{"id":101740,"date":"2018-03-11T10:23:38","date_gmt":"2018-03-11T10:23:38","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/apertura-malleada-del-retinaculo-patelar-lateral-tecnica-de-healy-en-ciruga%c2%ada-protesica-de-rodilla-su-repercusion-en-las-perdidas-hematicas\/"},"modified":"2018-03-11T10:23:38","modified_gmt":"2018-03-11T10:23:38","slug":"apertura-malleada-del-retinaculo-patelar-lateral-tecnica-de-healy-en-ciruga%c2%ada-protesica-de-rodilla-su-repercusion-en-las-perdidas-hematicas","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/traumatologia\/apertura-malleada-del-retinaculo-patelar-lateral-tecnica-de-healy-en-ciruga%c2%ada-protesica-de-rodilla-su-repercusion-en-las-perdidas-hematicas\/","title":{"rendered":"Apertura malleada del retin\u00e1culo patelar lateral (t\u00e9cnica de healy) en cirugia prot\u00e9sica de rodilla. su repercusi\u00f3n en las p\u00e9rdidas hem\u00e1ticas"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Morales S\u00e1nchez-migall\u00f3n <\/strong><\/h2>\n<p>La artroplastia total de rodilla es una de las intervenciones quir\u00fargicas m\u00e1s frecuentes en los servicios de cirug\u00eda ortop\u00e9dica. Este procedimiento se asocia a p\u00e9rdidas sangu\u00edneas significativas de modo que, en el marco de las actuales pol\u00edticas de ahorro de sangre, se han relacionado m\u00faltiples factores con las mismas, proponi\u00e9ndose diversas estrategias para disminuirlas. Uno de estos factores es la apertura del retin\u00e1culo patelar lateral, gesto quir\u00fargico que resulta necesario muy frecuentemente durante la artroplastia total de rodilla para equilibrar el mecanismo extensor y que se ha relacionado con diversas complicaciones derivadas de la lesi\u00f3n de las arterias geniculadas laterales (mayor sangrado, hemartrosis&#8230;). Como alternativa a esta t\u00e9cnica, healy describi\u00f3 en 2004 un sistema de apertura malleada del retin\u00e1culo patelar lateral con el que, seg\u00fan el autor, se respeta la integridad del sistema arterial genicular lateral, evitando as\u00ed las posibles complicaciones antes mencionadas. el presente estudio compara dos grupos de pacientes sometidos a artroplastia total de rodilla seg\u00fan protocolo est\u00e1ndar. En un grupo se incluyen aquellos pacientes en que se practic\u00f3 apertura malleada del retin\u00e1culo patelar lateral por exceso de tensi\u00f3n del mismo y en el otro, aqu\u00e9llos en que no fue necesario realizar este gesto. En todos los casos se hizo valoraci\u00f3n de las p\u00e9rdidas hem\u00e1ticas totales mediante m\u00e9todos matem\u00e1ticos, no encontr\u00e1ndose diferencias estad\u00edsticamente significativas entre ambos grupos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Apertura malleada del retin\u00e1culo patelar lateral (t\u00e9cnica de healy) en cirugia prot\u00e9sica de rodilla. su repercusi\u00f3n en las p\u00e9rdidas hem\u00e1ticas<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Apertura malleada del retin\u00e1culo patelar lateral (t\u00e9cnica de healy) en cirugia prot\u00e9sica de rodilla. su repercusi\u00f3n en las p\u00e9rdidas hem\u00e1ticas <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Morales S\u00e1nchez-migall\u00f3n <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/06\/2010<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jos\u00e9 Antonio Salido Valle<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis G\u00f3mez pellico <\/li>\n<li>Luis Mar\u00eda Ferrandez portal (vocal)<\/li>\n<li>Luis Munuera Martinez (vocal)<\/li>\n<li>Juan  Emilio Feliu albi\u00f1ana (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Morales S\u00e1nchez-migall\u00f3n La artroplastia total de rodilla es una de las intervenciones quir\u00fargicas m\u00e1s frecuentes en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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