Article information
Abstract
There are numerous reports on successful results for total hip replacement being achieved through preoperative planning. However, none of these reports have been focused on the treatment of hip fractures. Preoperative planning has increased importance in this group of patients as the correct biomechanical reconstruction of the hip is made more difficult by the absence of an intact femur.
This report describes a method for preoperative planning based on the reproduction of the biomechanics of the intact contralateral hip, if and when it is anatomically normal. The plan is based on radiological measurements that are reproduced during surgery to achieve normal biomechanical reconstruction for the fractured hip.
Keywords:
Hip fracture
Hip arthroplasty
Preoperative planning
Resumen
Existen numerosas publicaciones sobre la planificación preoperatoria en los reemplazos de cadera electivos con resultados satisfactorios. Sin embargo, ninguna de ellas se ha enfocado para el tratamiento de las fracturas de cadera. La planificación aumenta su importancia en estos pacientes debido a que la reconstrucción de la biomecánica de la cadera se ve dificultada por la ausencia de un fémur intacto.
En este trabajo se describe un método de planificación preoperatoria basado en la reproducción de la biomecánica de la cadera contralateral no fracturada, siempre y cuando ésta sea anatómicamente normal. El plan registra medidas radiológicas que se reproducen durante la cirugía para lograr una reconstrucción de la biomecánica normal de la cadera fracturada.
Palabras clave:
Fractura de cadera
Artroplastia de cadera
Planificación preoperatoria
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