Resolución quirúrgica de ruptura de ligamento cruzado anterior con aloinjerto de tendón de Aquiles. Algoritmo diagnóstico - terapéutico
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2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La rodilla es una articulación diartrósica de carga, es vulnerable a lesiones graves de sus múltiples ligamentos tal como: colateral medial, colateral lateral, cruzado anterior y cruzado posterior. En el trabajo que incluye 20 pacientes a quienes se les realizó pruebas especiales en el examen físico (Cajón Anterior) y exámenes complementarios (RMN), diagnosticándoles ruptura del LCA y fueron intervenidos por medio de técnica Artroscópica de Mono Túnel con Aloinjerto del Tendón de Aquiles con sistema de Suspensión Femoral y Tornillo Interferencial Tibial. El objetivo es demostrar el éxito logrado con una técnica quirúrgica artroscópica simple y eficiente elaborando un Algoritmo diagnóstico-terapéutico desde la emergencia hasta el alta definitiva. Se trata de un estudio no experimental, observacional directo, y longitudinal. Describe los resultados obtenidos, como la rápida integración física del paciente, el leve dolor postquirúrgico, el no uso de inmovilizador de rodilla, el control técnico quirúrgico del Aloinjerto y en el menor tiempo hospitalario. Detallar la reconstrucción del LCA mediante un procedimiento quirúrgico mínimamente invasivo, de bajo costo, enumerar los pasos a seguir hacia el éxito absoluto de manera fácil y rápida. No fracasos ni complicaciones como rechazo del Aloinjerto, infección, rigidez articular e inestabilidad de la rodilla.
The knee is a joint diartrósica load is vulnerable to serious injury of his multiple ligaments as: medial collateral, lateral collateral, anterior cruciate and posterior cruciate. Present a work that includes 20 patients who underwent special tests in the (Pivot Shift) physical examination and additional tests (MRI), diagnosticándoles ACL tear and were operated by arthroscopic technique Mono Tunnel with allograft Achilles Tendon with Suspension system femoral and tibial interference screw. This is a non-experimental, observational direct, and longitudinal study. Our goal is to demonstrate the success achieved with a simple and efficient arthroscopic surgical technique developing a diagnostic-therapeutic algorithm from emergence until final discharge. We describe the results, such as rapid physical integration of the patient, mild postoperative pain, no use of knee immobilizer, surgical technician allograft control and less hospital time. Detail the ACL reconstruction using a minimally invasive surgical procedure, low cost, listing the steps towards the complete success easily and quickly. We did not get either failures and complications such as allograft rejection, infection, joint stiffness and / or instability of the knee.
The knee is a joint diartrósica load is vulnerable to serious injury of his multiple ligaments as: medial collateral, lateral collateral, anterior cruciate and posterior cruciate. Present a work that includes 20 patients who underwent special tests in the (Pivot Shift) physical examination and additional tests (MRI), diagnosticándoles ACL tear and were operated by arthroscopic technique Mono Tunnel with allograft Achilles Tendon with Suspension system femoral and tibial interference screw. This is a non-experimental, observational direct, and longitudinal study. Our goal is to demonstrate the success achieved with a simple and efficient arthroscopic surgical technique developing a diagnostic-therapeutic algorithm from emergence until final discharge. We describe the results, such as rapid physical integration of the patient, mild postoperative pain, no use of knee immobilizer, surgical technician allograft control and less hospital time. Detail the ACL reconstruction using a minimally invasive surgical procedure, low cost, listing the steps towards the complete success easily and quickly. We did not get either failures and complications such as allograft rejection, infection, joint stiffness and / or instability of the knee.
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Rodilla, Lesiones del ligamento cruzado anterior, Trasplante homólogo, Tendón calcáneo, Algoritmo de diagnóstico, Cantón Guayaquil, Ecuador, Aloinjertos