ARTROPLASTIA TOTAL COXOFEMORAL NO CEMENTADA EN PERROS
Palabras clave:
prótesis, articulación coxofemoral, fijación biológica, perro, displasia de caderaResumen
A artroplastia total da articulação coxofemoral é uma opção amplamente aceita no tratamento cirúrgico para displasia coxofemoral grave e outras causas de dor ou disfunção da articulação coxofemoral em cães. A artroplastia não cimentada foi desenvolvida com o objetivo de eliminar as limitações de durabilidade do sistema cimentado. A técnica baseia-se no conceito de fixação biológica e consiste na substituição da articulação coxofemoral com componentes acetabular e femoral, os quais são inicialmente encaixados por pressão em leitos preparados precisamente, de forma a promover estabilidade até a osteointegração completa do implante. O sucesso do procedimento envolve o paciente, a conformação e qualidade do implante e a precisão da elaborada técnica cirúrgica. Os índices de complicação são baixos, especialmente quando comparados aos do procedimento cimentado. Portanto, uma série de considerações e cuidados deve ser tomada para obterem-se resultados correspondentes com a alta taxa de sucesso da técnica. Objetiva-se com o presente trabalho apresentar uma revisão da literatura disponível sobre a utilização das próteses não cimentadas da articulação coxofemoral em cães. Esta técnica mostra-se efetiva no tratamento das disfunções graves da articulação coxofemoral com vantagens significativas quando comparada aos métodos anteriormente descritos.
Citas
PECK JN, MARCELLIN-LITTLE DJ. Advances in Small Animal Total Joint Replacement. 1st ed., John Wiley & Sons, 2012, 250 p.
MINTO BW, STEAGALL PVM, MAMPRIM MJ, BRANDÃO CVS, PEREIRA JGC, et al., Artroplastia total coxofemoral em cães. Estudo experimental com prótese nacional. Ciência Rural, v.38, n.1, 2008.
MINTO BW, BRANDÃO CVS, PEREIRA JGC, RANZANI JJT. Prótese total da articulação coxofemoral em cães. Vet. e Zootec., v.13, n.1,p. 7-17, 2006.
MINTO BW, BRANDÃO CVS, PEREIRA JGC, RANZANI JJT. Utilização do sistema modular na prótese total da articulação coxofemoral em cães. Acta Scientiae Veterinariae, v. 34, p. 163-166, 2006.
SANTOS JUNIOR WS, DOS REIS PSB, ABREU AC, FERNANDES A, SILVA RS, CARDOSO JUNIOR RB,et al., Artroplastia Total de Quadril Cimentada com Sistema Modular: Relato em 16 cães. Nosso Clínico, v. 14, n.80, p;12-21, 2011.
ROE, S., New hip for ailing dog. Clinical Science, v.16, p.14-16, 2001.
POZZI A, KOWALESKI MP, DYCE J, JOHNSON KA. Treatment of traumatic coxo-femoral Luxation by cemented total hip arthroplasty Vet Comp Orthop Traumatol ,v.17, p.198-203, 2004.
JANKOVITS DA, LISKA WD, KALIS RH. Treatment of Avascular Necrosis of the Femoral Head in Small Dogs with Micro Total Hip Replacement. Veterinary Surgery, v. 41,p. 143–147 , 2012.
KALIS RH, LISKA WD, JANKOVITS DA. Total Hip Replacement as a Treatment Option for Capital Physeal Fractures in Dogs and Cats. Veterinary Surgery, v.41, p.148–155, 2012.
FITZPATRICK N, PRATOLA L, NIKOLAU C, HAMILTON M, FARREL M. Total Hip Replacement after Failed Femoral Head and Neck Excision in Two Dogs and Two Cats. Veterinary Surgery, v. 41, p.136–142, 2012.
SCHERRER W, HOLSWORTH I, GOOSSENS M, SCHULZ KS. Coxofemoral Arthroscopy and Total Hip Arthroplasty for Management of Intermediate Grade Fibrosarcoma in a dog. Veterinary Surgery, v.34, p. 43-46, 2005.
PRESTON CA, SCHULZ KS, VASSEUR PB. Total Hip Arthroplasty in Nine Canine Hind limb Amputees: A Retrospective Study. Veterinary Surgery, v.28, p. 341-347, 1999.
LISKA WD. The learning curve: Avoiding technical errors and complications. In: SCIENCE WEEK PROCEEDINGS, 2013, The Australian and New Zealand College of Veterinary Scientists.
TSUKAYAMA DT, ESTRADA R, GUSTILO RB. Infection after Total Hip Arthroplasty. The Journal of Bone and Joint Surgery,v. 78-A, n. 4, p. 512-523, 1996.
LISKA WD. Cemented and Cementless Hip Replacement: Current Perspective In: SCIENCE WEEK PROCEEDINGS, 2013, The Australian and New Zealand College of Veterinary Scientists.
GANZ SM, JACKSON J, VANENKEVORT B. Risk Factors for Femoral Fracture after Canine Press-Fit Cementless Total Hip Arthroplasty. Veterinary Surgery, v.39, p.688–695,2010.
MARGALIT KA, HAYASHI K, JACKSON J, KIM YOUNG SUN, GARCIA TC, WIGGANS KT, et al., Biomechanical Evaluation of Acetabular Cup Implantation in Cementless Total Hip Arthroplasty. Veterinary Surgery, v.39, p.818–823, 2010.
DELP SL, KOMATTU AV, WIXSON RL. Superior Displacement of the Hip in Total Joint Replacement: Effects of Prosthetic Neck Length, Neck-Stem Angle, and Anteversion Angle on the Moment-Generating Capacity of the Muscles. The Journal of Orthopaedic Research,v. 12,n.6, p.860-870, 1994.
DeYOUNG et al., Implantation of an Uncemented Total Hip Prosthesis.Technique and Initial Results of 100 Arthroplasties. Veterinary Surgery, v.21,n.3, p.168-177,1992.
OLMSTEAD ML, HOHN RB, TURNER TM. Technique for canine total hip replacement. Veterinary Surgery, v.10, p.44-50, 1991.
GEMMILL TJ, PINK J, RENWICK A, DOWNES C, ROCH S, MCKEE M. Hybrid Cemented/Cementless Total Hip Replacement in Dogs:Seventy-Eight Consecutive Joint Replacements. Veterinary Surgery, v.40, p.621–630, 2011.
NELSON LL, DYCE J, SHOTT S. Risk Factors for Ventral Luxation in Canine Total Hip Replacement. Veterinary Surgery, v.36, p.644-653, 2007.
MOSTAFA AA, DRUEN S, NOLTE I. Radiographic Evaluation of Early Periprosthetic Femoral Bone Contrast and Prosthetic Stem Alignment after Uncemented and Cemented Total Hip Replacement in Dogs. Veterinary Surgery, v.41, p.69–77, 2012.
JEHN CT, MANLEY PA. The Effects of Femur and Implant Position on the Radiographic Assessment of Total Hip Femoral Implants in Dogs. Veterinary Surgery, v.31, p.349-357, 2002.
MARCELLIN-LITTLE, DEYOUNG AB, DOYENS DH, DEYOUNG DJ. Canine Uncemented Porous-Coated Anatomic Total Hip Arthroplasty: Results of a Long-Term Prospective Evaluation of 50 Consecutive Cases. Veterinary Surgery, v.28, p.10-20, 1999.
IREIFEJ S, MARINO DJ, LOUGHIN CA, LESSER ML, AKERMAN M. Risk Factors and Clinical Relevance of Positive Intraoperative Bacterial Cultures in Dogs with Total Hip Replacement. Veterinary Surgery, v.41, p. 63–68, 2012.
HARVEY EJ, BOBYN JD, TANZER M, STACKPOOL J, KRYGIER JJ, HACKING SA. Effect of Flexibility of the Femoral Stem on Bone-Remodeling and Fixation of the Stem in a Canine Total Hip Arthroplasty Model without Cement. The Journal of Bone and Joint Surgery,v. 81-A, n 1, p. 93-105, 1999.
HADDAD FS, MUIRHEAD-ALLWOOD SK, MANKTELOW ARJ, BACARESE-HAMILTON I. Two-stage uncemented revision hip arthroplasty for infection.The Journal of Bone and Joint Surgery, v.82-b, n.5, p.689-694, 2000.
DOWD JE. Aseptic Loosening in Uncemented Total Hip Arthroplasty in a Canine Model. Clinical Orthopaedics,n.319, p.106-121,1995.
PARVIZI J, JAFARI SM, PURTILL JJ. Aseptic Loosening of Total Hip Arthroplasty: Infection Always Should be Ruled Out. Clin Orthop Relat Res,n.469, p.1401–1405, 2011.
DYCE J, WISNER ER, WANG Q, OLMSTEAD ML. Evaluation of Risk Factors for Luxation After Total Hip Replacement in Dogs. Veterinary Surgery, v.29, p.524-532,2000.
LISKA WD. Femur Fractures Associated with Canine Total Hip Replacement. Veterinary Surgery, v.33, p.164–172, 2004.
ANDREWS CM, LISKA WD, ROBERTS DJ. Sciatic Neurapraxia As a Complication in 1000 Consecutive Canine Total Hip Replacements. Veterinary Surgery, v.37, p.254–262,2008.
TIDWELL SA, GRAHAM JP, PECK JN, BERRY CR. Incidence of Pulmonary Embolism After Non-Cemented Total Hip Arthroplasty in Eleven Dogs: Computed Tomographic Pulmonary Angiography and Pulmonary Perfusion Scintigraphy. Veterinary Surgery,v. 36, p. 37–42, 2007.
LISKA WD, POTEET B. Pulmonary Embolism Associated With Canine Total Hip Replacement. Veterinary Surgery,v.32, p.178-186, 2003.
LISKA WD, DOYLE ND, Total Joint Arthroplasty: Surgery and Rehabilitation. In: SCIENCE WEEK PROCEEDINGS, 2013, The Australian and New Zealand College of Veterinary Scientists.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Este obra está licenciado com uma Licença Creative Commons Atribuição-NãoComercial 4.0 Internacional.