{"id":141496,"date":"2025-11-04T08:24:33","date_gmt":"2025-11-04T08:24:33","guid":{"rendered":"https:\/\/kinamihealth.com\/?p=141496"},"modified":"2026-10-15T15:04:59","modified_gmt":"2026-10-15T15:04:59","slug":"injections-orthopediques-genou","status":"publish","type":"post","link":"https:\/\/kinamihealth.com\/ca-fr\/blog\/injections-orthopediques-genou\/","title":{"rendered":"Les injections orthop\u00e9diques pour le genou peuvent-elles remplacer la chirurgie?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Le genou est l\u2019articulation la plus souvent touch\u00e9e par l\u2019arthrose, et la proth\u00e8se totale du genou est l\u2019une des chirurgies orthop\u00e9diques les plus courantes au Canada. Les d\u00e9lais d\u2019attente pour cette chirurgie peuvent \u00eatre longs dans plusieurs provinces, et beaucoup de patients se demandent si les injections pourraient les aider \u00e0 la retarder, voire \u00e0 l\u2019\u00e9viter. La r\u00e9ponse d\u00e9pend surtout du stade de l\u2019arthrose et des objectifs du patient.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Comprendre les injections orthop\u00e9diques pour le genou<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Les injections au genou administrent un produit directement dans l\u2019articulation. Les principales options sont:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Les corticost\u00e9ro\u00efdes<\/strong>, pour calmer rapidement l\u2019inflammation et l\u2019enflure.<\/li>\n\n\n\n<li><strong>Les viscosuppl\u00e9ments d\u2019acide hyaluronique<\/strong>, souvent appel\u00e9s injections de gel, pour r\u00e9tablir la lubrification et l\u2019amortissement.<\/li>\n\n\n\n<li><strong>Les produits combin\u00e9s<\/strong> comme <a href=\"https:\/\/kinamihealth.com\/ca-fr\/brand\/cingal\/\">CINGAL\u00ae<\/a>, qui associent acide hyaluronique et corticost\u00e9ro\u00efde.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Le plasma riche en plaquettes (PRP)<\/strong>, pr\u00e9par\u00e9 \u00e0 partir du sang du patient.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Quand recommande-t-on une injection au genou?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37-1024x683.jpeg\" alt=\"\" class=\"wp-image-123789\" srcset=\"https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37-1024x683.jpeg 1024w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37-300x200.jpeg 300w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37-768x512.jpeg 768w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37-600x400.jpeg 600w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37-64x43.jpeg 64w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-37.jpeg 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Les injections sont g\u00e9n\u00e9ralement envisag\u00e9es pour l\u2019arthrose l\u00e9g\u00e8re \u00e0 mod\u00e9r\u00e9e du genou lorsque la douleur persiste malgr\u00e9 l\u2019exercice, la physioth\u00e9rapie, la gestion du poids et les m\u00e9dicaments oraux ou topiques. Elles servent aussi \u00e0 ma\u00eetriser les pouss\u00e9es avec enflure, ou \u00e0 soulager les patients qui attendent une chirurgie ou qui ne peuvent pas \u00eatre op\u00e9r\u00e9s en raison de leur \u00e9tat de sant\u00e9.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Le fonctionnement des injections de gel au genou<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Dans l\u2019arthrose du genou, l\u2019acide hyaluronique du liquide articulaire devient moins concentr\u00e9 et moins visqueux: l\u2019articulation perd une partie de sa lubrification et de son amortissement. La viscosuppl\u00e9mentation r\u00e9tablit ces propri\u00e9t\u00e9s. Au Canada, les cliniciens peuvent choisir entre:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Les produits en injection unique<\/strong> comme <a href=\"https:\/\/kinamihealth.com\/ca-fr\/brand\/monovisc\/\">MONOVISC\u00ae<\/a>, <a href=\"https:\/\/kinamihealth.com\/ca-fr\/brand\/durolane\/\">DUROLANE\u00ae<\/a> et SYNVISC-ONE\u00ae, qui permettent un traitement en une seule visite.<\/li>\n\n\n\n<li><strong>Les protocoles \u00e0 injections multiples<\/strong> comme <a href=\"https:\/\/kinamihealth.com\/ca-fr\/brand\/orthovisc\/\">ORTHOVISC\u00ae<\/a> et <a href=\"https:\/\/kinamihealth.com\/ca-fr\/brand\/synvisc\/\">SYNVISC\u00ae<\/a>, administr\u00e9s une fois par semaine pendant plusieurs semaines.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Le soulagement appara\u00eet graduellement sur quelques semaines et peut durer jusqu\u2019\u00e0 six mois ou plus chez les patients admissibles.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Injections ou chirurgie: la comparaison<\/h2>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Crit\u00e8re<\/strong><\/td><td><strong>Injections<\/strong><\/td><td><strong>Proth\u00e8se du genou<\/strong><\/td><\/tr><tr><td>Caract\u00e8re invasif<\/td><td>Peu invasif, quelques minutes<\/td><td>Chirurgie majeure sous anesth\u00e9sie<\/td><\/tr><tr><td>R\u00e9cup\u00e9ration<\/td><td>De 24 \u00e0 48 heures de repos relatif<\/td><td>Plusieurs semaines \u00e0 plusieurs mois de r\u00e9adaptation<\/td><\/tr><tr><td>Dur\u00e9e de l\u2019effet<\/td><td>Des semaines \u00e0 des mois, renouvelable<\/td><td>Durable, souvent de nombreuses ann\u00e9es<\/td><\/tr><tr><td>Indication privil\u00e9gi\u00e9e<\/td><td>Arthrose l\u00e9g\u00e8re \u00e0 mod\u00e9r\u00e9e<\/td><td>Arthrose avanc\u00e9e avec douleur et incapacit\u00e9 importantes<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Les injections ne reconstruisent pas le cartilage et ne peuvent pas inverser une arthrose avanc\u00e9e. Toutefois, chez beaucoup de patients atteints d\u2019arthrose l\u00e9g\u00e8re \u00e0 mod\u00e9r\u00e9e, elles peuvent ma\u00eetriser suffisamment les sympt\u00f4mes pour reporter la chirurgie et maintenir une vie active.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Efficacit\u00e9 et dur\u00e9e des injections au genou<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Les corticost\u00e9ro\u00efdes:<\/strong> soulagement souvent en quelques jours, qui dure de quelques semaines \u00e0 quelques mois.<\/li>\n\n\n\n<li><strong>Les viscosuppl\u00e9ments:<\/strong> soulagement graduel sur quelques semaines, qui peut durer jusqu\u2019\u00e0 six mois ou plus.<\/li>\n\n\n\n<li><strong>Les produits combin\u00e9s:<\/strong> visent un soulagement \u00e0 la fois rapide et plus durable.<\/li>\n\n\n\n<li><strong>Le PRP:<\/strong> am\u00e9lioration graduelle, avec des r\u00e9sultats qui varient selon les protocoles.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Notre article sur <a href=\"https:\/\/kinamihealth.com\/ca-fr\/blog\/injection-douleur-orthopedique-la-plus-rapide\/\">l\u2019injection qui agit le plus vite<\/a> compare leur rapidit\u00e9 d\u2019action.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Choisir la bonne injection de gel pour le genou<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Le choix du produit d\u00e9pend de l\u2019\u00e9valuation du clinicien, du nombre de visites souhait\u00e9 par le patient, des caract\u00e9ristiques du produit (poids mol\u00e9culaire, r\u00e9ticulation, volume) et de la couverture par l\u2019assurance priv\u00e9e. Certains produits contiennent de l\u2019acide hyaluronique d\u2019origine aviaire et ne conviennent pas aux personnes allergiques aux prot\u00e9ines aviaires. Les cliniques peuvent comparer tous les produits dans notre cat\u00e9gorie <a href=\"https:\/\/kinamihealth.com\/ca-fr\/product-category\/orthopedic-injections\/\">injections orthop\u00e9diques<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Comment optimiser les r\u00e9sultats apr\u00e8s une injection au genou<\/h2>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"1024\" height=\"681\" src=\"https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36-1024x681.jpeg\" alt=\"\" class=\"wp-image-123790\" srcset=\"https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36-1024x681.jpeg 1024w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36-300x200.jpeg 300w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36-768x511.jpeg 768w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36-600x399.jpeg 600w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36-64x43.jpeg 64w, https:\/\/kinamihealth.com\/wp-content\/uploads\/2025\/11\/image-36.jpeg 1060w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Renforcer les quadriceps et les muscles de la hanche gr\u00e2ce \u00e0 un programme de physioth\u00e9rapie.<\/li>\n\n\n\n<li>Choisir des activit\u00e9s \u00e0 faible impact comme la marche, le v\u00e9lo, la natation ou l\u2019aquaforme.<\/li>\n\n\n\n<li>Maintenir un poids sant\u00e9: chaque kilo perdu r\u00e9duit la charge sur le genou.<\/li>\n\n\n\n<li>Porter des chaussures stables et des crampons sur les trottoirs l\u2019hiver.<\/li>\n\n\n\n<li>Suivre les consignes de <a href=\"https:\/\/kinamihealth.com\/ca-fr\/blog\/soins-apres-injection-orthopedique\/\">soins apr\u00e8s une injection orthop\u00e9dique<\/a>.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">References<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Surakanti, A., et al. (2023). Surgical versus non-surgical treatments for the knee: A comparison of intra-articular injections and surgery outcomes in knee osteoarthritis.&nbsp;<em>Journal of Orthopaedics and Sports Medicine<\/em>.&nbsp;<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10010196\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10010196\/<\/a><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10010196\/\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a>\u200b<\/li>\n\n\n\n<li>Top Doctors. (2020). Knee injections vs knee replacement surgery: Which is best?&nbsp;<em>Top Doctors Medical Articles<\/em>.&nbsp;<a href=\"https:\/\/www.topdoctors.co.uk\/medical-articles\/knee-injections-vs-knee-replacement-surgery-which-is-best\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.topdoctors.co.uk\/medical-articles\/knee-injections-vs-knee-replacement-surgery-which-is-best\/<\/a><a href=\"https:\/\/www.topdoctors.co.uk\/medical-articles\/knee-injections-vs-knee-replacement-surgery-which-is-best\/\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a>\u200b<\/li>\n\n\n\n<li>Medical News Today. (2022). Knee injection therapy: Understanding knee injections and surgery options for osteoarthritis.&nbsp;<em>Medical News Today<\/em>.&nbsp;<a href=\"https:\/\/www.medicalnewstoday.com\/articles\/310606\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.medicalnewstoday.com\/articles\/310606<\/a><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/310606\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a>\u200b<\/li>\n\n\n\n<li>Scripps Health. (2024). Knee injection vs. knee replacement surgery: Which is right for you?&nbsp;<em>Scripps.org<\/em>.&nbsp;<a href=\"https:\/\/www.scripps.org\/news_items\/7184-knee-injection-vs-knee-replacement-surgery-which-is-right-for-you\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.scripps.org\/news_items\/7184-knee-injection-vs-knee-replacement-surgery-which-is-right-for-you<\/a><a href=\"https:\/\/www.scripps.org\/news_items\/7184-knee-injection-vs-knee-replacement-surgery-which-is-right-for-you\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a>\u200b<\/li>\n\n\n\n<li>Florida OrthoCare. (2024). Cortisone shots vs. knee surgery: Benefits and considerations.&nbsp;<em>Florida OrthoCare<\/em>.&nbsp;<a href=\"https:\/\/florthocare.com\/knee-pain\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/florthocare.com\/knee-pain\/<\/a><a href=\"https:\/\/florthocare.com\/knee-pain\/\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a>\u200b<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Le genou est l\u2019articulation la plus souvent touch\u00e9e par l\u2019arthrose, et la proth\u00e8se totale du genou est l\u2019une des chirurgies orthop\u00e9diques les plus courantes au Canada. Les d\u00e9lais d\u2019attente pour cette chirurgie peuvent \u00eatre longs dans plusieurs provinces, et beaucoup de patients se demandent si les injections pourraient les aider \u00e0 la retarder, voire \u00e0 [&hellip;]<\/p>\n","protected":false},"author":24,"featured_media":123776,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[6546],"tags":[],"class_list":["post-141496","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-injections-orthopediques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Injections au genou: une option \u00e0 la chirurgie? | Kinami Health<\/title>\n<meta name=\"description\" content=\"Injections de gel, cortisone ou proth\u00e8se du genou? Fonctionnement des injections contre l\u2019arthrose, dur\u00e9e des r\u00e9sultats et moment o\u00f9 la chirurgie devient pr\u00e9f\u00e9rable.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kinamihealth.com\/ca-fr\/wp-json\/wp\/v2\/posts\/141496\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Injections au genou: une option \u00e0 la chirurgie? | Kinami Health\" \/>\n<meta property=\"og:description\" content=\"Injections de gel, cortisone ou proth\u00e8se du genou? 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