Utilización de aloinjerto estructural en los defectos óseos durante la colocación de una prótesis total de codo: dos casos clínicos
Introducción Los defectos óseos que aparecen en el momento de un recambio de una prótesis de codo, o tras la mala evolución de una fractura supraintercondílea, en el momento de colocar una prótesis de codo, pueden ser solucionados con un implante de hueso de banco. Casos clínicos Presentamos dos cas...
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| Published in | Revista española de cirugía ortopédica y traumatología Vol. 52; no. 1; pp. 32 - 36 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Spanish |
| Published |
Elsevier Espana
01.02.2008
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Introducción Los defectos óseos que aparecen en el momento de un recambio de una prótesis de codo, o tras la mala evolución de una fractura supraintercondílea, en el momento de colocar una prótesis de codo, pueden ser solucionados con un implante de hueso de banco. Casos clínicos Presentamos dos casos en los que se ha usado aloinjerto estructural en la colocación de una prótesis total de codo, uno en localización humeral y otro cubital. Resultados Los dos resultados clínicos obtenidos con 24 y 26 meses de seguimiento, utilizando la escala de Mayo Elbow Performance Score , han sido uno de regular y uno de excelente. Conclusiones La utilización de aloinjerto de banco es un recurso útil para el tratamiento de los grandes defectos óseos en la colocación de una prótesis total de codo. |
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| AbstractList | Los defectos óseos que aparecen en el momento de un recambio de una prótesis de codo, o tras la mala evolución de una fractura supraintercondílea, en el momento de colocar una prótesis de codo, pueden ser solucionados con un implante de hueso de banco.
Presentamos dos casos en los que se ha usado aloinjerto estructural en la colocación de una prótesis total de codo, uno en localización humeral y otro cubital.
Los dos resultados clínicos obtenidos con 24 y 26 meses de seguimiento, utilizando la escala de Mayo Elbow Performance Score, han sido uno de regular y uno de excelente.
La utilización de aloinjerto de banco es un recurso útil para el tratamiento de los grandes defectos óseos en la colocación de una prótesis total de codo.
Bone defects that become visible during total elbow revision surgery or further to poor evolution of a supraintercondylar fracture can be addressed by means of an implant of bone-bank origin.
We present two cases in which strut grafts were used when placing a total elbow prosthesis, one at the humeral and the other at the ulnar level.
The clinical results for these grafts, one at 24 and the other at 26 months’ follow-up, were fair and excellent respectively, according to the Mayo Elbow Performance Score.
The use of a bone-bank allograft is a useful way of treating the large bone defects that may appear when placing a total elbow prosthesis. Introducción Los defectos óseos que aparecen en el momento de un recambio de una prótesis de codo, o tras la mala evolución de una fractura supraintercondílea, en el momento de colocar una prótesis de codo, pueden ser solucionados con un implante de hueso de banco. Casos clínicos Presentamos dos casos en los que se ha usado aloinjerto estructural en la colocación de una prótesis total de codo, uno en localización humeral y otro cubital. Resultados Los dos resultados clínicos obtenidos con 24 y 26 meses de seguimiento, utilizando la escala de Mayo Elbow Performance Score , han sido uno de regular y uno de excelente. Conclusiones La utilización de aloinjerto de banco es un recurso útil para el tratamiento de los grandes defectos óseos en la colocación de una prótesis total de codo. |
| Author | Bori-Tuneu, G Forés-Viñeta, J Ferreres-Claramunt, À |
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| Keywords | Total elbow prosthesis Bone defect Strut graft Prótesis total de codo Aloinjerto estructural Defecto óseo |
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| References_xml | – volume: 84A start-page: 1642 year: 2002 end-page: 1650 ident: bb0015 article-title: Periprosthetic humeral fractures after total elbow arthroplasty: treatment with implant revision and strut allograft augmentation publication-title: J Bone Joint Surg Am contributor: fullname: Morrey – volume: 81B start-page: 1005 year: 1999 end-page: 1012 ident: bb0025 article-title: Long-term results of the GSB III elbow arthroplasty publication-title: J Bone Joint Surg Br contributor: fullname: Baehler – volume: 79A start-page: 17 year: 1997 end-page: 25 ident: bb0060 article-title: Reconstruction of massive bone defects with allograft in revision total knee arthroplasty publication-title: J Bone Joint Surg Am contributor: fullname: Gross – volume: 82B start-page: 830 year: 2000 end-page: 836 ident: bb0065 article-title: Structural proximal femoral allografts for failed total hip replacements: a minimum review of five years publication-title: J Bone Joint Surg Br contributor: fullname: Duncan – volume: 81A start-page: 1008 year: 1999 end-page: 1012 ident: bb0010 article-title: Impaction allograft bone-grafting for revision total elbow arthroplasty. A case report publication-title: J Bone Joint Surg Am contributor: fullname: Lee – volume: 319 start-page: 151 year: 1995 end-page: 158 ident: bb0050 article-title: Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip publication-title: Clin Orthop contributor: fullname: Morsi – volume: 225 start-page: 22 year: 1987 end-page: 36 ident: bb0035 article-title: Proximal femoral allografts in revision total hip arthroplasty publication-title: Clin Orthop contributor: fullname: Emerson – volume: 341 start-page: 12 year: 1997 end-page: 22 ident: bb0030 article-title: Elbow allograft for reconstruction of the elbow with massive bone loss. Long term results publication-title: Clin Orthop contributor: fullname: Urbaniak – volume: 356 start-page: 222 year: 1998 end-page: 229 ident: bb0040 article-title: Salvage of failed femoral megaprostheses with allograft prosthesis composites publication-title: Clin Orthop contributor: fullname: Sim – volume: 69A start-page: 523 year: 1987 end-page: 532 ident: bb0005 article-title: Revision total elbow arthroplasty publication-title: J Bone Joint Surg Am contributor: fullname: Bryan – volume: 78B start-page: 213 year: 1996 end-page: 216 ident: bb0055 article-title: Structural allograft in two-stage revisions for failed septic hip arthroplasty publication-title: J Bone Joint Surg Br contributor: fullname: Gross – volume: 86A start-page: 1223 year: 2004 end-page: 1229 ident: bb0045 article-title: Proximal ulnar reconstruction with strut allograft in revision total elbow arthroplasty publication-title: J Bone Joint Surg Am contributor: fullname: Morrey – volume: 86A start-page: 724 year: 2004 end-page: 735 ident: bb0020 article-title: Allograft-Prosthesis composite for revision of catastrophic failure of total elbow arthroplasty publication-title: J Bone Joint Surg Am contributor: fullname: Morrey – volume: 319 start-page: 151 year: 1995 ident: 10.1016/S1888-4415(08)74791-X_bb0050 article-title: Proximal femoral allografts for reconstruction of bone stock in revision arthroplasty of the hip publication-title: Clin Orthop contributor: fullname: Gross – volume: 84A start-page: 1642 year: 2002 ident: 10.1016/S1888-4415(08)74791-X_bb0015 article-title: Periprosthetic humeral fractures after total elbow arthroplasty: treatment with implant revision and strut allograft augmentation publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200209000-00019 contributor: fullname: Sánchez-Sotelo – volume: 341 start-page: 12 year: 1997 ident: 10.1016/S1888-4415(08)74791-X_bb0030 article-title: Elbow allograft for reconstruction of the elbow with massive bone loss. Long term results publication-title: Clin Orthop doi: 10.1097/00003086-199708000-00004 contributor: fullname: Dean – volume: 86A start-page: 1223 year: 2004 ident: 10.1016/S1888-4415(08)74791-X_bb0045 article-title: Proximal ulnar reconstruction with strut allograft in revision total elbow arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200406000-00015 contributor: fullname: Kamineni – volume: 69A start-page: 523 year: 1987 ident: 10.1016/S1888-4415(08)74791-X_bb0005 article-title: Revision total elbow arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-198769040-00008 contributor: fullname: Morrey – volume: 78B start-page: 213 year: 1996 ident: 10.1016/S1888-4415(08)74791-X_bb0055 article-title: Structural allograft in two-stage revisions for failed septic hip arthroplasty publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.78B2.0780213 contributor: fullname: Alexeeff – volume: 356 start-page: 222 year: 1998 ident: 10.1016/S1888-4415(08)74791-X_bb0040 article-title: Salvage of failed femoral megaprostheses with allograft prosthesis composites publication-title: Clin Orthop doi: 10.1097/00003086-199811000-00030 contributor: fullname: Clarke – volume: 86A start-page: 724 year: 2004 ident: 10.1016/S1888-4415(08)74791-X_bb0020 article-title: Allograft-Prosthesis composite for revision of catastrophic failure of total elbow arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-200404000-00009 contributor: fullname: Mansat – volume: 81B start-page: 1005 year: 1999 ident: 10.1016/S1888-4415(08)74791-X_bb0025 article-title: Long-term results of the GSB III elbow arthroplasty publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.81B6.0811005 contributor: fullname: Gschwend – volume: 81A start-page: 1008 year: 1999 ident: 10.1016/S1888-4415(08)74791-X_bb0010 article-title: Impaction allograft bone-grafting for revision total elbow arthroplasty. A case report publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-199907000-00015 contributor: fullname: Lee – volume: 79A start-page: 17 year: 1997 ident: 10.1016/S1888-4415(08)74791-X_bb0060 article-title: Reconstruction of massive bone defects with allograft in revision total knee arthroplasty publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-199701000-00002 contributor: fullname: Ghazavi – volume: 225 start-page: 22 year: 1987 ident: 10.1016/S1888-4415(08)74791-X_bb0035 article-title: Proximal femoral allografts in revision total hip arthroplasty publication-title: Clin Orthop doi: 10.1097/00003086-198712000-00005 contributor: fullname: Head – volume: 82B start-page: 830 year: 2000 ident: 10.1016/S1888-4415(08)74791-X_bb0065 article-title: Structural proximal femoral allografts for failed total hip replacements: a minimum review of five years publication-title: J Bone Joint Surg Br doi: 10.1302/0301-620X.82B6.0820830 contributor: fullname: Haddad |
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| SubjectTerms | Aloinjerto estructural Bone defect Defecto óseo Orthopedics Prótesis total de codo Strut graft Total elbow prosthesis |
| Title | Utilización de aloinjerto estructural en los defectos óseos durante la colocación de una prótesis total de codo: dos casos clínicos |
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