Publication: Controversias en artroplastia total de rodilla
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Date
2015
Authors
Asensio Pascual, AE
Climent Peris, VJ
Cuevas Pérez, A
Domecq Fernández de Bobadilla, G
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Sociedad Andaluza de Traumatología y Ortopedia
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Abstract
La artroplastia total de rodilla (ATR) es una operación que ha mejorado radicalmente la calidad de vida de millones de personas en las últimas décadas. Sin embargo, algunos detalles técnicos, relativos al procedimiento quirúrgico, son todavía un tema de fuerte debate. En esta revisión de la literatura se ha incluido la mejor evidencia al respecto de la última década, sobre algunos de los temas más controvertidos de este procedimiento como el uso de torniquete, gestos quirúrgicos sobre la rótula, bandeja tibial toda de polietileno (all-poly) o con respaldo metálico, la fijación cementada o sin cementar, el uso de platillos móviles, ó la conservación / sustitución del ligamento cruzado posterior.
Total knee replacement (TKR) is an operation that has radically improved the quality of life of millions of people during the last decades. However, some technical details, concerning the surgical procedure, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, related to TKR surgery like the use of tourniquet during operation, patellar resufacing, all-polyethilene tibial component, cemented or cementless fixation, mobile bearings, or posterior-stabilized versus cruciate-retaining prosthesis.
Total knee replacement (TKR) is an operation that has radically improved the quality of life of millions of people during the last decades. However, some technical details, concerning the surgical procedure, are still a matter of a strong debate. In this review of the literature, we have included the best evidence available of the last decade, related to TKR surgery like the use of tourniquet during operation, patellar resufacing, all-polyethilene tibial component, cemented or cementless fixation, mobile bearings, or posterior-stabilized versus cruciate-retaining prosthesis.
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MeSH Terms
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Surgical Procedures, Operative::Prosthesis Implantation::Arthroplasty, Replacement::Arthroplasty, Replacement, Knee
Medical Subject Headings::Publication Characteristics::Publication Formats::Journal Article::Review
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Equipment and Supplies::Tourniquets
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Cementation
Medical Subject Headings::Anatomy::Musculoskeletal System::Ligaments::Ligaments, Articular::Posterior Cruciate Ligament
Medical Subject Headings::Publication Characteristics::Publication Formats::Journal Article::Review
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Equipment and Supplies::Tourniquets
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Cementation
Medical Subject Headings::Anatomy::Musculoskeletal System::Ligaments::Ligaments, Articular::Posterior Cruciate Ligament
DeCS Terms
CIE Terms
Keywords
Artroplastia total de rodilla, Controversias, Revisión literaria, Torniquete, Reemplazo rotuliano, Cementación, Platillos móviles, Ligamento cruzado posterior, Total knee replacement, Controversy, Literature review, Tourniquet, Patellar resurfacing, Cementation, Mobile bearing, Posterior cruciate ligament
Citation
Asensio Pascual AE, Climent Peris VJ, Cuevas Pérez A, Domecq Fernández de Bobadilla G. Controversias en artroplastia total de rodilla. Rev. S. And. Traum. y Ort., 2014; 32 (1/2): 9-24