Artroplastia unicompartimental no tratamento da artrose medial do joelho / The unicompartmental arthroplasty in knee arthrosis treatment
Rev. bras. ortop
; 42(9): 285-289, set. 2007. ilus
Article
in Portuguese
| LILACS
| ID: lil-467402
Responsible library:
BR26.1
RESUMO
OBJETIVO:
Analisar a evolução de um grupo de pacientes submetido a artroplastia unicompartimental de joelho para tratamento das artroses e nas osteonecroses que comprometem exclusivamente o comportamento medial.MÉTODOS:
Foram avaliados 49 pacientes portadores de artrose unicompartimental de joelho com idade variando entre 47 e 88 anos de idade, sendo 12 homens e 37 mulheres. Todos foram submetidos à artroplastia unicompartimental do tipo Miller-Galante. Após seguimento mínimo de quatro anos, os pacientes foram avaliados subjetivamente pelo exame ortopédico e objetivamente pelo sistema Hospital for Special Surgery (HSS).RESULTADOS:
Apenas uma paciente necessitou de revisão para artroplastia total; quatro apresentaram dor não incapacitante; e três, queixas de instabilidade esporádica não incapacitante. Na avaliação do HSS, 30 pacientes apresentaram resultados excelentes; 18, resultados bons; e um, resultado regular.CONCLUSÃO:
A artroplastia unicompartimental é uma boa opção para casos de artrose e osteonecrose do compartimento medial do joelho.ABSTRACT
OBJECTIVE:
To analyze the evolution of a group of patients submitted to unicompartmental arthroplasty of the knee to treat arthrosis and in osteonecrosis that involve only the medial compartment.METHODS:
49 patients with unicompartmental knee arthrosis were evaluated. Ages ranged between 47 and 88 years, 12 of them male, and 37 female. All were submitted to the Miller-Galante type unicompartmental arthroplasty. After a minimum follow-up of four years the patients were evaluated objectively by the orthopedic exam and subjectively by the HSS system.RESULTS:
Only one patient required a revision for total arthroplasty, four patients presented non-disabling pain, and three complained of sporadic instability, though not disabling. In the HSS evaluation, 30 patients had excellent results, 18 had good results, and one had a regular result.CONCLUSION:
Unicompartmental arthroplasty is a good option for arthrosis and osteonecrosis of the medial compartment of the knee.
Full text:
Available
Collection:
International databases
Database:
LILACS
Main subject:
Osteonecrosis
/
Treatment Outcome
/
Arthroplasty, Replacement, Knee
/
Knee Joint
Type of study:
Observational study
Limits:
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
Portuguese
Journal:
Rev. bras. ortop
Journal subject:
Orthopedics
Year:
2007
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Instituto Ortopédico Camanho/BR
/
Universidade de São Paulo/BR