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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2021; 56(03): 320-325
DOI: 10.1055/s-0040-1709198
Artigos Originais
Joelho

Resultado funcional dos pacientes submetidos a artrodese de joelho após artroplastia total infectada[∗]

Article in several languages: português | English
Thiago Vivacqua 
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Rui Moraes
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
João Barretto
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Naasson Cavanelas
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Rodrigo Albuquerque
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
,
Alan Mozella
1   Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil
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Resumo

Objetivo Avaliar de modo retrospectivo o resultado funcional dos pacientes submetidos a artrodese após falha séptica da artroplastia total de joelho.

Métodos Foram avaliados 18 pacientes com tempo médio de 3,7 anos de seguimento. A cirurgia de artrodese foi realizada com placa do tipo dynamic compression plate (DCP) estreita, anterior e medial, ou fixador externo em dois planos da articulação (Orthofix Bone Growth Therapy, Lewisville, TS, EUA), a critério do cirurgião.

Resultados O patógeno mais frequentemente encontrado foi o Staphylococcus aureus sensível a meticilina (38,9%). A discrepância de membros inferiores média foi de 3,63 cm. O da knee society score (KSS) médio foi de 68 pontos. Segundo a escala analógica visual de dor, 44% dos pacientes apresentaram pontuação zero no momento da avaliação, e 22,2% estavam muito insatisfeitos a despeito da consolidação óssea obtida. Os pacientes foram avaliados quanto à capacidade de deambular com ou sem auxílio de apoio.

Conclusão A cirurgia de artrodese do joelho se mostrou eficiente quanto ao controle do processo infeccioso e diminuição das queixas álgicas, porém a satisfação com o procedimento é baixa.

Palavras-chave

artrodese - joelho - artroplastia do joelho - infecção

∗ Trabalho desenvolvido no Instituto Nacional de Traumatologia e Ortopedia Jamill Haddad, Rio de Janeiro, RJ, Brasil.


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Publication History

Received: 23 October 2019

Accepted: 27 January 2020

Article published online:
10 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 commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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