Resultados funcionales y radiográficos de la artroscopía de cadera en pacientes con displasia limítrofe
DOI:
https://doi.org/10.63403/re.v33i1.454Palabras clave:
Artroscopia de cadera, Plicatura Capsular, Resultados funcionales, Resultados radiográficos, Displasia limítrofe de caderaResumen
Introducción: la displasia limítrofe de cadera representa un desafío diagnóstico y terapéutico. La indicación de artroscopia continúa siendo motivo de debate.
Objetivo: evaluar los resultados funcionales y radiográficos de la artroscopia de cadera por vía extraarticular (outside-in), asociada a plicatura capsular, en pacientes con diagnóstico de displasia limítrofe.
Materiales y métodos: se realizó un estudio retrospectivo de 17 pacientes (74 % mujeres; edad media de 37 años) sometidos a artroscopia de cadera entre 2020 y 2022. Se evaluaron las escalas Harris Hip Score (HHS), Hip Outcome Score para actividades de la vida diaria (HOS-ADL) y deportes (HOS-SPORT), y la escala visual analógica (EVA) para dolor. Radiográficamente se analizaron el ángulo alfa, el ángulo de Tönnis y el ángulo centro-borde lateral (LCEA). Se aplicaron pruebas estadísticas para comparar valores preoperatorios y postoperatorios, considerando un nivel de significancia estadística de p <0.05.
Resultados: se observó una mejoría significativa en el HHS (54.4 a 81.1; p = 0.001), HOS-ADL (64.1 a 91.2; p = 0.001), HOS-SPORT (50.4 a 87.7; p = 0.001) y reducción del dolor en EVA (8.0 a 1.4; p <0.001). Radiográficamente, se registró disminución del ángulo alfa (61.3° a 53.7°; p <0.004). No se reportaron complicaciones mayores.
Conclusión: la artroscopia de cadera por vía extraarticular en pacientes con displasia limítrofe demostró mejorar significativamente los resultados funcionales y radiográficos, constituyendo una alternativa válida y segura en pacientes cuidadosamente seleccionados.
Nivel de evidencia: IV. Estudio de Cohorte Retrospectivo
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Derechos de autor 2026 Gabriel O. Pérez Lloveras, Rodrigo Pérez Davila, Franco Casserá, Mateo Lazzari, Francisco Colombatto, Agustín Cavasin, Gonzalo Escobar
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-CompartirIgual 4.0.
Esta obra se publica bajo una Licencia Creative Commons Atribución-NoComercial-CompartirIgual 4.0 Internacional (CC BY-NC-SA 4.0). Los autores conservan los derechos de autor.
