{"id":53,"date":"2017-02-17T09:01:57","date_gmt":"2017-02-17T09:01:57","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/traumatologia\/?p=53"},"modified":"2022-07-18T16:19:35","modified_gmt":"2022-07-18T16:19:35","slug":"protesi-total-de-maluc","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/traumatologia\/ca\/protesi-total-de-maluc\/","title":{"rendered":"Pr\u00f2tesi total de maluc: La intervenci\u00f3 del segle"},"content":{"rendered":"

La\u00a0intervenci\u00f3 de segle<\/strong>\u00a0\u00e9s com va anomenar\u00a0The Lancet<\/em><\/a>, una de les revistes m\u00e8diques m\u00e9s prestigioses de m\u00f3n, a la\u00a0cirurgia de pr\u00f2tesi total de maluc.<\/strong><\/span>\u00a0Abans dels anys 50, el pacient que desenvolupava una\u00a0artrosi de maluc<\/strong>\u00a0tenia molt poques opcions terap\u00e8utiques;<\/span>\u00a0disminuir les activitats quotidianes i prendre analg\u00e8sics indefinidament, de manera que la seva qualitat de vida disminu\u00efa dr\u00e0sticament.<\/span>\u00a0En la d\u00e8cada dels anys 50,\u00a0John Charnley<\/strong><\/a>\u00a0va introduir i va popularitzar l’\u00fas de la\u00a0pr\u00f2tesi total de maluc<\/strong>\u00a0cementada a la\u00a0Cirurgia Ortop\u00e8dica i Traumatologia<\/strong><\/a>\u00a0.<\/span>\u00a0Aquest fet,\u00a0va revolucionar el tractament dels pacients que presentaven artrosi de maluc,<\/strong>\u00a0ja que, amb la\u00a0cirurgia de col\u00b7locaci\u00f3 d’una pr\u00f2tesi de maluc,<\/strong>\u00a0la qualitat de vida d’aquests pacients va millorar tant a curt com a llarg termini.<\/span><\/p>\n

<\/p>\n

En els \u00faltims anys,\u00a0s’han produ\u00eft canvis molt importants en aquest tipus de cirurgia,<\/strong>\u00a0degut tant a l’evoluci\u00f3 de les\u00a0pr\u00f2tesis de maluc<\/strong>\u00a0(disseny, material de fabricaci\u00f3, parell de fricci\u00f3 …) com a la introducci\u00f3 de diversos accessos quir\u00fargics per produir el m\u00ednim dany a les parts toves.<\/span>\u00a0Malgrat aquests aven\u00e7os, l’ess\u00e8ncia de la\u00a0cirurgia de pr\u00f2tesi total de maluc<\/strong>\u00a0ha estat sempre la mateixa, millorar al m\u00e0xim la qualitat de vida dels pacients.<\/span><\/p>\n

PER QU\u00c8 ES COL\u00b7LOCA UNA PR\u00d2TESI TOTAL DE MALUC?<\/span><\/h2>\n

Les dues indicacions principals per col\u00b7locar una\u00a0pr\u00f2tesi total de maluc<\/strong>\u00a0s\u00f3n el dolor i la discapacitat funcional que pateix el pacient.<\/span>\u00a0Despr\u00e9s de la intervenci\u00f3, no nom\u00e9s\u00a0desapareix el dolor,<\/strong>\u00a0sin\u00f3 que el pacient\u00a0pot recuperar la mobilitat normal del maluc afectat<\/strong>\u00a0i tornar a realitzar les seves activitats quotidianes d’una manera satisfact\u00f2ria.<\/span><\/p>\n

\n

\"Dr.<\/a><\/em><\/strong><\/h4>\n

“Despr\u00e9s d’una cirurgia de pr\u00f2tesi de maluc, desapareix el dolor i es recupera la mobilitat normal del maluc”<\/strong><\/span><\/h4>\n

Dr. Guillem Bori<\/a><\/p><\/blockquote>\n

Actualment, tant els pacients joves, com els pacients ancians que presenten artrosi<\/strong> o alguna altra\u00a0malaltia degenerativa del maluc<\/strong>\u00a0(necrosi o fractura del cap femoral, displ\u00e0sia del maluc …) es beneficien d’aquesta cirurgia, recuperant tant la qualitat de vida, com l’esperan\u00e7a de poder realitzar activitats f\u00edsiques exigents (nedar, anar amb bicicleta, …).<\/p>\n

EN QU\u00c8 CONSISTEIX LA CIRURGIA DE PR\u00d2TESI DE MALUC I QUINS TIPUS DE PR\u00d2TESIS HI HA?<\/span><\/h2>\n

L’operaci\u00f3 de pr\u00f2tesi de maluc<\/strong>\u00a0consisteix en la\u00a0substituci\u00f3 de l’articulaci\u00f3 afectada per un implant mec\u00e0nic, la pr\u00f2tesi.<\/strong><\/span><\/p>\n

Hi ha molts tipus de pr\u00f2tesis<\/strong>, per\u00f2 de manera gen\u00e8rica podem dir que una\u00a0pr\u00f2tesi total de maluc<\/strong>\u00a0consta de tres elements b\u00e0sics;<\/span>\u00a0un implant per la part del f\u00e8mur (plan\u00e7\u00f3), un implant per la part de la pelvis o acet\u00e0bul (c\u00f2tila), i un implant entre el plan\u00e7\u00f3 i el c\u00f2tila (cap).<\/span><\/p>\n

\n

\"Dr.<\/a><\/em><\/strong><\/h4>\n

“L’operaci\u00f3 de pr\u00f2tesi de maluc consisteix en la substituci\u00f3 de l’articulaci\u00f3 afectada per un implant mec\u00e0nic, la pr\u00f2tesi”<\/span><\/h4>\n

Dr. Guillem Bori<\/a><\/p><\/blockquote>\n

Tant el plan\u00e7\u00f3 com\u00a0la\u00a0c\u00f2tila estan fixats a l’os, i aquesta fixaci\u00f3 ser\u00e0 la responsable que una\u00a0pr\u00f2tesi de maluc<\/strong>\u00a0duri m\u00e9s o menys temps.<\/span>\u00a0En funci\u00f3 de la fixaci\u00f3 de la tija o\u00a0c\u00f2tila a l’os, les pr\u00f2tesis es classifiquen en cimentades o no cimentades.<\/span><\/p>\n

Una altra part important de la pr\u00f2tesi \u00e9s el\u00a0parell de fricci\u00f3<\/strong>\u00a0(components que estan en contacte durant el moviment), que es classifica segons el material: metall-polietil\u00e8, cer\u00e0mica-polietil\u00e8, cer\u00e0mica-cer\u00e0mica, oxinium-polietil\u00e8, metall-metall,… Actualment, la\u00a0pr\u00f2tesi total de maluc<\/strong>\u00a0m\u00e9s utilitzada, segons el\u00a0Registre d’Artropl\u00e0sties de Catalunya (RACat)<\/a>\u00a0, \u00e9s la no cimentada amb parell de fricci\u00f3 metall-polietil\u00e8.<\/span><\/p>\n

L’elecci\u00f3 del tipus de pr\u00f2tesi<\/strong>\u00a0i\u00a0parell de fricci\u00f3<\/strong>\u00a0dependr\u00e0 de diferents factors com l’edat, antecedents m\u00e8dics de l’pacient…<\/span>\u00a0Per\u00f2, de tota manera,\u00a0l’experi\u00e8ncia del cirurgi\u00e0 \u00e9s fonamental<\/strong><\/a>\u00a0per escollir la m\u00e9s indicada per a cada pacient en aquest tipus d’intervenci\u00f3.<\/span><\/p>\n

\n
\n

VOLS CONTACTAR AMB EL NOSTRE EQUIP DE TRAUMAT\u00d2LEGS?<\/span><\/h3>\n

DEMANAR CITA PRESENCIAL<\/a> |\u00a0SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

La\u00a0intervenci\u00f3 de segle\u00a0\u00e9s com va anomenar\u00a0The Lancet, una de les revistes m\u00e8diques m\u00e9s prestigioses de m\u00f3n, a la\u00a0cirurgia de pr\u00f2tesi total de maluc.\u00a0Abans dels anys 50, el pacient que desenvolupava una\u00a0artrosi de maluc\u00a0tenia molt poques opcions terap\u00e8utiques;\u00a0disminuir les activitats quotidianes i prendre analg\u00e8sics indefinidament, de manera que la seva qualitat de vida disminu\u00efa dr\u00e0sticament.\u00a0En la […]<\/p>\n","protected":false},"author":2,"featured_media":50,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[85,86,87,84,88,89,90,91],"class_list":["post-53","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-unitat-de-maluc","tag-cirurgia","tag-cirurgia-de-protesi","tag-dr-guillem-bori-2","tag-maluc","tag-operacio","tag-protesi","tag-protesi-de-maluc","tag-protesi-total-de-maluc"],"yoast_head":"\nCirurgia de pr\u00f2tesi total de maluc: La intervenci\u00f3 del segle<\/title>\n<meta name=\"description\" content=\"La intervenci\u00f3 de segle \u00e9s com va anomenar The Lancet a la cirurgia de pr\u00f2tesi total de maluc. 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