Artroplastia total de cadera en dos instituciones ortopédicas de Cuba

Tiemure Wu, Horacio Inocencio Tabares Neyra

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Resumen

Introducción: La artroplastia total de cadera se considera un procedimiento seguro y eficaz que alivia el dolor, y mejora la salud física y la calidad de vida en los pacientes.

Objetivos: Caracterizar la artroplastia total de cadera en pacientes intervenidos en el Hospital Ortopédico Docente “Fructuoso Rodríguez” y el Complejo Científico Ortopédico “Frank País”.

Métodos: Estudio descriptivo retrospectivo de pacientes intervenidos con artroplastia total de cadera en el Hospital Ortopédico Docente “Fructuoso Rodríguez” y el Complejo Científico Ortopédico “Frank País”, entre septiembre de 2019 y marzo de 2021.

Resultados: Predominaron el sexo femenino y las edades entre 60 y 62 años, con lateralidad izquierda. El principal diagnóstico preoperatorio resultó la coxartrosis. El tamaño de la copa acetabular y la cabeza del componente femoral fueron similares. La prótesis acetabular se fijó por presión.

Conclusiones: Se encontraron grandes semejanzas en cuanto a la edad, el sexo, la lateralidad, el tamaño de los componentes acetabular y cabeza femoral, el tipo de fijación del componente acetabular y la cantidad de tornillos empleados. En el diagnóstico preoperatorio prevaleció la artrosis de cadera.

Palabras clave

artroplastia total de cadera; abordajes quirúrgicos; abordaje anterior a la cadera.

Referencias

Ethgen O, Bruyere O, Richy F, Dardennes C, Reginster J-Y. Health-related quality of life in total hip and total knee arthroplasty: a qualitative and systematic review of the literature. J Bone Joint Surg Am. 2004;86(5):963-74. DOI: https://doi.org/10.2106/00004623-200405000-00012

Tarakji BA, Wynkoop AT, Srivastava AK, O'Connor EG, Atkinson TS. Improvement in depression and physical health following total joint arthroplasty. J Arthroplasty. 2018;33(8):2423-7. DOI: https://doi.org/10.1016/j.arth.2018.03.051

Petruccelli D, Rahman WA, de Beer J, Winemaker M. Clinical outcomes of primary total joint arthroplasty among nonagenarian patients. J Arthroplasty. 2012;27(9):1599-603. DOI: https://doi.org/10.1016/j.arth.2012.03.007

Pivec R, Johnson AJ, Mears SC, Mont MA. Hip arthroplasty. Lancet. 2012;380(9855):1768-77. DOI: https://doi.org/10.1016/s0140-6736(12)60607-2

Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States: United States Census Bureau, Economics and Statistics Administration. US Department of Commerce; 2014 [acceso 25/11/2022]. Disponible en: https://www.census.gov/newsroom/press-releases/2017/cb17-100.html

Smith HE, Kerr SM, Maltenfort M, Chaudhry S, Norton R, Albert TJ, et al. Early complications of surgical versus conservative treatment of isolated type II odontoid fractures in octogenarians: a retrospective cohort study. Clin Spine Surg 2008;21(8):535-9. DOI: https://doi.org/10.1097/bsd.0b013e318163570b

Day JC. Population projections of the United States, by age, sex, race, and Hispanic origin: 1992 to 2050. US Department of Commerce, Economics and Statistics Administration, Bureau of the Census; 1992 [acceso 25/11/2022]. Disponible en: https://www.census.gov/library/publications/1992/demo/p25-1092.html

WHO. World health statistics. 2014 [acceso 25/11/2022]. Disponible en: http://apps.who.int/iris/bitstream/handle/10665/112738/9789240692671_eng.pdf;jsessionid=079D5F377564D7930F9D221BD97E465A?sequence=1

Brander VA, Malhotra S, Jet J, Heinemann AW, Stulberg SD. Outcome of hip and knee arthroplasty in persons aged 80 years and older. Clin Orthop Relat Res. 1997;35:67-78. DOI: https://doi.org/10.1097/00003086-199712000-00011

Ponzio DY, Poultsides LA, Salvatore A, Lee YY, Memtsoudis SG, Alexiades MM, et al. In-hospital morbidity and postoperative revisions after direct anterior vs posterior total hip arthroplasty. J Arthroplasty. 2018;33(5):1421-5. DOI: https://doi.org/10.1016/j.arth.2017.11.053

Liu LL, Leung JM. Predicting adverse postoperative outcomes in patients aged 80 years or older. J Am Geriatr Soc. 2000;48(4):405-12. DOI: https://doi.org/10.1111/j.1532-5415.2000.tb04698.x

Finlayson E, Birkmeyer J. Operative mortality with elective surgery in older adults. Eff Clin Pract. 2001 [acceso 25/11/2022];4(4):172-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/11525104/

Karnik S, Kanekar A. Ethical issues surrounding end-of-life care: a narrative review. Healthc. 2016;4(2):24. DOI: https://doi.org/10.3390/healthcare4020024

Instituto Nacional de Estadística. Indicadores de mortalidad. Resultados nacionales. Esperanza de vida al nacimiento. Madrid: INE; 2018 [acceso 26/02/2023]. Disponible en: https://www.ine.es/jaxiT3/Tabla.htm?t=1414&L=0

Instituto Nacional de Estadística. Principales series de población desde 1998. Madrid: INE; 2019 [acceso 26/02/2023]. Disponible en: https://www.ine.es/dynt3/inebase/es/index.htm?type=pcaxis&path=/t20/e245/p08/&file=pcaxis&dh=0&capsel=1

Clement ND, MacDonald D, Howie CR, Biant LC. The outcome of primary total hip and kneearthroplasty in patients aged 80 years or more. J Bone Joint Surg Br. 2011;93(9):1265-70. DOI: https://doi.org/10.1302/0301-620x.93b9.25962

Miric A, Inacio MC, Kelly MP, Namba RS. Are nonagenarians too old for total hip arthroplasty? An evaluation of morbidity and mortality within a total joint replacement registry. J Arthroplasty. 2015;30(8):1324-7. DOI: https://doi.org/10.1016/j.arth.2015.03.008

Kovalenko B, Bremjit P, Fernando N. Classifications in brief: Tönnis classification of hip osteoarthritis. Clin Orthop Relat Res. 2018;476(8):1680-4. DOI: https://doi.org/10.1097/01.blo.0000534679.75870.5f

Dimitriou D, Antoniadis A, Flury A. Total hip arthroplasty improves the quality-adjusted life years in patients who exceded the estimated life expectancy. J Arthroplasty. 2018;33(11):3484-9. DOI: https://doi.org/10.1016/j.arth.2018.07.005

Singh JA, Schleck C, Harmsen S, Lewallen D. Clinically important improvement thresholds for Harris Hip Score and its ability to predict revision risk after primary total hip arthroplasty. BMC Musculoskelet Disord. 2016;17:256. DOI: https://doi.org/10.1186/s12891-016-1106-8

Riley SA, Spears JR, Smith LS, Mont MA, Elmallah RK, Cherian JJ, et al. Cementless tapered femoral stems for total hip arthroplasty in octogenarians. J Arthroplasty. 2016;31(12):2810-3. DOI: https://doi.org/10.1016/j.arth.2016.05.010

Glassou EN, Pedersen AB, Hansen TB. Is decreasing mortality in total hip and knee arthroplasty patients dependent on patients’ comorbidity? Acta Orthop. 2017;88(3):288-93. DOI: https://doi.org/10.1080/17453674.2017.1279496

Yuasa T, Maezawa K, Nozawa M, Kaneko K. Cementless total hip arthroplasty in patients aged 80 years. J Orthop. 2016;13(1):29-32. DOI: https://doi.org/10.1016/j.jor.2015.12.007

Hansen TB. Fast track in hip arthroplasty. EFORT Open Rev. 2017;2(5):179-88. DOI: https://doi.org/10.1302/2058-5241.2.160060

Tanzer M, Graves SE, Peng A, Shimmin AJ. Is cemented or cementless femoral stem fixation more durable in patients older than 75 years of age? A comparison of the best-performing stems. Clin Othop Relat Res. 2018;476(7):1428-37. DOI: https://doi.org/10.1097/01.blo.0000533621.57561.a4

Lampropoulou K, Karachalios TS, Hartofilakidis G. Overestimation of the risk of revision with Kaplan-Meier presenting the long-term outcome of total hip replacement in older patients. Hip Int. 2018;28(3):246-53. DOI: https://doi.org/10.5301/hipint.5000575

Zijlstra WP, De Hartog B, Van Steenbergen LN, Scheurs BW, Nelissen RG. Effect of femoral head size and surgical approach on risk of revision for dislocation after total hip arthroplasty. Acta Orthop. 2017;88(4):395-401. DOI: https://doi.org/10.1080/17453674.2017.1317515

Antoniadis A, Dimitiou D, Flury A, Wiedmer G, Hasler J, Helmy N. Is direct anterior approach a credible option for severely obese patients undergoing total hip arthroplasty? A matched-control, restrospective, clinical study. J Arthroplasty. 2018;33(8):2535-40. DOI: https://doi.org/10.1016/j.arth.2018.03.071

Kunkel ST, Sabatino MJ, Kang R, Jevsevar DS, Moschetti WE. The cost effectiveness of total hip arthroplasty in patients 80 years of age and older. J Arthroplasty. 2018;33(5):1359-67. DOI: https://doi.org/10.1016/j.arth.2017.11.063

Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson P, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health. 1994;84:351-8.

Gómez J, Pardo JM, Sevilla J, Delgado E, Moreno JA. Artroplastia total primaria de cadera en pacientes mayores de 85 años: riesgos, complicaciones y resultados a medio-largo plazo. Rev Esp Cir Ortop Traumatol. 2021;65(1):13-23. DOI: https://doi.org/10.1016/j.recot.2020.05.003

Christensen CP, Jacobs CA. Comparison of patient function during the first six weeks after direct anterior or posterior total hip arthroplasty (THA): A randomized study. J Arthroplasty. 2015;30(9Suppl):94-7. DOI: https://doi.org/10.1016/j.arth.2014.12.038

Alecci V, Valente M, Crucil M, Minerva M, Pellegrino CM, Sabbadini DD. Comparison of primary total hip replacements performed with a direct anterior approach versus the standard lateral approach: Perioperative findings. J Orthop Traumatol. 2011;12(3):123-9. DOI: https://doi.org/10.1007/s10195-011-0144-0

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