Article information
Más del 50% de los casos de caderas inestables se pueden resolver mediante la reducción cerrada de la luxación. Un intento sistemático para entender la causa de la inestabilidad, normalmente suele conducir a un tratamiento eficaz del problema cuando hace falta cirugía. Los componentes constreñidos o de retención han mejorado las posibilidades de resolver los problemas difíciles de inestabilidad, pero los efectos negativos potenciales de estos componentes deben tenerse también en cuenta. Los implantes tripolares, cuyos resultados clínicos en la literatura son muy alentadores, ocupan un lugar de elección en el arsenal terapéutico de la inestabilidad protética.
Palabras clave:
cadera
prótesis
luxación
recidivante
Over 50% of unstable hip cases can be solved by carrying out a closed reduction of the dislocation. A systematic attempt to understand the cause of the instability, normally results in an efficient treatment of the condition in cases where surgery is required. Constrained – also known as retentive – components have enhanced the possibilities of addressing difficult instability problems, although the potential negative effects of these implants also need to be considered. Tripolar implants, whose clinical results are very encouraging according to the literature, should occupy a prominent place among the therapeutic options available for prosthetic instability.
Key words:
hip
prosthesis
dislocation
recurrent
Full text is only aviable in PDF
Bibliografía
[1.]
M.B. Wroblweski.
Long-term results of low friction arthroplasty. Curso de artroplastias.
[2.]
J.L. Masonis, R.B. Bourne.
Surgical approach, abductor function and total hip arthroplasty dislocation.
Clin Orthop, 405 (2002), pp. 46-53
[3.]
J.N. Katz, E. Losina, J. Barrett, C.B. Phillips, N.N. Mahomed, R.A. Lew, et al.
Association between hospital and surgeon, procedure volume and outcomes of total hip replacement in the United States medicare population.
J Bone Joint Surg Am, 83A (2001), pp. 1622-1629
[4.]
P.M. Mahoney CR Pellici.
Complicaciones de la artroplastia total de cadera primaria: cómo evitar y tratar las luxaciones. En: Orthopaedic Knowledge Update. Ed Koval. Edición en español.
Extremidades inferiores, (2004), pp. 39-49
[5.]
L. Munuera.
Luxación de la Prótesis Total de Cadera. En: Luxaciones. Curso Básico Fundación SECOT.
pp. 255-263
[6.]
J.J. Callaghan.
Recurrent dislocation: constrained sockets are the answer. In the affirmative. Current Concepts in Joint Replacement.
[7.]
E. García-Cimbrelo, L. Munuera.
Dislocation in low friction arthroplasty.
J. Arthroplasty, 7 (1992), pp. 149-154
[8.]
D.J. Berry.
Unstable total hip arthroplasty: prevention and management.
Hip, (2002), pp. 291-293
[9.]
T.S. Thornhill.
Dislocation: Prevention is easier than the cure. Current Concepts in Joint Replacement.
[10.]
A. Maestro, M.A. Suárez, J. Martínez, et al.
La selección del implante en la artroplastia total de cadera. Planificación preoperatoria. En Artroplastias no cementadas de Cadera.
Servicio de Publicaciones Universidad de Oviedo, (1997), pp. 41-52
[11.]
N. Olmedo-García, F. López-Prats.
Planificación preoperatoria de la artroplastia total de cadera no cementada. En: Patología de la cadera en el adulto. Curso Básico Fundación SECOT.
Alicante, (2004), pp. 175-181
[12.]
C.B. Sledge, J.B. Sledge.
Planificación. En: Máster en Cirugía Ortopédica. Cadera.
pp. 211-216
[13.]
T.P. Sculco.
Abordaje posterior. En: Máster en Cirugía Ortopédica. Cadera.
pp. 3-14
[14.]
A. Murcia-Mazón.
Influencia de la vía de abordaje en el resultado de la cirugía del aparato locomotor. Manejo pre intra y postoperatorio del enfermo quirúrgico.
pp. 283-291
[15.]
M.C. Dixon, R.D. Scout, P.A. Schai, V. Stamos.
A simple capsulorraphy in a posterior approach for total hip arthroplasty.
J Arthroplasty, 19 (2004), pp. 373-376
[16.]
M. Cabanela.
Dislocation after THA: Avoidance and management. The Hip Society. Thirty-Third Open Meeting of the Hip Society.
AAOS Washington Course, 362 (2005), pp. 8-12
[17.]
P. Deroche.
Hip Prostheses and information for patients. En: Arthroplastie Totale de Hanche. Quelle sera la prothèse du 21me siecle.
pp. 351-359
[18.]
M.A. Ritter.
Dislocation and subluxation of the total hip replacement.
Clin Orthop, 121 (1976), pp. 92
[19.]
L.D. Dorr, A.W. Wolf, R.W. Chandler, J.P. Conventry.
Classification and treatment of dislocation of total hip arthroplasty.
Clin Orthop, 173 (1983), pp. 151-158
[20.]
C.L. Vosburgh, J.B. Vosburgh.
Closed reduction of total hip arthroplasty dislocation. The Tulsa technique.
J Arthroplasty, 10 (1995), pp. 693-694
[21.]
U. Hedlundh, L. Sanzén, H. Fredin.
The prognosis and treatment of dislocated total hip arthroplasties with a 22 mm head. J.
Bone Joint Surg Br, 79B (1997), pp. 374-378
[22.]
A. Joshil, C.M. Lee, L. Marcowic, et al.
Prognosis of dislocation after total hip arthroplasty.
J Arthroplasty, 13 (1998), pp. 17-21
[23.]
P.J. Daly, B.F. Morrey.
Operative correction of the unstable total hip arthroplasty.
J Bone Joint Surg Am, 74A (1992), pp. 1334-1343
[24.]
G.A. Fraser, M.B. Wroblewski.
Revision of the Charnley lowfriction arthroplasty for recurrent or irreducible dislocation.
J Bone Joint Surg Br, 63B (1981), pp. 552-555
[25.]
S. Olerud, G. Karlström.
Recurrent dislocation after total hip replacement. Treatment by fixing and additional sector to the acetabular component. J.
Bone Joint Surg Br, 67B (1985), pp. 402-405
[26.]
A. Ekelund.
Trochanteric osteotomy for recurrent dislocation of total hip arthroplasty.
J Arthroplasty, 8 (1993), pp. 629-632
[27.]
M.D. Earll, T.K. Fehring, W.L. Griffin, J.B. Mason, T. McLay, S. Odum.
Success rate of modular component exchange for the treatment of an unstable total hip arthroplasty.
J Arthroplasty, 17 (2002), pp. 864-869
[28.]
S.D. Toomey, R.H. Hopper, J.P. McAuley, C.A. Engh.
Modular component exchange for treatment of recurrent dislocation of a total hip replacement in selected patients.
J Bone Joint Surg Am, 83A (2001), pp. 1529-1533
[29.]
S.B. Zelicof, R.D. Scott.
Abstract: Conversion to bipolar arthroplasty for the treatment of recurrent total hip dislocations: A two-to-seven-year follow-up study. 59th Annual Meeting Procedings.
Rosemont, IL, American Academy of Orthopaedic Surgeons, (1992), pp. 69
[30.]
M.D. Ries, J.D. Wiedel.
Bipolar hip arthroplasty for recurrent dislocation after total hip arthroplasty. A report of three cases.
Clin Orthop, 278 (1992), pp. 121
[31.]
W.G. Paprosky.
Recurrent dislocation: constrained sockets are the answer. In Opposition. Current Concepts in Joint Replacement.
[32.]
D.D. Goetz, W.N. Capello, J.J. Callaghan, I.D. Brown, R.C. Johnston.
Salvage of a recurrently dislocating total hip protesis with use of a constrained acetabular component: a retrospective analysis of fifty-six cases.
J Bone Joint Surg Am, 80A (1998), pp. 502-509
[33.]
M.J. Anderson, W.R. Murray, H.B. Skinner.
Constrained acetabular components.
J Arthroplasty, 9 (1994), pp. 17-23
[34.]
P. Grigoris, M.J. Grecula, H.C. Amstutz.
Tripolar hip replacement for recurrent prosthetic dislocation.
Clin Orthop, 304 (1994), pp. 148-155
[35.]
D.J. Berry.
Unstable total hip arthroplasty: detailed overview.
Instructional Course Lectures, 50 (2001), pp. 265-274
[36.]
E. Farizon, et al.
Results with a cementless alumina-coated cup with dual mobility. A twelve-year follow-up study.
Int Orthop (SICOT), 22 (1998), pp. 219-224
Copyright © 2006. Sociedad Española de Cirugia Ortopédica y Traumatología (SECOT)
