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Una Difícil Conversión De La Osificación Heterotópica Al Reemplazo Total De Cadera

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Una Difícil Conversión De La Osificación Heterotópica Al Reemplazo Total De Cadera

Video Experimental Relacionado

Direct Mouse Trauma/Burn Model of Heterotopic Ossification

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Published on: August 6, 2015

Una difícil conversión de la osificación heterotópica al reemplazo total de cadera

Bishnu Prasad Patro¹, Mainak Roy², Abhijith K Jayan¹

¹Orthopaedics, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India.

BMJ case reports

|August 31, 2025

Ver abstracta en PubMed

Resumen

Este resumen es generado por máquina.

La osificación heterotópica (HO) es un crecimiento anormal del hueso en los tejidos blandos. La escisión quirúrgica y el reemplazo total de cadera (THR, por sus siglas en inglés) trataron eficazmente el HO de cadera grave, restaurando la función del paciente.

Palabras clave:

Cirugía ortopédica y de traumas La ortopedia

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Published on: September 7, 2022

Área de la Ciencia:

Cirugía ortopédica
La Medicina Regenerativa
Ingeniería biomédica

Sus antecedentes:

La osificación heterotópica (HO) implica una formación ósea anormal en los tejidos blandos, que con frecuencia afecta a la cadera después de una lesión neurológica.
Las opciones de tratamiento para la HO de cadera van desde tratamientos conservadores hasta intervenciones quirúrgicas como el reemplazo total de cadera (THR).

Objetivo del estudio:

Para informar de un tratamiento quirúrgico exitoso de la osificación heterotópica grave de la cadera.
Evaluar la eficacia de la escisión quirúrgica y el THR con una prótesis de doble movilidad en la restauración de la función de la cadera.

Principales métodos:

Un informe de caso de un hombre adulto joven con Brooker grado 4 HO de la cadera izquierda.
Excisión quirúrgica del hueso heterotópico del acetábulo y el fémur proximal.

Sustitución total de cadera (THR) con una prótesis de doble movilidad.

Principales resultados:

El paciente presentaba una grave restricción del movimiento de la cadera debido a una extensa osificación heterotópica.
El seguimiento postoperatorio a los 6 meses y 1 año mostró mejoras significativas en el dolor.
Se observaron mejoras notables en el rango de movimiento y los resultados funcionales después de la cirugía.

Conclusiones:

La extirpación quirúrgica de la osificación heterotópica combinada con el reemplazo total de cadera ofrece un tratamiento viable para la afectación severa de la cadera.
Las prótesis de movilidad dual pueden proporcionar resultados favorables en el manejo de reconstrucciones complejas de cadera después de HO.