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Resultados de cirugías de realineamiento distal y proximal de mecanismo extensor de rodilla. Serie de casos
| dc.contributor.advisor | Camilo, Parada | spa |
| dc.contributor.author | Diaz Ramos, Ivan Yezid | |
| dc.contributor.author | Aramburo Jaramillo, Laura | |
| dc.contributor.author | Galan Parada, Jose Miguel | |
| dc.coverage.spatial | Medicina | spa |
| dc.date.accessioned | 2016-10-06T21:40:09Z | |
| dc.date.accessioned | 2019-12-30T19:06:11Z | |
| dc.date.available | 2016-10-06T21:40:09Z | |
| dc.date.available | 2019-12-30T19:06:11Z | |
| dc.date.issued | 2016-05-27 | |
| dc.identifier.uri | http://hdl.handle.net/10654/14125 | |
| dc.description.abstract | Introducción: El dolor patelofemoral es una patología común que se da por alteraciones de esta articulación como mal alineamiento patelofemoral o luxación recidivante de rótula, su diagnóstico se complementa con pruebas clínicas y mediciones radiológicas. El objetivo del estudio es describir las complicaciones e incidencia que se presentan con las diferentes técnicas quirúrgicas de realineamiento del mecanismo extensor de la rodilla. Material y métodos: estudio retrospectivo, descriptivo, tipo serie de casos, que toma como población a 76 pacientes y un total de 92 rodillas, tratados entre febrero de 2013 y septiembre de 2015, a quienes se les realizó cirugía de realineamiento distal o proximal del mecanismo extensor de la rodilla. Resultados: se trató de 76 pacientes (92 rodillas 16 bilateral); la mayoría eran mujeres (54 [71%]) y la edad promedio era 36 (10-65) años. El diagnóstico más común fue mal alineamiento patelofemoral (62 [67.3 %]); el procedimiento quirúrgico mas realizado fue osteotomía de Emslie-Trillat (46 [50 pág. 2 %]) y las complicaciones más frecuentes fueron dolor en el sitio de inserción del tornillo (5 [6.5 %]), seguido de trombosis venosa profunda (1 [1.3 %]), pseudoartrosis del foco de la osteotomía (1 [1.3 %]) y dehiscencia de la herida quirúrgica (1 [1.3 %]). Discusión: los procedimientos quirúrgicos para realineamiento del mecanismo extensor son complejos y demandantes y siguen mostrando buenos resultados; sin embargo, tienen un riesgo significativo de complicaciones. | spa |
| dc.format | spa | |
| dc.language.iso | spa | spa |
| dc.publisher | Universidad Militar Nueva Granada | spa |
| dc.title | Resultados de cirugías de realineamiento distal y proximal de mecanismo extensor de rodilla. Serie de casos | spa |
| dc.type | info:eu-repo/semantics/bachelorThesis | spa |
| dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
| dc.subject.lemb | ARTICULACION RODILLA | spa |
| dc.subject.lemb | PROTESIS RODILLA | spa |
| dc.subject.lemb | CIRUGIA ORTOPEDICA | spa |
| dc.publisher.department | Facultad de Medicina | spa |
| dc.type.local | Trabajo de grado | spa |
| dc.description.abstractenglish | Introduction: Patellofemoral pain is a common condition that occurs due to alterations in this joint as patellofemoral malalignment or recurrent patellar dislocation, its diagnosis is complemented by clinical tests and radiological measurements. The aim of the study is to describe the incidence and complications that occur with different surgical techniques realignment the extensor mechanism of the knee. Material and Methods: A retrospective, descriptive, case series, which takes as its population to 76 patients and a total of 92 knees treated between February 2013 and September 2015, whom I underwent surgery distal realignment or proximal studio extensor mechanism of the knee. Results: treatment of 76 patients (92 knees 16 bilateral), predominantly women Most were women (54 [71%]) and the average age was 36 (10-65) years, the most common diagnosis was patellofemoral malalignment ( 62 [67.3%]), the surgical procedure performed was osteotomy Emslie-Trillat (46 [50%]) and complications were pain at the site of insertion of the screw (5 [6.5%]), followed by deep vein thrombosis (1 [1.3%]), nonunion of the osteotomy site (1 [1.3%]) and surgical wound dehiscence (1 [1.3%]). Discussion: surgical procedures for realignment of the extensor mechanism are complex and demanding that continue to show good results, however have a significant risk of complications. | eng |
| dc.title.translated | Results surgeries distal and proximal realignment knee extensor mechanism. series case | spa |
| dc.subject.keywords | patellofemoral arthrosis | spa |
| dc.subject.keywords | Patellofemoral malalignment | spa |
| dc.subject.keywords | Emslie-Trillat osteotomy | spa |
| dc.publisher.program | Ortopedia y Traumatología | spa |
| dc.creator.degreename | Especialista en Ortopedia y Traumatología | spa |
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| dc.relation.references | The Incidence of Complications of Tibial Tubercle Osteotomy: A Systematic Review. Arthroscopy: The Journal of Arthroscopic & Related Surgery. Volume 31, Issue 9, September 2015, Pages 1819–1825 | spa |
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| dc.relation.references | Scott F. Dye. Reflections on Patellofemoral Disorders. In: Biedert RM, editor. Patellofemoral Disorders: Diagnosis and Treatment. Chichester, UK: John Wiley & Sons, Ltd; 2004. p. 31–46. | spa |
| dc.relation.references | Weaver, JK. Wieder, D. Derkash R. Patellofemoral arthritis resulting from malalignment: a long-term evaluation of treatment options. Orthop Rev. 1991;20:1075–81 | spa |
| dc.relation.references | Robert A. Magnussen, MD1, Vito De Simone, MD2, Sebastien Lustig, MD PhD3, Philippe Neyret, MD3, and David C. Flanigan, MD. Treatment of Patella Alta in Patients with Episodic Patellar Dislocation: A Systematic Review. Knee Surg Sports Traumatol Arthrosc. 2014 October ; 22(10): 2545–2550. doi:10.1007/ s00167-013-2445-8. | spa |
| dc.relation.references | nsall & Scott Surgery of the Knee, 2th Edition 2006. Chapter 47. patellofemoral joint surgery: indications, effects, results and recommendations. | spa |
| dc.relation.references | Andrew A. Amis. (2007). Current Concepts on Anatomy and Biomechanics of Patellar Stability. Sports Med Arthrosc Rev Volume 15, Number 2. | spa |
| dc.relation.references | Brian Schulz, MD,* Marc Brown, MD,† and Christopher S. Ahmad, MD.(2010) Evaluation and Imaging of Patellofemoral Joint Disorders. Oper Tech Sports Med 18:68-78 Elsevier Inc | spa |
| dc.relation.references | Christina Earhart, Dakshesh B. Patel, Eric A. White, Christopher J. Gottsegen, Deborah M. Forrester, George R. Matcuk Jr. (2013). Transient lateral patellar dislocation: reviewof imaging findings, patellofemoral anatomy, and treatment options. Emerg Radiol 20:11–23 | spa |
| dc.relation.references | Donald C. Fithian, MD, Philippe Neyret, MD and Elvire Servien, MD (2007). Patellar Instability: The Lyon Experience. Techniques in Knee Surgery 6(2):112–123. | spa |
| dc.relation.references | L.Nicolaas • S. Tigchelaar • S. Koe¨ter .( 2011) Patellofemoral evaluation with magnetic resonance imaging in 51 knees of asymptomatic subjects. Knee Surg Sports Traumatol Arthrosc 19:1735–1739 | spa |
| dc.relation.references | Nikolaos Tsavalas, Pavlos Katonis, Apostolos H. Karantanas (2012). Knee joint anterior malalignment and patellofemoral osteoarthritis: an MRI study. Eur Radiol (2012) 22:418–428 | spa |
| dc.relation.references | Paulo Renato Fernandes Saggin, MD,* Jose Idı´lio Saggin, MD,* and David Dejour, MD. ( 2012) Imaging in Patellofemoral Instability: An Abnormality-based Approach. Sports Med Arthrosc Rev 20:145–151) | spa |
| dc.relation.references | Shrey K. Thawait & Theodoros Soldatos, Gaurav K. Thawait, Andrew J. Cosgarea, John A. Carrino & Avneesh Chhabra. (2012)High resolution magnetic resonance imaging of the patellar retinaculum: normal anatomy, common injury patterns, and pathologies. Skeletal Radiol 41:137–148 | spa |
| dc.relation.references | W.Norman Scott MD.(2012) Insall and Scott Surgery of Knee. Chapter 61, 592-623 e 2 | spa |
| dc.relation.references | Dr. Rafael Calvo, Dra. Zoy Anastasiadis, Dr. David Figueroa, Dr. Alex Vaisman. 2010. Reconstrucción del ligamento patelo femoral medial Técnica quirúrgica. ARTROSCOPIA | VOL. 17, Nº 2 : 163-169 | spa |
| dc.subject.proposal | Artrosis patelofemoral | spa |
| dc.subject.proposal | mal alineamiento patelofemoral | spa |
| dc.subject.proposal | Osteotomía de Emslie-Trillat. | spa |
