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ISSN 1561-3100 (Impreso)

2021, Número 2

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Revista Cubana de Ortopedia y Traumatología 2021; 35 (2)


Comparación de resultados entre el abordaje anterior y posterior en la artroplastia total de cadera

Tabares NHI, Díaz QJM, Tabares SH, Morales SR

Idioma: Español
Referencias bibliográficas: 44
Paginas: 1-17
Archivo PDF: 416.68 Kb.


RESUMEN

Introducción: Existe una gran controversia con respecto a la existencia de un abordaje quirúrgico óptimo para artroplastia de cadera. El énfasis actual en la investigación ha sido examinar las posibles diferencias en los resultados funcionales entre el abordaje anterior y el abordaje posterior.
Objetivo: Comparar las medidas de resultado informadas por los pacientes sometidos a artroplastia total de cadera, mediante abordajes anterior y posterior.
Métodos: Se realiza una búsqueda sobre el tema en la base de datos PubMed entre los años 2010-2020 en inglés con los términos: “comparación entre abordaje anterior y abordaje posterior de la cadera”, “abordaje anterior directo de la cadera”, “abordaje posterior de la cadera”, y “resultados de artroplastia de la cadera mediante abordajes anterior y posterior”.
Análisis y síntesis de la información: El abordaje anterior muestra una mayor mejora en la velocidad de la marcha, la longitud del paso y la simetría de la marcha, en comparación con el abordaje posterior para artroplastia de cadera al mes después de la operación. A los cuatro meses estas características de la marcha no fueron diferentes, pero los resultados de algunas pruebas funcionales fueron superiores en los pacientes intervenidos por abordaje anterior.
Conclusiones: La elección del abordaje quirúrgico para artroplastia de cadera debe basarse en los factores del paciente, la preferencia del cirujano y su experiencia.


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