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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(04): 465-470
DOI: 10.1055/s-0039-1694022
Artigo Original | Original Article
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Efeito das posições dos enxertos na estabilidade da artroplastia total de quadril com diferentes tipos de encurtamento subtrocantérico[*]

Article in several languages: português | English
Ethem Aytac Yazar
1   Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Duzici City Hospital, Osmaniye, Turquia
2   Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Omer Halis Demir University Hospital, Nigde, Turquia
3   Departamento de Cirurgia Ortopédica, Maltepe University and Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turquia
,
Ozgun Karakus 
1   Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Duzici City Hospital, Osmaniye, Turquia
2   Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Omer Halis Demir University Hospital, Nigde, Turquia
3   Departamento de Cirurgia Ortopédica, Maltepe University and Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turquia
,
Baransel Saygi
1   Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Duzici City Hospital, Osmaniye, Turquia
2   Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Omer Halis Demir University Hospital, Nigde, Turquia
3   Departamento de Cirurgia Ortopédica, Maltepe University and Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turquia
› Author Affiliations
Further Information

Publication History

29 September 2018

06 November 2018

Publication Date:
20 August 2019 (online)

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Resumo

Objetivo O objetivo do presente estudo é investigar a estabilidade biomecânica de diferentes tipos de osteotomias subtrocantéricas e posições de enxertos em coxartroses displásicas que necessitam de artroplastia total de quadril com osteotomia de encurtamento, e determinar o tipo de osteotomia e a posição do enxerto que são mais eficazes.

Método Modelos de fêmur (sawbones) foram usados para comparar os tipos de osteotomia de encurtamento femoral (transversal, oblíqua e em degrau de escada [step-cut]). Os enxertos em haste, preparados do lado da osteotomia subtrocantérica, foram fixados em diferentes posições (ântero-lateral, medial-lateral e ântero-posterior). A fixação dos enxertos foi feita com 2 cabos de aço (de 2,0 mm de largura) de mesma resistência. Os valores de falha dos fêmures compostos para cargas axiais e rotacionais foram registrados.

Resultados Do ponto de vista biomecânico, não houve diferenças estatisticamente significativas entre os tipos de osteotomia de encurtamento subtrocantérico femoral e as posições dos enxertos em haste aplicados.

Conclusão Não houve superioridade entre os tipos de osteotomia de encurtamento subtrocantérico femoral quanto à estabilidade. Além disso, em relação à resistência ao estresse, os resultados obtidos com diferentes posições das hastes foram similares. Assim, acreditamos que o método mais indicado é aquele em que o cirurgião é experiente e cuja aplicação é mais fácil.

Palavras-chave

osteotomia - transplante ósseo - coxartrose - artroplastia de quadril - luxação do quadril

* Estudo realizado no Departamento de Cirurgia Ortopédica, Fatih Sultan Mehmet Training and Research Hospital, Omer Halis Demir University Hospital, Nigde, Turquia.


 

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