Impacto femoroacetabular e lesão do lábio acetabular – Parte 3: Tratamento cirúrgico^[*]

Resumo

Nos últimos 15 anos, o diagnóstico do impacto femoroacetabular tem se tornado cada vez mais frequente; com o avanço do entendimento de quais pacientes potencialmente se beneficiariam do tratamento cirúrgico, diferentes técnicas foram desenvolvidas. O tratamento cirúrgico inclui grande variedade de opções, sendo elas: osteotomia periacetabular, técnica de luxação cirúrgica do quadril, artroscopia com osteocondroplastia via pequena incisão, técnica via anterior modificada, e técnica exclusivamente artroscópica. O tipo de abordagem deve ser escolhido de acordo com a complexidade da morfologia do impacto femoroacetabular e com o treinamento do cirurgião. As técnicas mais utilizadas atualmente são a artroscopia, a luxação cirúrgica do quadril e a osteotomia periacetabular. O presente artigo busca descrever as principais técnicas cirúrgicas utilizadas para o tratamento do impacto femoroacetabular, suas indicações, vantagens e desvantagens, complicações e resultados clínicos.

Palavras-chave

quadril - impacto femoroacetabular/terapia - impacto femoroacetabular/cirurgia - artroscopia

^* Trabalho realizado no Grupo de Quadril do Departamento de Ortopedia e Traumatologia da Faculdade de Ciências Médicas Santa Casa de Misericórdia de São Paulo (FCMSCSP), São Paulo, SP, Brasil.

Publikationsverlauf

Eingereicht: 20. Februar 2020

Angenommen: 15. April 2020

Publikationsdatum:
20. Oktober 2020 (online)

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