Riesgos y beneficios de ATC con abordaje anterior o abordaje postero lateral en coxartrosis según resultados biomecánicos
Fecha
2021
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Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El tratamiento quirúrgico de la coxartrosis sigue siendo controvertido por la variedad de
técnicas utilizadas sin embargo se han publicado buenos resultados postoperatorios, existen
ventajas y desventajas conocidas con ambas técnicas que son importantes analizarse.
Objetivo: Determinar los riesgos y beneficios de la ATC con abordaje anterior o abordaje
posterolateral en el manejo de la coxartrosis según resultados biomecanicos. Metodología:
Estudio de enfoque cuantitativo, de diseño no experimental, de corte transversal de tipo
descriptivo, analítico, retrospectivo. La muestra estará constituida por 81 pacientes
divididos en grupos tratados con abordaje anterior y otro grupo tratados con abordaje
posterolateral. La unidad de análisis será el hospital de especialidades Teodoro Maldonado
Carbo. Se realizará en el periodo del 1 de enero 2019 al 31 de diciembre del 2020. El
resultado funcional se evaluará utilizando el puntaje Harris Hip Score (HHS) y el rango de
movilidad articular de la cadera. Resultados: Se espera describir las características basales
de los pacientes con ATC, establecer los beneficios y los riesgos del tratamiento quirúrgico
con abordaje anterior y abordaje posterolateral, de conocer la correlación entre la edad y el
inicio de la rehabilitación física con los resultados funcionales postoperatorios.
Conclusiones: determinar cuál de las dos técnicas quirúrgicas proporciona mejores
resultados clínicos funcionales.
Palabras clave: coxartrosis, abordaje anterior, abordaje posterolateral, resultado funcional,
complicaciones
The surgical treatment of coxarthrosis is still controversial due to the variety of techniques used, however, good postoperative results have been published, there are known advantages and disadvantages with both techniques that are important to analyze. Objective: To determine the risks and benefits of THA with anterior approach or posterolateral approach in the management of coxarthrosis according to biomechanical results. Methodology: Study with a quantitative approach, non-experimental design, cross-sectional, descriptive, analytical, retrospective. The sample will consist of 81 patients divided into groups treated with an anterior approach and another group treated with a posterolateral approach. The unit of analysis will be the Teodoro Maldonado Carbo specialty hospital. It will be carried out in the period from January 1, 2019 to December 31, 2020. The functional result will be evaluated using the Harris Hip Score (HHS) and the range of hip joint mobility. Results: It is expected to describe the baseline characteristics of patients with THA, establish the benefits and risks of surgical treatment with anterior approach and posterolateral approach, to know the correlation between age and the beginning of physical rehabilitation with postoperative functional results. Conclusions: determine which of the two surgical techniques provides better functional clinical results. Keywords: coxarthrosis, anterior approach, posterolateral approach, functional result, complications
The surgical treatment of coxarthrosis is still controversial due to the variety of techniques used, however, good postoperative results have been published, there are known advantages and disadvantages with both techniques that are important to analyze. Objective: To determine the risks and benefits of THA with anterior approach or posterolateral approach in the management of coxarthrosis according to biomechanical results. Methodology: Study with a quantitative approach, non-experimental design, cross-sectional, descriptive, analytical, retrospective. The sample will consist of 81 patients divided into groups treated with an anterior approach and another group treated with a posterolateral approach. The unit of analysis will be the Teodoro Maldonado Carbo specialty hospital. It will be carried out in the period from January 1, 2019 to December 31, 2020. The functional result will be evaluated using the Harris Hip Score (HHS) and the range of hip joint mobility. Results: It is expected to describe the baseline characteristics of patients with THA, establish the benefits and risks of surgical treatment with anterior approach and posterolateral approach, to know the correlation between age and the beginning of physical rehabilitation with postoperative functional results. Conclusions: determine which of the two surgical techniques provides better functional clinical results. Keywords: coxarthrosis, anterior approach, posterolateral approach, functional result, complications
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Palabras clave
Osteoartritis de la cadera, Sistema de clasificación anatómica, terapéutica, química, Abordaje anterior, Abordaje posterolateral, Complicaciones, Epidemiología descriptiva, Epidemiología analítica, Estudios retrospectivos, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador