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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2023; 64(03): e150-e156
DOI: 10.1055/s-0043-1777826
DOI: 10.1055/s-0043-1777826
Reporte de un caso | Case Report
Actualización en el tratamiento de las lesiones condrales trocleares a propósito de un caso clínico
Article in several languages: español | English
Resumen
Las lesiones osteocondrales de la tróclea femoral son lesiones de difícil y controvertido tratamiento. Dentro de las opciones de manejo, la técnica de microfracturas es una de las más utilizadas, con buenos resultados reportados a corto plazo, no obstante un deterioro evidente al largo plazo. Debido a esto, se han desarrollado distintas técnicas de aumentación que favorecerían una mejor calidad del fibrocartílago formado, para así mejorar los resultados a mediano y largo plazo.
En este reporte se presenta un caso de un paciente de 44 años con una lesión osteocondral en la tróclea femoral manejada con técnica combinada de microfracturas y aumentación con matriz de aloinjerto de cartílago, con buenos resultados clínicos e imagenológicos a 18 meses de seguimiento, y posteriormente se realiza una revisión actualizada de la literatura respecto al tópico.
Publication History
Received: 28 July 2023
Accepted: 30 November 2023
Article published online:
26 December 2023
© 2023. Sociedad Chilena de Ortopedia y 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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