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2018, Número 3

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Ortho-tips 2018; 14 (3)


Fracturas periprotésicas de rodilla

González UH

Idioma: Español
Referencias bibliográficas: 27
Paginas: 131-139
Archivo PDF: 153.62 Kb.


RESUMEN

Existe un alto índice de complicaciones (que va del 25 al 75%), ya sea que se presenten durante la cirugía o no. De éstas, de 0.3 a 5.5% ocurren durante la cirugía primaria y 30% en la de revisión. Las fracturas periprotésicas pueden presentarse en la patela (0.6%), tibia (0.3% a 0.5%) o fémur (0.3% a 2.5%). Debemos conocer los factores de riesgo para que se presente una fractura periprotésica de rodilla, ya sea en el transoperatorio o el postoperatorio. Hay que utilizar los diferentes sistemas de clasificación para establecer el tratamiento adecuado para ese tipo de fractura. Siempre es bueno entrar con más de una opción de osteosíntesis o revisión, ya que este tipo de cirugías son muy demandantes en el transoperatorio y puede ser necesario tener un plan A, B, C, etcétera.


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