Artroplastia de rodilla asistida por ordenador en paciente con acondroplasia: caso clínico

  • Nikita Ignatyev HUVV Virgen de la Victoria
  • Miriam Saadouli-Arco Unidad de Cirugía Ortopédica y Traumatología, Hospital Universitario Virgen de la Victoria, Campus Teatinos, s/n, 29010, Málaga, España. https://orcid.org/0000-0003-3773-7500
  • Juan Miguel Gómez-Palomo Unidad de Cirugía Ortopédica y Traumatología, Hospital Universitario Virgen de la Victoria, Campus Teatinos, s/n, 29010, Málaga, España. https://orcid.org/0000-0002-2873-5602
Palabras clave: Artroplastia de rodilla, cirugía asistida por ordenador, displasia ósea, acondroplasia

Resumen

La acondroplasia es una de las displasias óseas más frecuentes. Los pacientes acondroplásicos presentan grandes deformidades y alteraciones anatómicas en los miembros inferiores, con laxitud ligamentosa y una tasa superior de complicaciones perioperatorias, motivo por el que la cirugía de rodilla en estos pacientes supone un reto para el cirujano ortopédico. El objetivo de este trabajo es exponer los beneficios de la artroplastia de rodilla asistida por ordenador en pacientes con displasia ósea a través de un caso clínico.  

Citas

tier G, Mundlos S, Nishimura G, Sangiorgi L, Savarirayan R, Sillence D, Spranger J, Superti-Furga A, Warman M, Unger S. Nosology and classification of genetic skeletal disorders: 2015 revision. Am J Med Genet A. 2015 Dec;167A(12):2869-92. https://doi.org/10.1002/ajmg.a.37365

Pauli RM. Achondroplasia: a comprehensive clinical review. Orphanet J Rare Dis. 2019;14(1):1. https://doi.org/10.1186/s13023-018-0972-6

Kiernan D. Lower limb biomechanics during gait in children with Achondroplasia. J Biomech. 2021;119:110313. https://doi.org/10.1016/j.jbiomech.2021.110313

Bayle-Iniguez X, Udin G, Regusci M, Miozzari HH. Total knee arthroplasty in achondroplasia without deformity correction: A case report with 11 years’ follow-up. Knee. 2020;27(3):740-746. https://doi.org/10.1016/j.knee.2020.04.025

Patel H, Cichos KH, Moon AS, McGwin G Jr, Ponce BA, Ghanem ES. Patients with musculoskeletal dysplasia undergoing total joint arthroplasty are at increased risk of surgical site Infection. Orthop Traumatol Surg Res. 2019;105(7):1297-1301. https://doi.org/10.1016/j.otsr.2019.06.013

Zmerly H, Russo M, Moscato M, Akkawi I. Total knee arthroplasty in a young patient with achondroplasia. BMJ Case Rep. 2021;14(7):e242909. https://doi.org/10.1136/bcr-2021-242909

Prodromos CC, Amendola A, Jakob RP. High tibial osteotomy: indications, techniques, and postoperative management. Instr Course Lect. 2015;64:555-565.

Daines BK, Dennis DA. Gap balancing vs. measured resection technique in total knee arthroplasty. Clin Orthop Surg. 2014;6(1):1-8. https://doi.org/10.4055/cios.2014.6.1.1

Lee SS, Lee YI, Kim DU, Lee DH, Moon YW. Factors affecting femoral rotational angle based on the posterior condylar axis in gap-based navigation-assisted total knee arthroplasty for valgus knee. PLoS One. 2018;13(5):e0197335. https://doi.org/10.1371/journal.pone.0197335

Siddiqi A, Hardaker WM, Eachempati KK, Sheth NP. Advances in Computer-Aided Technology for Total Knee Arthroplasty. Orthopedics. 2017;40(6):338-352. https://doi.org/10.3928/01477447-20170831-02

Di Benedetto P, Di Benedetto ED, Buttironi MM, et al. Computer assisted total knee arthroplasty: a real navigation to better results?. Acta Biomed. 2017;88(2S):48-53. Published 2017 Jun 7. doi:10.23750/abm.v88i2-S.6513. https://doi.org/10.23750/abm.v88i2-S.6513

Hutt JR, LeBlanc MA, Massé V, Lavigne M, Vendittoli PA. Kinematic TKA using navigation: Surgical technique and initial results. Orthop Traumatol Surg Res. 2016;102(1):99-104. https://doi.org/10.1016/j.otsr.2015.11.010.

Moore HG, Schneble CA, Kahan JB, Polkowski GG, Rubin LE, Grauer JN. Total Joint Arthroplasty in Patients With Achondroplasia: Comparison of 90-Day Adverse Events and 5-Year Implant Survival. Arthroplast Today. 2021;11:151-156. https://doi.org/10.1016/j.artd.2021.08.011

Bae DK, Song SJ, Park CH, Ko YW, Lee H. A Comparison of the Medium-Term Results of Total Knee Arthroplasty Using Computer-Assisted and Conventional Techniques to Treat Patients With Extraarticular Femoral Deformities. J Arthroplasty. 2017;32(1):71-78. https://doi.org/10.1016/j.arth.2016.06.030

Zmerly H, Russo M, Moscato M, Akkawi I. Total knee arthroplasty in a young patient with achondroplasia. BMJ Case Rep. 2021;14(7):e242909. https://doi.org/10.1136/bcr-2021-242909

Chin BZ, Seck VMH, Syn NL, Wee IJY, Tan SSH, O’Neill GK. Computer-Navigated versus Conventional Total Knee Arthroplasty: A Meta-Analysis of Functional Outcomes from Level I and II Randomized Controlled Trials. J Knee Surg. 2021;34(6):648-658. https://doi.org/10.1055/s-0039-1700494

Publicado
2022-12-07
Sección
Casos Clínicos