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Complicaciones en la artroscopia de cadera: reconocimiento y manejo de eventos adversos
Alexandre Castro1, Cruz de Melo2, Fernando Leal2
1Unidade Local de Saúde de Entre o Douro e Vouga, Department of Orthopedic and Traumatology, Santa Maria da Feira, Street Dr. Cândido Pinho, 4520-220, Santa Maria da Feira, Portugal.
Journal of clinical orthopaedics and trauma
|September 2, 2025
Resumen
Las complicaciones de la artroscopia de cadera, aunque poco comunes, requieren comprensión. Esta revisión detalla los riesgos como la lesión nerviosa y el daño iatrogénico, haciendo hincapié en la prevención y el tratamiento rápido para la seguridad del paciente.
Área de la Ciencia:
- Cirugía ortopédica
- Procedimientos mínimamente invasivos
- Medicina del deporte
Sus antecedentes:
- La artroscopia de cadera es una técnica quirúrgica común para los trastornos de la cadera.
- Aunque generalmente es seguro, pueden surgir complicaciones debido al aumento del volumen y la complejidad del procedimiento.
Objetivo del estudio:
- Para revisar las complicaciones asociadas con la artroscopia de cadera.
- Resumir los tipos, las causas y las estrategias de gestión de los eventos adversos.
- Hacer hincapié en el reconocimiento temprano y las intervenciones basadas en la evidencia.
Principales métodos:
- Revisión de la literatura y síntesis de la experiencia de los autores.
- Categoría de complicaciones que incluyen neurovascular, iatrogénico, extravasación de fluidos, TVP y osificación heterotópica.
Principales resultados:
- La neuropraxia (lesión nerviosa) es común, a menudo relacionada con la tracción.
- El daño iatrogénico y la extravasación de líquidos son preocupaciones importantes.
- Las medidas preventivas incluyen un posicionamiento adecuado, tracción limitada y monitoreo.
Conclusiones:
- Comprender los riesgos de la artroscopia de cadera es crucial.
- El reconocimiento y la intervención inmediatos minimizan la morbilidad del paciente.
- La mejora de las técnicas y la formación mejoran la seguridad.
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