{"id":37259,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-biomecanico-de-la-gonartrosis-y-la-artroplastia-total-de-rodilla\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"estudio-biomecanico-de-la-gonartrosis-y-la-artroplastia-total-de-rodilla","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-biomecanico-de-la-gonartrosis-y-la-artroplastia-total-de-rodilla\/","title":{"rendered":"Estudio biomecanico de la gonartrosis y la artroplastia total de rodilla."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Anchuela Oca\u00f1a Jos\u00e9 Javier <\/strong><\/h2>\n<p>Este estudio se plantea como un an\u00e1lisis global de la rodilla artr\u00f3sica y los resultados de la artroplastia durante el primer a\u00f1o de evoluci\u00f3n, analizando los resultados cl\u00ednicos y objetivando los par\u00e1metros biomec\u00e1nicos referentes a la funci\u00f3n muscular mediante el estudio isocin\u00e9tico, el soporte de carga y solicitaciones articulares mediante el estudio densitom\u00e9trico, y la funci\u00f3n principal del miembro inferior: la locomoci\u00f3n, mediante el estudio de la marcha. Se estudiaron 22 mujeres afectas de gonartrosis primaria intervenidas con un implante de fijaci\u00f3n biol\u00f3gica que conserva el ligamento cruzado posterior, realizando las exploraciones en el preoperatorio, a los 6 meses y al a\u00f1o de la intervenci\u00f3n. A los 6 meses de la artroplastia se produce un descenso de la mayoria de los par\u00e1metros densitom\u00e9tricos e isocin\u00e9ticos. Al a\u00f1o de evoluci\u00f3n se conserva la masa \u00f3sea de la rodilla intervenida, excepto en la regi\u00f3n tibial anterior donde se observa una desfuncionalizaci\u00f3n significativa (p&lt;0,05). La fuerza extensora que se encuentra disminuida en la gonartrosis no mejora tras la artroplastia, que logra su m\u00e1xima eficiencia muscular flexo-extensora en un rango de flexi\u00f3n menor de 60grados, sin igualar en trabajo y potencia a la rodilla sana. Al a\u00f1o de la artroplastia la marcha es m\u00e1s rapida, se igualan los tiempos de apoyo, se suaviza las fuerzas de impacto vertical y aumenta la fuerza de frenada, con tendencia a normalizar las curvas de las fuerzas en las r\u00e1ficas fuerza-tiempo. Los par\u00e1metros cl\u00ednicos presentaron una mejor\u00eda paralela a los par\u00e1metros biomec\u00e1nicos.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio biomecanico de la gonartrosis y la artroplastia total de rodilla.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio biomecanico de la gonartrosis y la artroplastia total de rodilla. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Anchuela Oca\u00f1a Jos\u00e9 Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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>Luis G\u00f3mez Pellico<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio L\u00f3pez Alonso <\/li>\n<li>Luis Pablo Rodriguez Rodriguez (vocal)<\/li>\n<li>Enrique Martinez Moreno (vocal)<\/li>\n<li>Ricardo Vazquez Rodriguez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Anchuela Oca\u00f1a Jos\u00e9 Javier Este estudio se plantea como un an\u00e1lisis global de la rodilla artr\u00f3sica y [&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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