http://www.reemplazoprotesico.com.mx/academia/primera-tecnica-quirurgica-del-femur-un-procedimiento-inteligente-no-basado-en-computadoras-para-lograr-la-anteversion-combinada-en-la-artroplastia-total-primaria-de-cadera/
Femur first surgical technique: a smart non-computer-based procedure to achieve the combined anteversion in primary total hip arthroplasty.
Femur first surgical technique: a smart non-computer-based procedure to achieve the combined anteversion in primary total hip arthroplasty.
Fuente
Este artículo es originalmente publicado en:
De:
Loppini M1,2, Longo UG3, Caldarella E4, Rocca AD4, Denaro V3, Grappiolo G4.
Copyright © The Author(s). 2017
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/
), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.AbstractBACKGROUND:
The relevance of prosthetic component orientation to prevent dislocation and impingement following total hip arthroplasty (THA) has been widely accepted. We investigated the use of a non-computer-based surgery to address the reciprocal orientation of the acetabular and femoral components.
CONCLUSIONS:
Femur first technique allows the surgeon to achieve a combined anteversion ranging from 25° to 50° with a cup inclination ranging from 30° to 50°. The cup is positioned according to the functional plane of the patient regardless the preoperative pelvic tilt.
KEYWORDS:
Acetabular inclination; Arthroplasty; Combined anteversion; Femur first; Hip
Resumen
ANTECEDENTES:
La relevancia de la orientación de los componentes protésicos para prevenir la dislocación y el choque después de la artroplastia total de cadera (THA) ha sido ampliamente aceptada. Se investigó el uso de una cirugía no basada en computadoras para abordar la orientación recíproca de los componentes acetabular y femoral.
CONCLUSIONES:
La primera técnica del fémur permite al cirujano lograr una anteversión combinada que oscila entre 25 ° y 50 ° con una inclinación de copa que oscila entre 30 ° y 50 °. La copa se posiciona de acuerdo con el plano funcional del paciente independientemente de la inclinación pélvica preoperatoria.
PALABRAS CLAVE:
Inclinación acetabular; Artroplastia; Anteversión combinada; Fémur primero; Cadera
PMID: 28764697 PMCID: PMC5539744 DOI: 10.1186/s12891-017-1688-9
