Evaluación funcional de artroplastía total de rodilla bajo protocolo fast-track: experiencia en un hospital de tercer nivel.
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| Title: | Evaluación funcional de artroplastía total de rodilla bajo protocolo fast-track: experiencia en un hospital de tercer nivel. |
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| Alternate Title: | Functional evaluation of total knee arthroplasty under fast-track protocol: experience of a tertiary level hospital. |
| Authors: | Antonio-Romero, C. E.1,2, García-Benavides, P.1,2 drpedrogbenavides@gmail.com, Zavala-Luna, N. D.1,2, Ruiz-Domínguez, M.1,2, Castro-Fuentes, C. A.1 |
| Source: | Acta Ortopédica Mexicana. Jan/Feb2026, Vol. 40 Issue 1, p28-34. 7p. |
| Subjects: | TOTAL knee replacement, FUNCTIONAL assessment, RADIOGRAPHIC processing, TERTIARY care, AMBULATORY surgery, ENHANCED recovery after surgery protocol, POSTOPERATIVE care |
| Abstract (English): | Total knee arthroplasty (TKA) is the definitive treatment for patients with severe functional impairment. Its outpatient procedure has gained interest due to its ability to optimize resources and reduce hospitalization time. The objective of this study is to evaluate the postoperative functionality of patients undergoing outpatient TKA in a tertiary care hospital. The medical records of 33 patients were reviewed, analyzing clinical and imaging characteristics before and after the procedure. Variables included diagnosis of gonarthrosis, comorbidities, surgical time, complications, functionality using the American Knee Replacement Therapy Score (AKPRS), and radiographic alpha, beta, gamma, and sigma angles. The cohort was primarily women (81.8%). High blood pressure was the most common comorbidity (30.3%), followed by rheumatoid arthritis (12.1%). Surgical time ranged from 86 to 146 minutes, and 91% of patients were complication-free. According to the AKPRS, 63.2% received an excellent rating, 24.2% received a good rating, and 12.1% received a fair rating. Most radiographic angles were within normal parameters. No statistical significance was identified between the side of the knee osteoarthritis and functional and/or radiographic outcomes. Despite the absence of statistically significant associations, functional outcomes were favorable, supporting the feasibility of performing TKA on an outpatient basis, with potential benefits in terms of reduced costs and hospital stay. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | La artroplastía total de rodilla (ATR) es el tratamiento definitivo para pacientes con deterioro funcional severo. Su realización en modalidad ambulatoria ha ganado interés por la optimización de recursos y la reducción del tiempo de hospitalización. El objetivo de este estudio es evaluar la funcionalidad postoperatoria de pacientes sometidos a ATR ambulatoria en un hospital de tercer nivel. Se revisaron los expedientes clínicos de 33 pacientes, analizando características clínicas e imagenológicas antes y después del procedimiento. Las variables incluyeron diagnóstico de gonartrosis, comorbilidades, tiempo quirúrgico, complicaciones, funcionalidad mediante la escala de la Asociación Americana para Prótesis de Rodilla (AKPRS, por sus siglas en inglés) y los ángulos radiográficos alfa, beta, gamma y sigma. La cohorte estuvo compuesta principalmente por mujeres (81.8%). La hipertensión arterial fue la comorbilidad más común (30.3%), seguida de artritis reumatoide (12.1%). El tiempo quirúrgico osciló entre 86 y 146 minutos y 91% no presentó complicaciones. De acuerdo con la AKPRS, 63.2% obtuvo calificación excelente, 24.2% buena y 12.1% regular. La mayoría de los ángulos radiográficos se encontraron dentro de parámetros normales. No se identificó significancia estadística entre el lado de la gonartrosis y los resultados funcionales y/o radiográficos. A pesar de la ausencia de asociaciones estadísticamente significativas, los resultados funcionales fueron favorables, lo cual respalda la viabilidad de realizar ATR de forma ambulatoria, con beneficios potenciales en reducción de costos y estancia hospitalaria. [ABSTRACT FROM AUTHOR] |
| Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: lth DbLabel: MedicLatina An: 191464682 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Evaluación funcional de artroplastía total de rodilla bajo protocolo fast-track: experiencia en un hospital de tercer nivel. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Functional evaluation of total knee arthroplasty under fast-track protocol: experience of a tertiary level hospital. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Antonio-Romero%2C+C%2E+E%2E%22">Antonio-Romero, C. E.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22García-Benavides%2C+P%2E%22">García-Benavides, P.</searchLink><relatesTo>1,2</relatesTo><i> drpedrogbenavides@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Zavala-Luna%2C+N%2E+D%2E%22">Zavala-Luna, N. D.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Ruiz-Domínguez%2C+M%2E%22">Ruiz-Domínguez, M.</searchLink><relatesTo>1,2</relatesTo><br /><searchLink fieldCode="AR" term="%22Castro-Fuentes%2C+C%2E+A%2E%22">Castro-Fuentes, C. A.</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. Jan/Feb2026, Vol. 40 Issue 1, p28-34. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22TOTAL+knee+replacement%22">TOTAL knee replacement</searchLink><br /><searchLink fieldCode="DE" term="%22FUNCTIONAL+assessment%22">FUNCTIONAL assessment</searchLink><br /><searchLink fieldCode="DE" term="%22RADIOGRAPHIC+processing%22">RADIOGRAPHIC processing</searchLink><br /><searchLink fieldCode="DE" term="%22TERTIARY+care%22">TERTIARY care</searchLink><br /><searchLink fieldCode="DE" term="%22AMBULATORY+surgery%22">AMBULATORY surgery</searchLink><br /><searchLink fieldCode="DE" term="%22ENHANCED+recovery+after+surgery+protocol%22">ENHANCED recovery after surgery protocol</searchLink><br /><searchLink fieldCode="DE" term="%22POSTOPERATIVE+care%22">POSTOPERATIVE care</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Total knee arthroplasty (TKA) is the definitive treatment for patients with severe functional impairment. Its outpatient procedure has gained interest due to its ability to optimize resources and reduce hospitalization time. The objective of this study is to evaluate the postoperative functionality of patients undergoing outpatient TKA in a tertiary care hospital. The medical records of 33 patients were reviewed, analyzing clinical and imaging characteristics before and after the procedure. Variables included diagnosis of gonarthrosis, comorbidities, surgical time, complications, functionality using the American Knee Replacement Therapy Score (AKPRS), and radiographic alpha, beta, gamma, and sigma angles. The cohort was primarily women (81.8%). High blood pressure was the most common comorbidity (30.3%), followed by rheumatoid arthritis (12.1%). Surgical time ranged from 86 to 146 minutes, and 91% of patients were complication-free. According to the AKPRS, 63.2% received an excellent rating, 24.2% received a good rating, and 12.1% received a fair rating. Most radiographic angles were within normal parameters. No statistical significance was identified between the side of the knee osteoarthritis and functional and/or radiographic outcomes. Despite the absence of statistically significant associations, functional outcomes were favorable, supporting the feasibility of performing TKA on an outpatient basis, with potential benefits in terms of reduced costs and hospital stay. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: La artroplastía total de rodilla (ATR) es el tratamiento definitivo para pacientes con deterioro funcional severo. Su realización en modalidad ambulatoria ha ganado interés por la optimización de recursos y la reducción del tiempo de hospitalización. El objetivo de este estudio es evaluar la funcionalidad postoperatoria de pacientes sometidos a ATR ambulatoria en un hospital de tercer nivel. Se revisaron los expedientes clínicos de 33 pacientes, analizando características clínicas e imagenológicas antes y después del procedimiento. Las variables incluyeron diagnóstico de gonartrosis, comorbilidades, tiempo quirúrgico, complicaciones, funcionalidad mediante la escala de la Asociación Americana para Prótesis de Rodilla (AKPRS, por sus siglas en inglés) y los ángulos radiográficos alfa, beta, gamma y sigma. La cohorte estuvo compuesta principalmente por mujeres (81.8%). La hipertensión arterial fue la comorbilidad más común (30.3%), seguida de artritis reumatoide (12.1%). El tiempo quirúrgico osciló entre 86 y 146 minutos y 91% no presentó complicaciones. De acuerdo con la AKPRS, 63.2% obtuvo calificación excelente, 24.2% buena y 12.1% regular. La mayoría de los ángulos radiográficos se encontraron dentro de parámetros normales. No se identificó significancia estadística entre el lado de la gonartrosis y los resultados funcionales y/o radiográficos. A pesar de la ausencia de asociaciones estadísticamente significativas, los resultados funcionales fueron favorables, lo cual respalda la viabilidad de realizar ATR de forma ambulatoria, con beneficios potenciales en reducción de costos y estancia hospitalaria. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.35366/122370 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 28 Subjects: – SubjectFull: TOTAL knee replacement Type: general – SubjectFull: FUNCTIONAL assessment Type: general – SubjectFull: RADIOGRAPHIC processing Type: general – SubjectFull: TERTIARY care Type: general – SubjectFull: AMBULATORY surgery Type: general – SubjectFull: ENHANCED recovery after surgery protocol Type: general – SubjectFull: POSTOPERATIVE care Type: general Titles: – TitleFull: Evaluación funcional de artroplastía total de rodilla bajo protocolo fast-track: experiencia en un hospital de tercer nivel. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Antonio-Romero, C. E. – PersonEntity: Name: NameFull: García-Benavides, P. – PersonEntity: Name: NameFull: Zavala-Luna, N. D. – PersonEntity: Name: NameFull: Ruiz-Domínguez, M. – PersonEntity: Name: NameFull: Castro-Fuentes, C. A. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan/Feb2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 23064102 Numbering: – Type: volume Value: 40 – Type: issue Value: 1 Titles: – TitleFull: Acta Ortopédica Mexicana Type: main |
| ResultId | 1 |
