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El efecto de la retroversión acetabular en las lesiones ipsilaterales durante la luxación traumática de la cadera

Jessica L Koshinski¹, Carly J Deter¹, C Logan SanCraint¹

¹Geisinger Commonwealth School of Medicine, Scranton, PA 18510, USA.

|August 20, 2025

Resumen

La anteversión acetabular nativa no influye en el riesgo de lesiones ipsilaterales de las extremidades después de una luxación traumática de la cadera. Este estudio no encontró ningún efecto protector o predisponente de la versión acetabular en los resultados de la luxación de cadera.

Área de la Ciencia:

Cirugía ortopédica
Traumatología
Radiología

Sus antecedentes:

Las luxaciones traumáticas de la cadera pueden conducir a lesiones ipsilaterales asociadas.
El papel de la anteversión acetabular nativa en estas lesiones sigue sin estar claro.

Objetivo del estudio:

Investigar la asociación entre el ángulo de anteversión acetabular nativo y el riesgo de lesiones ipsilaterales en pacientes con luxaciones traumáticas de cadera.

Principales métodos:

Serie clínica retrospectiva de 121 pacientes con luxaciones traumáticas de la cadera.
Ángulos de anteversión acetabulares medidos en tomografías computarizadas.
Análisis de las lesiones asociadas de rodilla y cabeza femoral.

Principales resultados:

La versión acetabular media fue de 14,7°.
El 23% de los pacientes sufrió lesiones en la rodilla y el 33% sufrió lesiones en la cabeza femoral.
No se encontró asociación estadísticamente significativa entre la versión acetabular y las lesiones ipsilaterales de las extremidades (p=0,13).

Conclusiones:

La anteversión acetabular nativa no parece predisponer ni proteger contra lesiones ipsilaterales después de una luxación traumática de la cadera.
Se necesita más investigación para identificar otros factores que contribuyen a estas lesiones asociadas.

Palabras clave:

Versión acetabular El trauma Dislocación traumática de la cadera

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