2014 Intervention) :<\/strong> chirurgie ambulatoire sous anesth\u00e9sie locor\u00e9gionale, retour \u00e0 domicile le jour m\u00eame et reprise d&rsquo;appui imm\u00e9diate sous attelle ou botte de marche.<\/li>\n<li><strong>J + 15 (Contr\u00f4le cicatriciel &amp; T\u00e9l\u00e9travail) :<\/strong> consultation de contr\u00f4le post-op\u00e9ratoire, r\u00e9fection du pansement et surveillance de la cicatrisation des micro-incisions. D\u00e9but de la kin\u00e9sith\u00e9rapie active douce ax\u00e9e sur les amplitudes articulaires en flexion dorsale et plantaire sans mouvements forc\u00e9s d&rsquo;inversion. Reprise possible du t\u00e9l\u00e9travail strict avec membre inf\u00e9rieur sur\u00e9lev\u00e9.<\/li>\n<li><strong>Semaine 4 \/ 1 mois (Sevrage, Conduite &amp; Bureau) :<\/strong> sevrage progressif de la botte ou de l&rsquo;attelle de contention. Reprise de la conduite automobile d\u00e8s l&rsquo;obtention d&rsquo;un freinage r\u00e9flexe indolore et efficace, et retour au travail s\u00e9dentaire de bureau sur site.<\/li>\n<li><strong>Semaine 6 \u00e0 8 (Travail actif &amp; Sports port\u00e9s) :<\/strong> reprise des d\u00e9placements professionnels r\u00e9guliers et du travail debout. Poursuite du renforcement proprioceptif et reprise des activit\u00e9s physiques axiales port\u00e9es (v\u00e9lo d&rsquo;appartement, natation).<\/li>\n<li><strong>Mois 3 (Consolidation &amp; Reprise totale) :<\/strong> cicatrisation ligamentaire compl\u00e8te confirm\u00e9e. Reprise des m\u00e9tiers physiques et manuels avec port de charges lourdes, puis reprise encadr\u00e9e des sports d&rsquo;impact et de pivot (course \u00e0 pied, tennis, sports collectifs).<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00a0\u00bb1&Prime; _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_2,1_2&Prime; disabled_on=\u00a0\u00bbon|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_image src=\u00a0\u00bbhttps:\/\/drpinar.fr\/wp-content\/uploads\/2019\/03\/logo-AFCP.png\u00a0\u00bb url=\u00a0\u00bbhttp:\/\/membres.afcp.com.fr\/medias\/telechargements\/fichespatients\/3_INSTABILITE_CHEVILLE_VF.pdf\u00a0\u00bb align_tablet=\u00a0\u00bbcenter\u00a0\u00bb align_phone=\u00a0\u00bb\u00a0\u00bb align_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; max_width=\u00a0\u00bb49%\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb50px||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_image][\/et_pb_column][et_pb_column type=\u00a0\u00bb1_2&Prime; _builder_version=\u00a0\u00bb4.16&Prime; custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_divider color=\u00a0\u00bb#2e3a86&Prime; divider_weight=\u00a0\u00bb3px\u00a0\u00bb disabled_on=\u00a0\u00bboff|off|off\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color_gradient_direction=\u00a0\u00bb90deg\u00a0\u00bb max_width=\u00a0\u00bb100px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb height=\u00a0\u00bb5px\u00a0\u00bb custom_margin=\u00a0\u00bb||20px|\u00a0\u00bb custom_padding=\u00a0\u00bb||20px|\u00a0\u00bb animation_style=\u00a0\u00bbslide\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb locked=\u00a0\u00bboff\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbContact Section Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb36px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Pour aller plus loin<\/h1>\n<p>[\/et_pb_text][et_pb_text admin_label=\u00a0\u00bbContact Section Subtitle\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb text_line_height=\u00a0\u00bb1.9em\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb custom_padding=\u00a0\u00bb|20px|||false|false\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p style=\"text-align: justify;\"><span>Consultez la <a href=\"http:\/\/membres.afcp.com.fr\/medias\/telechargements\/fichespatients\/3_INSTABILITE_CHEVILLE_VF.pdf\">fiche d&rsquo;information m\u00e9dicale<\/a>\u00a0propos\u00e9e par L&rsquo;Association Fran\u00e7aise de Chirurgie du Pied.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row disabled_on=\u00a0\u00bboff|on|on\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bbrgba(12,113,195,0.13)\u00a0\u00bb box_shadow_style=\u00a0\u00bbpreset1&Prime; custom_width_px=\u00a0\u00bb710px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb4_4&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbContact Section Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb36px\u00a0\u00bb text_orientation=\u00a0\u00bbcenter\u00a0\u00bb max_width=\u00a0\u00bb710px\u00a0\u00bb module_alignment=\u00a0\u00bbcenter\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Pour aller plus loin<\/h1>\n<p>[\/et_pb_text][et_pb_image src=\u00a0\u00bbhttps:\/\/drpinar.fr\/wp-content\/uploads\/2019\/03\/logo-AFCP.png\u00a0\u00bb url=\u00a0\u00bbhttp:\/\/membres.afcp.com.fr\/medias\/telechargements\/fichespatients\/3_INSTABILITE_CHEVILLE_VF.pdf\u00a0\u00bb force_fullwidth=\u00a0\u00bbon\u00a0\u00bb align_tablet=\u00a0\u00bbcenter\u00a0\u00bb align_phone=\u00a0\u00bb\u00a0\u00bb align_last_edited=\u00a0\u00bbon|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; 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disabled_on=\u00a0\u00bbon|off|off\u00a0\u00bb admin_label=\u00a0\u00bbFooter\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bb#f4f4f4&Prime; background_image=\u00a0\u00bbhttps:\/\/drpinar.fr\/wp-content\/uploads\/2018\/11\/doctor-02.jpg\u00a0\u00bb parallax=\u00a0\u00bbon\u00a0\u00bb custom_padding=\u00a0\u00bb90px||90px|\u00a0\u00bb saved_tabs=\u00a0\u00bball\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_row column_structure=\u00a0\u00bb1_3,2_3&Prime; use_custom_gutter=\u00a0\u00bbon\u00a0\u00bb gutter_width=\u00a0\u00bb2&Prime; make_equal=\u00a0\u00bbon\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; background_size=\u00a0\u00bbinitial\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb background_repeat=\u00a0\u00bbrepeat\u00a0\u00bb custom_padding=\u00a0\u00bb|||\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_column type=\u00a0\u00bb1_3&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb50px|40px|50px|40px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_text admin_label=\u00a0\u00bbContact US Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb22px\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|0px|0px\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Prendre rendez-vous<\/h1>\n<p>[\/et_pb_text][et_pb_button button_url=\u00a0\u00bbhttps:\/\/www.doctolib.fr\/chirurgien-orthopediste\/paris\/nicolas-pinar\u00a0\u00bb button_text=\u00a0\u00bbcliquez ici\u00a0\u00bb button_alignment=\u00a0\u00bbleft\u00a0\u00bb admin_label=\u00a0\u00bbProject Section Button\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; custom_button=\u00a0\u00bbon\u00a0\u00bb button_text_size=\u00a0\u00bb18px\u00a0\u00bb button_text_color=\u00a0\u00bb#ffffff\u00a0\u00bb button_bg_color=\u00a0\u00bb#71bb70&Prime; button_border_width=\u00a0\u00bb2px\u00a0\u00bb button_border_color=\u00a0\u00bb#6eba01&Prime; button_border_radius=\u00a0\u00bb0px\u00a0\u00bb button_letter_spacing=\u00a0\u00bb2px\u00a0\u00bb button_font=\u00a0\u00bbMontserrat|||on|\u00a0\u00bb button_use_icon=\u00a0\u00bboff\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb button_text_color_hover=\u00a0\u00bb#6eba01&Prime; button_border_color_hover=\u00a0\u00bb#6eba01&Prime; button_border_radius_hover=\u00a0\u00bb0px\u00a0\u00bb button_letter_spacing_hover=\u00a0\u00bb2px\u00a0\u00bb button_bg_color_hover=\u00a0\u00bbrgba(255,255,255,0)\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb button_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_size__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_text_color__hover_enabled=\u00a0\u00bbon\u00a0\u00bb button_text_color__hover=\u00a0\u00bb#6eba01&Prime; button_one_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_text_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_one_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_width__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_color__hover_enabled=\u00a0\u00bbon\u00a0\u00bb button_border_color__hover=\u00a0\u00bb#6eba01&Prime; button_one_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_border_radius__hover_enabled=\u00a0\u00bbon\u00a0\u00bb button_border_radius__hover=\u00a0\u00bb0px\u00a0\u00bb button_one_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_border_radius__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_letter_spacing__hover_enabled=\u00a0\u00bbon\u00a0\u00bb button_letter_spacing__hover=\u00a0\u00bb2px\u00a0\u00bb button_one_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_letter_spacing__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_bg_color__hover_enabled=\u00a0\u00bbon\u00a0\u00bb button_bg_color__hover=\u00a0\u00bbrgba(255,255,255,0)\u00a0\u00bb button_one_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb button_two_bg_color__hover_enabled=\u00a0\u00bboff\u00a0\u00bb][\/et_pb_button][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_text admin_label=\u00a0\u00bbContact US Title\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; text_font_size=\u00a0\u00bb16px\u00a0\u00bb header_font=\u00a0\u00bbMontserrat||||\u00a0\u00bb header_text_color=\u00a0\u00bb#1f1f1f\u00a0\u00bb header_font_size=\u00a0\u00bb22px\u00a0\u00bb custom_padding=\u00a0\u00bb0px|0px|0px|0px\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<h1>Secr\u00e9tariat<\/h1>\n<p>[\/et_pb_text][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe00b;||divi||400&Prime; icon_color=\u00a0\u00bb#71bb70&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb28px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; body_font_size=\u00a0\u00bb16px\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb icon_font_size=\u00a0\u00bb28px\u00a0\u00bb icon_font_size_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>01 57 40 68 73<\/p>\n<p>[\/et_pb_blurb][et_pb_blurb use_icon=\u00a0\u00bbon\u00a0\u00bb font_icon=\u00a0\u00bb&#xe076;||divi||400&Prime; icon_color=\u00a0\u00bb#71bb70&Prime; icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width=\u00a0\u00bb28px\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb admin_label=\u00a0\u00bbEmail\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; body_font_size=\u00a0\u00bb16px\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb icon_font_size=\u00a0\u00bb28px\u00a0\u00bb icon_font_size_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb]<\/p>\n<p>contact@drpinar.fr<\/p>\n<p>[\/et_pb_blurb][et_pb_divider show_divider=\u00a0\u00bboff\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_divider][et_pb_blurb icon_placement=\u00a0\u00bbleft\u00a0\u00bb image_icon_width_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb admin_label=\u00a0\u00bbAddress\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; body_font_size=\u00a0\u00bb16px\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb animation_style=\u00a0\u00bbfold\u00a0\u00bb animation_direction=\u00a0\u00bbbottom\u00a0\u00bb animation_intensity_fold=\u00a0\u00bb20%\u00a0\u00bb icon_font_size_last_edited=\u00a0\u00bboff|desktop\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_blurb][et_pb_social_media_follow admin_label=\u00a0\u00bbFacebook\u00a0\u00bb _builder_version=\u00a0\u00bb4.16&Prime; text_orientation=\u00a0\u00bbcenter\u00a0\u00bb custom_margin=\u00a0\u00bb|||\u00a0\u00bb border_radii=\u00a0\u00bbon|100%|100%|100%|100%\u00a0\u00bb link_shape=\u00a0\u00bbcircle\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][et_pb_social_media_follow_network social_network=\u00a0\u00bblinkedin\u00a0\u00bb url=\u00a0\u00bbhttps:\/\/www.linkedin.com\/in\/nicolas-pinar-75723ab6&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bb#c1c1c1&Prime; custom_margin=\u00a0\u00bb|0px||\u00a0\u00bb bg_color=\u00a0\u00bb#007bb6&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb follow_button=\u00a0\u00bboff\u00a0\u00bb url_new_window=\u00a0\u00bbon\u00a0\u00bb]linkedin[\/et_pb_social_media_follow_network][\/et_pb_social_media_follow][et_pb_social_media_follow _builder_version=\u00a0\u00bb4.16&Prime; global_colors_info=\u00a0\u00bb{}\u00a0\u00bb][\/et_pb_social_media_follow][\/et_pb_column][et_pb_column type=\u00a0\u00bb2_3&Prime; _builder_version=\u00a0\u00bb4.16&Prime; background_color=\u00a0\u00bb#ffffff\u00a0\u00bb background_position=\u00a0\u00bbtop_left\u00a0\u00bb custom_padding=\u00a0\u00bb50px|40px|50px|40px\u00a0\u00bb global_colors_info=\u00a0\u00bb{}\u00a0\u00bb custom_padding__hover=\u00a0\u00bb|||\u00a0\u00bb][et_pb_contact_form captcha=\u00a0\u00bboff\u00a0\u00bb email=\u00a0\u00bbcontact@drpinar.fr\u00a0\u00bb title=\u00a0\u00bbEnvoyer un message.\u00a0\u00bb success_message=\u00a0\u00bbvotre message a bien \u00e9t\u00e9 envoy\u00e9. 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R\u00e9alis\u00e9e en chirurgie ambulatoire sous anesth\u00e9sie locor\u00e9gionale, cette prise en charge mini-invasive permet une reprise d&rsquo;appui imm\u00e9diate prot\u00e9g\u00e9e par attelle ou botte de marche d\u00e8s le jour m\u00eame [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"class_list":["post-169","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v22.3 (Yoast SEO v28.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Chirurgie de l&#039;instabilit\u00e9 lat\u00e9rale chronique de la cheville - Dr Nicolas Pinar<\/title>\n<meta name=\"description\" content=\"Stabilisation de cheville sous arthroscopie par le Dr Nicolas Pinar \u00e0 Neuilly et Levallois. 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