Subsecuente artroplastia total articular posterior a una artroplastia primaria total de cadera o rodilla

Subsequent Total Joint Arthroplasty After Primary Total Knee or Hip Arthroplasty: A 40-Year Population-Based Study.




Este artículo es originalmente publicado en:






Sanders TL1, Maradit Kremers H, Schleck CD, Larson DR, Berry DJ.

J Bone Joint Surg Am. 2017 Mar 1;99(5):396-401. doi: 10.2106/JBJS.16.00499.



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Some content from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.





Despite the large increase in total hip arthroplasties and total knee arthroplasties, the incidence and prevalence of additional contralateral or ipsilateral joint arthroplasty are poorly understood. The purpose of this study was to determine the rate of additional joint arthroplasty after a primary total hip arthroplasty or total knee arthroplasty.


Patients undergoing total hip arthroplasty or total knee arthroplasty can be informed of a 30% to 45% chance of a surgical procedure in a contralateral cognate joint and about a 5% chance of a surgical procedure in noncognate joints within 20 years of initial arthroplasty. Increased risk of contralateral total knee arthroplasty following an initial total hip arthroplasty may be due to gait changes prior to and/or following total hip arthroplasty. The higher prevalence of bilateral total hip arthroplasty in younger patients may result from bilateral disease processes that selectively affect the young hip, such as osteonecrosis, or structural hip problems, such as acetabular dysplasia or femoroacetabular impingement.



A pesar del gran aumento de las artroplastias totales de cadera y las artroplastias totales de rodilla, la incidencia y la prevalencia de artroplastia contralateral o ipsilateral adicional de las articulaciones son poco conocidas. El propósito de este estudio fue determinar la tasa de artroplastia articular adicional después de una artroplastia total de cadera primaria o una artroplastia total de rodilla.


Los pacientes sometidos a artroplastia total de cadera o artroplastia total de rodilla pueden ser informados de un 30% a 45% de probabilidad de un procedimiento quirúrgico en una articulación contralateral cognada y aproximadamente un 5% de probabilidad de un procedimiento quirúrgico en articulaciones no cognadas dentro de los 20 años de la artroplastia inicial. El aumento del riesgo de artroplastia total de rodilla contralateral después de una artroplastia total inicial de cadera puede deberse a cambios en la marcha antes y / o después de la artroplastia total de cadera. La mayor prevalencia de artroplastia total de cadera bilateral en pacientes más jóvenes puede ser resultado de procesos bilaterales de enfermedad que afectan selectivamente a la cadera joven, como osteonecrosis o problemas estructurales de cadera, como displasia acetabular o choque femoroacetabular.


Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

PMID:   28244910    PMCID:   PMC5324038   [Available on 2018-03-01]   DOI:   10.2106/JBJS.16.00499
[Indexed for MEDLINE]

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