Muñoz-Hernández I, Lima-Romero M, López-Damián E, Lizcano-Suárez A

Language: Spanish
References: 12
Page: 365-369
PDF size: 292.09 Kb.

ABSTRACT

Introduction: the two most used types of prosthesis are posterior cruciate ligament preserving (CR) and posterostabilized (PS). Proponents of CR TKA cited greater stability, greater range of motion, better proprioception, and greater kickback associated with the native posterior cruciate ligament. Objective: to assess the degree of pain, return of mobility and functionality of the joint of patients who had TKA, between the years January 2018 and December 2022 at the Juárez Centro Medical Surgical Unit, using their records as a study unit. Material and methods: observational, descriptive, retrospective and cross-sectional study in patients post-operative with total knee arthroplasty for the treatment of osteoarthritis. The universe studied included 87 patients, of these 22 corresponded to the Juárez Medical Surgical Unit of the Center, post-operated with posterostabilized total knee prosthesis, they were analyzed under the scale proposed by the KSS. Results: the degree of functionality was assessed by the KSS scale, 50% of the patients presented a good clinical assessment and physical examination at the end of rehabilitation, 23% of the patients presented an excellent clinical assessment and physical examination, 23% of the patients presented regular clinical evaluation and physical examination, 4% of patients presented poor clinical evaluation and physical examination. Conclusions: good functional results (73%) were obtained in patients operated by posterostabilized total knee arthroplasty in our Juárez del Centro Medical Surgical Unit.

REFERENCES

1. Guía de Práctica Clínica del Instituto Mexicano del Seguro Social. IMSS-726-14. Prevención, diagnóstico y tratamiento de rehabilitación en el paciente adulto con osteoartrosis de rodilla en los tres niveles de atención. México: Secretaría de Salud; 2014.

2. Chico-Carpizo F, Dominguez-Gasca LG, Orozco-Villasenor SL. Valoración funcional en artroplastía total de rodilla comparando la preservación del ligamento cruzado posterior versus posteroestabilización. Acta Ortop Mex. 2021; 35(1): 69-74.

3. Espinosa-Morales R, Alcántar-Ramírez J, Arce-Salinas CA, Chávez-Espina LM, Esquivel-Valerio JA, Gutiérrez-Gómez JJ et al. Reunión multidisciplinaria de expertos para el diagnóstico y tratamiento de la osteoartritis. Actualización basada en evidencias. Med Interna Méx. 2018; 34(3): 443-76.

4. Flandry F, Hommel G. Normal anatomy and biomechanics of the knee. Sports Med Arthrosc Rev. 2011; 19(2): 82-92.

5. Li N, Tan Y, Deng Y, Chen L. Posterior cruciate-retaining versus posterior stabilized total knee arthroplasty: a meta-analysis of randomized controlled trials. Knee Surg Sports Traumatol Arthrosc. 2014; 22(3): 556-64. Available in: https://doi.org/10.1007/s00167-012-2275-0

6. Kuroda Y, Matsumoto T, Takayama K, Ishida K, Kuroda R, Kurosaka M. Subjective evaluation before and after total knee arthroplasty using the 2011 Knee Society Score. Knee. 2016; 23(6): 964-67.

7. Aguirre CE, Espitia R, Martínez-Villalba D, Fernández HA, Barrera JC, Castillo SA. Reemplazo total primario de rodilla: seguimiento a 6 meses. Rev Colomb Ortop Traumatol. 2014; 28(3): 101-6.

8. Chico-Carpizo F, Dominguez-Gasca LG, Orozco-Villasenor SL. Valoración funcional en artroplastía total de rodilla comparando la preservación del ligamento cruzado posterior versus posteroestabilización. Acta Ortop Mex. 2021; 35(1): 69-74.

9. Martimbianco AL, Calabrese FR, Iha LA, Petrilli M, Lira Neto O, Carneiro Filho M. Reliability of the "American Knee Society Score" (AKSS). Acta Ortop Bras. 2012; 20(1): 34-8.

10. Avellanal M, Diaz-Regañon G, Orts A, Gonzalez-Montero L. Síndrome de prótesis de rodilla dolorosa idiopática: algoritmo de manejo diagnóstico y terapéutico desde una unidad del dolor. Revista Argentina de Anestesiología. 2016; 74(1): 19-23.

11. Bonifacio JP, Costa PM, Yacuzzi CH, Carbo L. Rango de movilidad y resultados funcionales en tres diseños diferentes de artroplastía de rodilla primaria: estudio comparativo. Revista de la Asociación Argentina de Ortopedia y Traumatología. 2016; 81(4): 264-27.

12. Durán C, Juan J, Crispin N, Deyssi. Artroplastía total de rodilla: Evaluación funcional y complicaciones. Traumatología y Ortopedia-Hospital Obrero N ° 1, 2010-2015. Cuad Hosp Clín. 2018; 59(2): 29-35.

EVIDENCE LEVEL

IV