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DOI: 10.1055/s-0040-1702951
Acetábulo de dupla mobilidade na artroplastia total do quadril. A experiência de um hospital universitário
Article in several languages: português | English
Resumo
Objetivo Avaliar a incidência de instabilidade protética em uma série consecutiva de 42 casos de artroplastia total do quadril com uso do acetábulo de dupla mobilidade.
Métodos Estudo retrospectivo de 39 pacientes que passaram por artroplastia total de quadril (ATQ) primária ou de revisão usando taça de dupla mobilidade (TDM) acetabular entre janeiro de 2012 e janeiro de 2018. Foram avaliadas as taxas de complicações e de instabilidade após a cirurgia.
Resultados Foram feitas 42 artroplastias em 38 pacientes, com um seguimento mínimo de 16 meses. A média de idade da amostra foi de 60 anos. Em 38 casos, usamos TDM sem cimento, e nos outros 4 casos, TDM cimentada. Não houve instabilidade precoce ou tardia.
Conclusão A série aqui apresentada prova o bom resultado da TDM em artroplastias primárias, casos complexos e complicados de falha de osteossíntese de fratura proximal do fêmur, e cirurgia de revisão por instabilidade na ATQ. A falta de episódios de instabilidade prostética e complicações em casos complexos de ATQ primária ou de revisão aumentou a confiança nesse conceito.
Palavras-chave
artroplastia - quadril - prótese de quadril - taça de dupla mobilidade - taxa de luxação - instabilidade articularPublication History
Received: 20 August 2019
Accepted: 12 December 2019
Article published online:
08 June 2020
© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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