¿Qué causa una rodilla rígida después de la TKA y cómo se puede prevenir? En Pregúntele al experto, el Dr. Jesse Otero responde las preguntas de ICJR sobre la rigidez de la rodilla en pacientes que se han sometido a una artroplastia total de rodilla, incluido qué hacer si un paciente presenta rigidez y cuándo considerar una cirugía de revisión.
Los objetivos de la TKA son aliviar el dolor y restaurar la función en pacientes con osteoartritis moderada a avanzada que han agotado los tratamientos conservadores pero aún tienen dolor en la rodilla que interfiere con sus actividades de la vida diaria. En la mente de la mayoría de los pacientes, el resultado ideal de TKA sería una rodilla que se mueve y se siente como lo hizo en una época más juvenil.
En conclusión, la rigidez después de TKA es una complicación con muchos factores contribuyentes potenciales. Comprender el nivel de función preoperatoria, el rango de movimiento y los objetivos actuales del paciente ayudará a guiar la evaluación y el tratamiento.
Cuando se atiende a un paciente con rigidez de rodilla, es importante que el cirujano realice un historial completo y un examen físico y reconozca los errores quirúrgicos comunes que pueden restringir el movimiento de la rodilla. El control del dolor y la fisioterapia en el período postoperatorio temprano son primordiales para un resultado exitoso, y los programas de fisioterapia basados en la web y guiados por aplicaciones están ganando popularidad entre pacientes y cirujanos. La manipulación de la rodilla bajo anestesia puede mejorar significativamente el movimiento si se realiza temprano, y el tratamiento quirúrgico solo debe realizarse si la causa subyacente de la rigidez de la rodilla puede abordarse mediante cirugía.
ABOUT ICJR
In late 2007, the founders of the International Congress for Joint Reconstruction (ICJR), each a recognized authority in orthopaedic surgery, joined together to begin developing the next generation of education and community for physicians involved with joint reconstruction.
Today, ICJR provides quality education for the orthopaedic surgery community through live CME meetings and a website featuring surgical videos, articles, and news on joint replacement of the hip, knee, and shoulder. Topics we cover include:
Surgical techniques for joint arthroplasty
Implant choices
Management of complications such as infection, fracture, and dislocation
New technologies such as computer navigation and robotic surgery
Practice management, value-based care, and economics
Issues in outpatient joint replacement surgery
Mission
ICJR’s mission is to provide a pre-eminent educational experience and content to the global orthopaedic community through a transparent and inclusive organization with consistent philanthropic contributions for research and education.
Commitment to Philanthropy
The predominant focus of ICJR philanthropy has been and will continue to be resident and fellow education. Profits from ICJR activities are reinvested into the development of bioskills-based resident and fellow education programs and in-kind support to residents and fellows for complimentary attendance at our CME courses throughout the US.
In addition, ICJR has made contributions to professional societies, charities, and organizations relevant to the critical issues in orthopaedics today. The goals and finances of the ICJR are fully transparent.
ICJR is:
Global: Our members, educational programming, and collaborations span the globe, with strong footholds in Australia, China, Europe, Japan, the Middle East, Southeast Asia, South America, and the United States.
Personal: Whether you want to brush up on a technique or dive deeper into a key issue in joint reconstruction, ICJR has you covered with dozens of live and web-based interactive educational programs; hundreds of surgical videos on ICJR.net; and articles, reports, and cases from thought-leaders in the specialty. Customize your educational experience by choosing to attend one of our live meetings around the world, tune into the live stream of a meeting on ICJR.net if you don’t have time to travel, or watch one of the more than 1000 video presentations captured from past meetings.
Portable: Our robust educational website and mobile app afford you access to high-quality orthopaedic education 24/7, anywhere in the world!
Wherever you may be and whatever method of learning you prefer, make ICJR your trusted source for orthopaedic education!
© International Congress for Joint Reconstruction
