{"id":16705,"date":"2016-09-20T07:00:52","date_gmt":"2016-09-20T11:00:52","guid":{"rendered":"https:\/\/newyorkhipknee.com\/sin-categorizar\/estudio-de-un-caso-de-ferreteria-dolorosa-2\/"},"modified":"2016-09-20T07:00:52","modified_gmt":"2016-09-20T11:00:52","slug":"estudio-de-un-caso-de-ferreteria-dolorosa-2","status":"publish","type":"post","link":"https:\/\/www.newyorkhipknee.com\/es\/casos-practicos\/estudio-de-un-caso-de-ferreteria-dolorosa-2\/","title":{"rendered":"Estudio de un caso de ferreter\u00eda dolorosa"},"content":{"rendered":"

El paciente es un var\u00f3n de 70 a\u00f1os que acudi\u00f3 quej\u00e1ndose de dolor en la cadera derecha. Hab\u00eda declarado que sufr\u00eda este dolor desde hac\u00eda unos a\u00f1os y que hab\u00eda ido empeorando. Hab\u00eda informado de que le hab\u00edan realizado una artroplastia total de cadera<\/a> derecha (ATC) diez a\u00f1os antes en un centro externo.<\/p>\n

En su visita inicial, se determin\u00f3 que el paciente presentaba oste\u00f3lisis de la cadera derecha. Para descartar cualquier infecci\u00f3n, se aconsej\u00f3 a la paciente que se sometiera a un aspirado de la cadera derecha, que inclu\u00eda un hemograma completo, un panel metab\u00f3lico completo, una velocidad de sedimentaci\u00f3n globular y pruebas de prote\u00edna C reactiva.<\/p>\n

Todos los resultados de las pruebas dieron negativo para infecci\u00f3n. Se discutieron todas las opciones con el paciente, pero se le aconsej\u00f3 una revisi\u00f3n de la ATC debido a su estado. Se le inform\u00f3 de los mayores riesgos y de todos los beneficios de la cirug\u00eda de revisi\u00f3n. El paciente hab\u00eda decidido someterse a la operaci\u00f3n y segu\u00eda programando la operaci\u00f3n de revisi\u00f3n de la THA.<\/p>\n

\"pr\u00f3tesis

Las radiograf\u00edas muestran una pr\u00f3tesis total de cadera derecha con lucencia alrededor del componente acetabular<\/p><\/div>\n

\"pr\u00f3tesis

Las radiograf\u00edas muestran una revisi\u00f3n total de la cadera derecha durante la operaci\u00f3n. La pr\u00f3tesis est\u00e1 bien colocada<\/p><\/div>\n

\"pr\u00f3tesis

Las radiograf\u00edas a los seis meses del postoperatorio muestran la pr\u00f3tesis en buena posici\u00f3n<\/p><\/div>\n

Seis meses despu\u00e9s de la cirug\u00eda de revisi\u00f3n de la ATC derecha, la paciente se encuentra bien, soporta peso seg\u00fan lo tolera y tiene una buena amplitud de movimiento. En los seguimientos posteriores, el paciente sigue evolucionando bien y con buen alivio. A continuaci\u00f3n se muestran las im\u00e1genes de varios implantes de pr\u00f3tesis total de cadera de revisi\u00f3n que pueden utilizarse en cirug\u00edas de revisi\u00f3n.<\/p>\n

\"\"

C\u00e1scara acetabular<\/p><\/div>\n

El cotilo acetabular encaja en la cavidad preparada en el acet\u00e1bulo durante la intervenci\u00f3n quir\u00fargica. El recubrimiento de plasma poroso favorece el crecimiento \u00f3seo y los tornillos sujetan el armaz\u00f3n.<\/p>\n

\"\"

La parte proximal del v\u00e1stago femoral modular para la revisi\u00f3n de la pr\u00f3tesis de cadera<\/p><\/div>\n

La parte proximal modular del v\u00e1stago femoral en la imagen superior permite ajustar la anteversi\u00f3n intraoperatoriamente y acoplar un v\u00e1stago largo.<\/p>\n

\"\"

V\u00e1stago distal de un componente femoral modular para pr\u00f3tesis de cadera de revisi\u00f3n<\/p><\/div>\n

El v\u00e1stago estriado largo encaja en la parte proximal del componente femoral modular. El v\u00e1stago transmite la carga distalmente en el f\u00e9mur y la forma estriada ofrece estabilidad rotacional.<\/p>\n

\"\"

Cabeza cer\u00e1mica con manguito adaptador<\/p><\/div>\n

Para las cirug\u00edas de sustituci\u00f3n pueden utilizarse cabezas de cer\u00e1mica o de aleaci\u00f3n met\u00e1lica.<\/p>\n

*Los identificadores y las fechas de los pacientes se han modificado para proteger su intimidad.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

El paciente es un var\u00f3n de 70 a\u00f1os que acudi\u00f3 quej\u00e1ndose de dolor en la cadera derecha. Hab\u00eda declarado que sufr\u00eda este dolor desde hac\u00eda unos a\u00f1os y que hab\u00eda ido empeorando. Hab\u00eda informado de que le hab\u00edan realizado una artroplastia total de cadera derecha (ATC) diez a\u00f1os antes en un centro externo. En su […]<\/p>\n","protected":false},"author":9,"featured_media":16072,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[1080],"tags":[1097],"class_list":["post-16705","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casos-practicos","tag-estudio-monografico"],"yoast_head":"\nEstudio de caso - Hardware doloroso | Dr. Nakul Karkare | NY, EE.UU.<\/title>\n<meta name=\"description\" content=\"El paciente es un var\u00f3n de 70 a\u00f1os que acudi\u00f3 quej\u00e1ndose de dolor en la cadera derecha. 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