Soluciones económicas para la revisión primaria y total de cadera a partir de la experiencia egipcia
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Antecedentes: La presente revisión pretende arrojar luz sobre algunas soluciones económicas que los cirujanos de artroplastia egipcios emplean para facilitar y mitigar los problemas de costes durante las artroplastias totales de cadera (ATC) primarias y de revisión.
Métodos: Se realizó una búsqueda en PubMed hasta diciembre de 2022 utilizando los siguientes términos de búsqueda ((arthroplasty) AND (Egypt[Affiliation])) para detectar los artÃculos relacionados con la artroplastia publicados desde 1996. Se incluyeron los artÃculos que incluÃan soluciones económicas y aspectos técnicos; además, se buscó en los perfiles de los autores de los artÃculos incluidos otros posibles artÃculos publicados.
Resultados: La búsqueda reveló 262 artÃculos publicados durante el periodo de búsqueda, de los cuales ocho cumplÃan los requisitos para ser incluidos, y una búsqueda adicional de los perfiles de los autores reveló otros dos artÃculos, lo que dio un total final de diez artÃculos que ofrecÃan soluciones económicas relacionadas con la ATC primaria y de revisión. Tres artÃculos informaron de los resultados del injerto óseo por impactación para reconstruir defectos óseos acetabulares tanto en la ATC primaria como en la de revisión; dos hablaron de aplicaciones de teléfonos inteligentes para ayudar a la colocación del cotilo acetabular durante la ATC primaria; dos hablaron de la eficacia del uso de espaciadores de cemento caseros para las ATC infectadas, dos describieron el uso de herramientas baratas durante la ATC de revisión, y el último artÃculo informó del uso de placas y tornillos habituales en el tratamiento de fracturas femorales periprotésicas.
Conclusiones: Los cirujanos de artroplastia egipcios utilizaron algunas soluciones económicas que podrÃan desempeñar un papel a la hora de facilitar y disminuir el coste de las ATC primarias y de revisión sin necesidad de herramientas y tecnologÃas costosas. DeberÃan mejorarse otros aspectos de la práctica de la artroplastia, como el establecimiento de registros y la mejora de los resultados de la investigación.
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