Cotilos de doble movilidad. Uso para la revisión femoral aislada de prótesis de cadera con fricción metal/metal con cabezas grandes. [Use of dual mobility acetabular cups for isolated femoral revision of metal on metal hip resurfacing arthroplasty using larger femoral heads]

Sebastián Enrique Valdez

Resumen


Los recambios de cadera con cabezas metálicas grandes provocan una mayor tasa de complicaciones, principalmente asociadas al retiro del componente acetabular, como al par fricción utilizado. En casos determinados, pueden realizarse revisiones femorales aisladas, conservando la copa acetabular, disminuyendo la morbilidad quirúrgica.

Presentamos un caso tratado exitosamente con una copa de doble movilidad, en un paciente con una prótesis de superficie con un seudotumor que generó dolor e inestabilidad.

El conocimiento de esta técnica quirúrgica permite al cirujano de cadera resolver problemas complejos de forma sencilla y segura, con una baja tasa de complicaciones.

 

 

Abstract

Large head metal on metal hip arthroplasty revision has a significant complication rate, mainly related to the removal of the acetabular component, as well as to the friction pair used. In some cases, an isolated femoral revision can be made, sparing the acetabular cup and, thus, decreasing surgical morbidity.

This paper discusses a case successfully treated with a dual mobility acetabular cup in a patient with a resurfacing hip replacement and a pseudotumor that caused pain and instability.

Mastering this surgical approach allows hip surgeons to solve complex problems in a simple and safe manner, and with a low complication rate.


Palabras clave


Copas de doble movilidad; revisión; prótesis de superficie; artroplastías metal/metal. Dual mobility cups; resurfacing hip revision; metal on metal hip arthroplasty

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Referencias


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DOI: http://dx.doi.org/10.15417/issn.1852-7434.2019.84.1.741

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Registro de la Propiedad Intelectual Nº 5353562 (en línea).

ISSN 1852-7434 (en línea).

Esta Revista está bajo una Licencia Creative Commons Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional. (CC-BY-NC-SA 4.0)