Feb 04

Indicaciones y resultados de microfractura como complemento de la artroscopia de cadera para el tratamiento de defectos condrales en pacientes con pinzamiento femoroacetabular: una revisión sistemática.

Indications and Outcomes for Microfracture as an Adjunct to Hip Arthroscopy for Treatment of Chondral Defectsin Patients With Femoroacetabular Impingement: A Systematic Review.

 

Fuente
Este artículo es originalmente publicado en:

http://www.ncbi.nlm.nih.gov/pubmed/26385287

http://www.arthroscopyjournal.org/article/S0749-8063(15)00572-1/abstract
De:

MacDonald AE1, Bedi A2, Horner NS1, de Sa D3, Simunovic N4, Philippon MJ5, Ayeni OR6.

Arthroscopy. 2016 Jan;32(1):190-200.e2. doi: 10.1016/j.arthro.2015.06.041. Epub 2015 Sep 15.
Todos los derechos reservados para:

Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

 

Abstract

PURPOSE:

To evaluate the indications, preoperative workup outcomes, and postoperative rehabilitation of patients with femoroacetabular impingement (FAI) receiving microfracture as an adjunct to hip arthroscopy for chondral defects.

CONCLUSIONS:

The outcomes reported in the literature after hip arthroscopy with microfracture for chondral defects are, in general, positive, with a very low percentage of patients requiring further surgery or experiencing complications. The most common indication used in the literature formicrofracture is a full-thickness, focal chondral defect (Outerbridge grade IV). The vast majority of literature recommends limited weight bearing aftermicrofracture; however, there was significant variation among the specific rehabilitation protocols used. More research is needed to explore what indications and postoperative rehabilitation result in the best outcomes for patients.

RESUMEN
PROPÓSITO:

Evaluar las indicaciones, los resultados de un preoperatorio, y la rehabilitación postoperatoria de los pacientes con choque femoroacetabular (FAI) que recibe microfractura como un complemento de la artroscopia de cadera en busca de defectos condrales.

CONCLUSIONES:

Los resultados informados en la literatura después de la artroscopia de cadera con microfractura de defectos condrales son, en general, positiva, con un porcentaje muy bajo de pacientes que requieren cirugía adicional o que experimentan complicaciones. La indicación más común que se utiliza en la literatura para la microfractura es una de espesor total, focal defecto condral (Outerbridge grado IV). La gran mayoría de la literatura recomienda peso limitado teniendo después de microfractura; sin embargo, hubo una variación significativa entre los protocolos de rehabilitación específicos utilizados. Se necesita más investigación para explorar qué indicaciones y resultado de la rehabilitación postoperatoria en los mejores resultados para los pacientes.

LEVEL OF EVIDENCE:

Level IV, systematic review of Level II, III, and IV studies.

Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

PMID: 26385287 [PubMed – in process]

 

 

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