Video Experimental Relacionado

Updated: Jun 26, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty

Published on: February 27, 2018

Tratamiento de las fracturas acetabulares geriátricas mediante el abordaje de Stoppa modificado: un artículo de

Mikolaj Bartosik^1,2, Eckart Mayr², Ulf Culemann¹

¹Department of Trauma Surgery, General Hospital Celle, 29223 Celle, Germany.

Journal of clinical medicine

|October 16, 2024

Abstract:

El tratamiento quirúrgico de las fracturas acetabulares geriátricas está adquiriendo una importancia creciente debido al cambio demográfico en la edad. Mientras que las fracturas acetabulares solían ocurrir con mayor frecuencia en pacientes jóvenes, actualmente son más prevalentes en pacientes geriátricos. Este cambio también ha provocado un aumento en la frecuencia de las fracturas acetabulares anteriores y anteriores combinadas. La cirugía de las fracturas acetabulares geriátricas representa un gran desafío y los cirujanos requieren años de experiencia para poder gestionar las ventajas y desventajas de la cirugía pélvica. Es por ello que se requiere un alto nivel de pericia quirúrgica. El objetivo de este artículo es proporcionar una visión general sobre el tema de las fracturas acetabulares geriátricas mediante una revisión narrativa crítica de la literatura actual, centrándose en el tratamiento quirúrgico mínimamente invasivo mediante el abordaje de Stoppa modificado sin valoración propia del paciente. El abordaje de Stoppa modificado ofrece una excelente visibilidad de las estructuras anteriores del acetábulo y permite abordar la superficie cuadrilátera de manera efectiva. La cirugía pélvica, y en particular la cirugía acetabular, ofrece a los pacientes numerosas ventajas, tales como una movilización rápida y el alivio acelerado de los síntomas dolorosos. Actualmente se discute la artroplastia total de cadera como una alternativa con buenos resultados para ciertos tipos de fracturas acetabulares en pacientes mayores, aunque requiere la aclaración de estudios y recomendaciones.

Palabras clave:

acetábulo envejecido fracturas geriátrico lesiones osteosíntesis cirugía de trauma

Más Videos Relacionados

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Videos de Conceptos Relacionados

Bone Remodeling

Bone Remodeling

Bone remodeling is a continuous and balanced process of bone resorption by osteoclasts and bone formation by osteoblasts. In adults, it helps maintain bone mass and calcium homeostasis. While mechanical stress can stimulate turnover as part of the normal maintenance and reparative process, several hormones also regulate bone remodeling.

Osteoclasts in Bone Remodeling

Osteoclasts in Bone Remodeling

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

Bone Disorders

Bone Disorders

Aging and its effect on bone remodeling is the most common cause of bone disorders. In young and healthy people, bone deposition and resorption happen at an equal rate to maintain optimal bone health.
Bone deposition is also affected by the levels of sex hormones like estrogen and testosterone that promote osteoblast activity and bone matrix synthesis. When the level of these hormones decreases due to aging, it causes a reduction in bone deposition. As a result, bone resorption by osteoclasts...

Bone Remodeling and Repair

Bone Remodeling and Repair

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...