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DOI: 10.1055/s-0042-1757304
Causas de revisão de artroplastias totais do joelho em um hospital terciário no Brasil
Artikel in mehreren Sprachen: português | English
Resumo
Objetivo Identificar as causas de revisão de artroplastia total do joelho em um centro de referência no Brasil.
Métodos Trata-se de uma série de casos, com 80 pacientes submetidos à cirurgia de revisão de artroplastia total do joelho (RATJ) em um centro de referência em cirurgia do joelho, no período entre agosto de 2019 e novembro de 2021, com média de idade de 69,6 anos. Desses pacientes, 60,23% eram do sexo feminino e 39,77% do sexo masculino. O índice de massa corporal (IMC) médio foi de 30,23 kg/m2. As causas de falha da ATJ foram definidas como: infecção periprotética conforme critérios do 2018 Internacional Consensus Meeting, instabilidade ligamentar, limitação de arco de movimento, fratura periprotética, mal alinhamento, soltura asséptica, dor devido à não substituição da cartilagem patelar, desgaste do polietileno, fratura dos implantes, insuficiência do mecanismo extensor.
Resultados A infecção articular periprotética (IAP) foi a principal causa de revisão de artroplastia total do joelho (ATJ), correspondendo a 47,73% dos casos. A soltura asséptica de um ou mais componentes representou o segundo motivo mais frequente para causa de falha de ATJ, acarretando 35,23% das revisões. Limitação do arco de movimento representou a terceira mais frequente causa, sendo responsável por 5,68% das cirurgias. Instabilidade foi a 4ª razão mais frequente para RATJ, ocorrendo em 4,55% dos pacientes. As demais causas de revisão foram: fratura periprotética (3,41%), insuficiência por ruptura do mecanismo extensor (2,27%), dor atribuída à não substituição da cartilagem patelar (1,14%).
Conclusões A infecção articular periprotética foi a causa mais frequente de revisão de ATJ em nossa série. Outras razões de falhas de ATJ foram, em ordem decrescente: soltura asséptica, limitação do arco de movimento e instabilidade.
Trabalho desenvolvido no Instituto Nacional de Traumatologia e Ortopedia (INTO), Rio de Janeiro, RJ, Brasil.
Publikationsverlauf
Eingereicht: 19. April 2022
Angenommen: 17. August 2022
Artikel online veröffentlicht:
07. Dezember 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
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