{"id":73345,"date":"2018-03-09T23:18:15","date_gmt":"2018-03-09T23:18:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-evolutivo-de-la-rotula-sin-ptotetizar-en-la-artroplastia-total-de-rodilla\/"},"modified":"2018-03-09T23:18:15","modified_gmt":"2018-03-09T23:18:15","slug":"estudio-comparativo-evolutivo-de-la-rotula-sin-ptotetizar-en-la-artroplastia-total-de-rodilla","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-evolutivo-de-la-rotula-sin-ptotetizar-en-la-artroplastia-total-de-rodilla\/","title":{"rendered":"Estudio comparativo\/evolutivo de la r\u00f3tula sin ptotetizar en la artroplastia total de rodilla"},"content":{"rendered":"

Tesis doctoral de Fernando Perez Villar <\/strong><\/h2>\n

Dada la controversia existente entre protetizar o no la r\u00f3tula en la artroplastia total de rodilla, se efect\u00faa un estudio cl\u00ednico, radiol\u00f3gico y densitom\u00e9trico de pacientes intervenidos sin protetizaci\u00f3n patelar. El dise\u00f1o del estudio consta de dos partes: un estudio retrospectivo de pacientes intervenidos con m\u00e1s de 10 a\u00f1os de evoluci\u00f3n, y un estudio prospectivo de 50 pacientes a los que se ha tomado datos pre, intra y postoperatorios de forma exhaustiva respecto al aparato extensor. los resultados obtenidos y tras el an\u00e1lisis estad\u00edstico de los mismos se concluye de la forma siguiente: – el dolor rotuliano que aparece en el 14,9% de la serie retrospectiva influye sobre la valoraci\u00f3n global de la artroplastia negativamente. Sin embargo, ninguno de los pacientes ha precisado\/querido ninguna nueva intervenci\u00f3n. – en el muestreo prospectivo el dolor rotuliano que ha estado presente en el 13,6% no ha influ\u00eddo sobre el resultado final de la artroplastia ni sobre sus expectativas. – hemos encontrado relaci\u00f3n entre la juventud y la obesidad del paciente, el menor tama\u00f1o rotuliano y el aumento del \u00e1ngulo q con la aparici\u00f3n de dolor roruliano cuando la r\u00f3tula no se protetiza. – no hemos encontrado relaci\u00f3n entre el estado del cart\u00edlago rotuliano, b\u00e1scula rotuliana, traslaci\u00f3n lateral, altura rotuliana y la aparici\u00f3n del dolor rotuliano en el postoperatorio. – en la historia natural de las r\u00f3tulas no protetizadas encontramos aumento global del tama\u00f1o, m\u00ednima b\u00e1scula e incremento de la densidad subcondral sin que exista ninguna relaci\u00f3n con la aparici\u00f3n de dolor y\/o disbalance articular. – el dolor rotuliano postoperatorio no se ha visto influ\u00eddo por gestos quir\u00fargicos realizados sobre la r\u00f3tula, no puede ser predecido en la actualidad por ning\u00fan par\u00e1metro cl\u00ednico ni radiol\u00f3gico, su frecuencia es similar en las series retrospectiva y prospectiva, y es superponible a la que aparece en la biblio<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abEstudio comparativo\/evolutivo de la r\u00f3tula sin ptotetizar en la artroplastia total de rodilla<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo\/evolutivo de la r\u00f3tula sin ptotetizar en la artroplastia total de rodilla <\/li>\n
  • Autor:<\/strong>\u00a0 Fernando Perez Villar <\/li>\n
  • Universidad:<\/strong>\u00a0 Lleida<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 29\/03\/2005<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Jose Mart\u00ednez Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: joan Vi\u00f1as sala <\/li>\n
        • Vilarrubias guillamet Jos\u00e9 Mar\u00eda (vocal)<\/li>\n
        • xavier Gomez arbones (vocal)<\/li>\n
        • robert Ramon (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Fernando Perez Villar Dada la controversia existente entre protetizar o no la r\u00f3tula en la artroplastia total […]<\/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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,4233,18842],"tags":[159244,18889,536,159246,159245,98682],"class_list":["post-73345","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-ortopedica","category-lleida","tag-fernando-perez-villar","tag-joan-vinas-sala","tag-jose-Martinez-fernandez","tag-robert-ramon","tag-vilarrubias-guillamet-jose-maria","tag-xavier-gomez-arbones"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/73345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=73345"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/73345\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=73345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=73345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=73345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}