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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(05): e781-e789
DOI: 10.1055/s-0043-1776132
Artigo Original
Quadril

Comparação entre procedimentos cirúrgicos no tratamento da infecção de prótese do quadril

Article in several languages: português | English
Ricardo Tomé Branco 
1   Médico ortopedista e Traumatologista, Serviço de Ortopedia e Traumatologia, Unidade Local de Saúde Alto Minho, Viana do Castelo, Portugal
,
Eurico Bandeira Rodrigues 
2   Médico ortopedista e Traumatologista, Serviço de Ortopedia e Traumatologia, Hospital de Braga, Braga, Portugal
› Author Affiliations Suporte Financeiro A presente pesquisa não recebeu nenhum financiamento específico de agências de financiamento dos setores público, comercial ou sem fins lucrativos.
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Resumo

Objetivo Comparar a taxa de cura, o tempo de recuperação e a pontuação na escala funcional de Merle d'Aubigné-Postel (EFMA) entre a cirurgia em tempo único (C1T) e a cirurgia em dois tempos (C2T) no tratamento de infecções protéticas do quadril, considerando as características sociodemográficas e clínicas dos pacientes.

Materiais e Métodos Foi realizado um estudo retrospectivo num único centro, entre 2011 e 2014, com um total de 37 casos estudados, sendo 26 tratados com C1T e 11 com C2T. Foram comparadas a taxa de cura, o tempo de recuperação e a pontuação EFMA entre os dois grupos, bem como as características sociodemográficas e clínicas dos pacientes. Foram também consideradas as complicações cirúrgicas e o agente infeccioso mais comum.

Resultados O grupo C1T teve uma recuperação funcional mais rápida do que o grupo C2T, mas não houve diferenças significativas na taxa de cura, nas complicações cirúrgicas ou na pontuação EFMA. No entanto, o grupo C1T era significativamente mais jovem, o que pode ter influenciado os resultados. Staphylococcus spp. foi o agente infeccioso mais comum (62%).

Conclusão Embora a C2T pareça ser superior em termos de cura de infecção, a C1T pode ser preferível para uma recuperação funcional mais rápida. No entanto, as características individuais dos pacientes devem ser consideradas na escolha do tratamento. São necessárias mais pesquisas com um tamanho de amostra maior para confirmar estes resultados.

Palavras-chave

artroplastia de quadril - infecções relacionadas a próteses - próteses de quadril - recuperação funcional - reoperação

Trabalho desenvolvido pelo Serviço de Ortopedia e Traumatologia, Unidade Local de Saúde Alto Minho.




Publication History

Received: 19 March 2023

Accepted: 05 May 2023

Article published online:
30 October 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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