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Diferencias basadas en el sexo en los hallazgos de artroscopia de cadera, manejo y resultados: una revisión

Serkan Surucu¹, Mahmud Aydin¹, Ronak J Mahatme¹

¹Yale University, Department of Orthopaedics and Rehabilitation, New Haven, Connecticut, USA.

Orthopaedic journal of sports medicine

|January 19, 2026

Resumen

La artroscopia de cadera ofrece resultados comparables tanto para pacientes masculinos como femeninos, independientemente de las diferencias anatómicas. Esta revisión sistemática confirma mejoras similares en los resultados informados por los pacientes (PRO) y las tasas de revisión después de los procedimientos de cadera.

Área de la Ciencia:

Cirugía Ortopédica; Medicina Deportiva; Ingeniería Biomédica

Sus antecedentes:

La artroscopia de cadera trata eficazmente el pinzamiento femoroacetabular (FAI) y las lágrimas del labrum, mejorando los resultados informados por los pacientes (PRO).

Objetivo del estudio:

Revisar sistemáticamente las diferencias basadas en el sexo en los hallazgos radiográficos, la patología intraoperatoria, el manejo quirúrgico y los resultados postoperatorios después de la artroscopia de cadera.

Principales métodos:

Revisión sistemática de la literatura que se adhiere a las pautas PRISMA, buscando en PubMed, CENTRAL y Scopus.

Principales resultados:

Seis estudios (3914 caderas) mostraron mejoras significativas en los PRO postoperatorios en todos los pacientes (p < .05).
Los pacientes masculinos exhibieron ángulos alfa más grandes y un daño condral más avanzado; las mujeres se sometieron a más reparaciones capsulares.
No se encontraron diferencias significativas basadas en el sexo en los PRO, el logro de la diferencia clínicamente importante, las tasas de revisión o la conversión a artroplastia total de cadera.

Conclusiones:

Los pacientes masculinos y femeninos logran mejoras comparables en los PRO, los umbrales clínicos y las tasas de revisión después de la artroscopia de cadera.

Palabras clave:

femoracetabular impingement hip arthroscopy patient-reported outcome sex-based differences

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