{"id":16709,"date":"2016-10-04T07:00:05","date_gmt":"2016-10-04T11:00:05","guid":{"rendered":"https:\/\/newyorkhipknee.com\/sin-categorizar\/caso-practico-de-protesis-total-de-rodilla-floja\/"},"modified":"2016-10-04T07:00:05","modified_gmt":"2016-10-04T11:00:05","slug":"caso-practico-de-protesis-total-de-rodilla-floja","status":"publish","type":"post","link":"https:\/\/www.newyorkhipknee.com\/es\/casos-practicos\/caso-practico-de-protesis-total-de-rodilla-floja\/","title":{"rendered":"Caso pr\u00e1ctico de pr\u00f3tesis total de rodilla floja"},"content":{"rendered":"

El paciente es un var\u00f3n de 50 a\u00f1os que acudi\u00f3 quej\u00e1ndose de dolor en la rodilla izquierda. El paciente declar\u00f3 que se le hab\u00eda practicado una artroplastia total de rodilla<\/a> izquierda hace unos a\u00f1os en un centro externo.<\/p>\n

El paciente presentaba una limitaci\u00f3n de la amplitud de movimiento y dolor intenso. El paciente trajo radiograf\u00edas para revisar, como se muestra a continuaci\u00f3n.<\/p>\n

\"Sustituci\u00f3n

Las radiograf\u00edas muestran una pr\u00f3tesis total de rodilla izquierda con lucencia alrededor del componente tibial de la pr\u00f3tesis. Las flechas indican la elucidaci\u00f3n<\/p><\/div>\n

Tras la revisi\u00f3n, la elucubraci\u00f3n observada en las radiograf\u00edas indica un aflojamiento de la pr\u00f3tesis. Se indic\u00f3 a la paciente que se hiciera una aspiraci\u00f3n y an\u00e1lisis de sangre para comprobar si hab\u00eda infecci\u00f3n, y los resultados fueron negativos.<\/p>\n

Se aconsej\u00f3 a la paciente que se sometiera a una revisi\u00f3n de la pr\u00f3tesis en la ATR izquierda y, dado que los resultados de las pruebas dieron negativo para infecci\u00f3n, s\u00f3lo tuvo que ser una reconstrucci\u00f3n en una sola fase. Se comentaron con el paciente todas las opciones y cualquier otra alternativa, junto con todos los riesgos.<\/p>\n

\"Sustituci\u00f3n

Las radiograf\u00edas preoperatorias muestran oste\u00f3lisis y aflojamiento de la pr\u00f3tesis TKA<\/p><\/div>\n

\"Sustituci\u00f3n

Las radiograf\u00edas muestran los cambios postoperatorios de la colocaci\u00f3n de la revisi\u00f3n izquierda TKA<\/p><\/div>\n

En el postoperatorio la paciente ha presentado muy buena evoluci\u00f3n y no experimenta dolor. El paciente tiene una buena amplitud de movimiento y soporta peso seg\u00fan lo tolere.<\/p>\n

\"\"

V\u00e1stago tibial para bandeja tibial modular<\/p><\/div>\n

El v\u00e1stago tibial modular que se muestra en la imagen superior se utiliza en la cirug\u00eda de revisi\u00f3n de rodilla. El v\u00e1stago ayuda a transmitir distalmente la presi\u00f3n sobre el cojinete de polietileno, evitando as\u00ed un desgaste excesivo.<\/p>\n

\"\"

V\u00e1stago femoral corto<\/p><\/div>\n

 <\/p>\n

\"\"

Bandeja tibial modular con aumentos \u00f3seos met\u00e1licos<\/p><\/div>\n

Los aumentos met\u00e1licos que se muestran en la imagen anterior pueden fijarse a la bandeja tibial modular para compensar la p\u00e9rdida \u00f3sea intraoperatoria.<\/p>\n

\"\"

Componente modular de revisi\u00f3n femoral<\/p><\/div>\n

El componente femoral modular utilizado en la cirug\u00eda de revisi\u00f3n de rodilla tiene un accesorio para el v\u00e1stago femoral y aumentos meta\u00f3seos.<\/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 50 a\u00f1os que acudi\u00f3 quej\u00e1ndose de dolor en la rodilla izquierda. El paciente declar\u00f3 que se le hab\u00eda practicado una artroplastia total de rodilla izquierda hace unos a\u00f1os en un centro externo. El paciente presentaba una limitaci\u00f3n de la amplitud de movimiento y dolor intenso. El paciente trajo radiograf\u00edas […]<\/p>\n","protected":false},"author":9,"featured_media":16056,"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-16709","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casos-practicos","tag-estudio-monografico"],"yoast_head":"\nEstudio de caso de pr\u00f3tesis total de rodilla [Free Case Study With Photos]<\/title>\n<meta name=\"description\" content=\"Estudio de caso de reemplazo total de rodilla de un var\u00f3n de 50 a\u00f1os al que tratamos tras sufrir dolor en la rodilla izquierda. 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