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Liberación lateral aislada o alargamiento lateral para indicaciones no de inestabilidad: una revisión sistemática
Cailan L Feingold1, Eric H Lin1, Andrew B Barcenas1
1Keck School of Medicine of USC, Department of Orthopaedic Surgery, Los Angeles, CA, USA.
Journal of orthopaedics
|February 20, 2026
Resumen
La liberación lateral aislada y el alargamiento ofrecen un manejo eficaz del dolor de rodilla para afecciones como el síndrome de compresión lateral de la rótula. Estos procedimientos mejoran los resultados de los pacientes, aunque la inestabilidad medial de la rótula es una complicación potencial, particularmente con la liberación lateral.
Área de la Ciencia:
- Cirugía Ortopédica
- Biomecánica de la Rodilla
- Medicina Deportiva
Sus antecedentes:
- La liberación lateral (LR) aislada y el alargamiento lateral (LL) son técnicas quirúrgicas utilizadas en procedimientos de rodilla.
- Sus indicaciones específicas para el dolor de rodilla no inestable siguen estando incompletamente definidas.
- Este estudio evalúa la eficacia de estos procedimientos aislados para afecciones de rodilla no inestables.
Objetivo del estudio:
- Evaluar la eficacia de la liberación lateral aislada y el alargamiento lateral para el dolor de rodilla sin inestabilidad.
- Aclarar las indicaciones para estos procedimientos en el manejo de la rodilla no inestable.
Principales métodos:
- Se realizó una búsqueda sistemática de la literatura en PubMed, Embase y Web of Science.
- Se incluyeron estudios publicados en revistas revisadas por pares en inglés a partir de 2000, centrados en LR o LL aislados para indicaciones de rodilla no de inestabilidad patelofemoral.
- Los criterios de exclusión incluyeron estudios sobre inestabilidad patelofemoral, artroplastia total de rodilla, revisiones sistemáticas, estudios biomecánicos e informes de casos.
Principales resultados:
- Se analizaron siete estudios en los que participaron 404 pacientes.
- Se investigaron procedimientos para el síndrome de compresión lateral de la rótula, el dolor anterior de la rodilla, la artrosis patelofemoral y la artrofibrosis.
- Todos los estudios informaron mejoras significativas en las medidas de resultados informadas por los pacientes y los resultados clínicos.
Conclusiones:
- La liberación lateral aislada y el alargamiento lateral son eficaces para el manejo del síndrome de compresión lateral de la rótula, el dolor anterior de la rodilla y la artrofibrosis posoperatoria.
- Estas intervenciones conducen a mejores resultados informados por los pacientes.
- La inestabilidad medial de la rótula es una complicación potencial, más aún con la sola liberación lateral.
Palabras clave:
inestabilidad medial iatrogénica de la rótulaalargamiento lateralsíndrome de compresión lateral de la rótulaliberación lateralMás Videos Relacionados
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