Acetabuloplastía en displasia de cadera en el adulto con uso de injerto de cabeza femoral.
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| Title: | Acetabuloplastía en displasia de cadera en el adulto con uso de injerto de cabeza femoral. |
|---|---|
| Alternate Title: | Acetabuloplasty in adult hip dysplasia using femoral head graft. |
| Authors: | J. U., Rangel-Lara1 armagedon.jtp@gmail.com, L. E., García-Anaya1, M. P., Muñoz-Navarro1, I. D., Rojas-Muñoz1, F. E., Márquez-Raygoza1 |
| Source: | Acta Ortopédica Mexicana. Mar/Apr2026, Vol. 40 Issue 2, p116-122. 7p. |
| Subjects: | ACETABULUM surgery, BONE grafting, FUNCTIONAL status, OSTEOARTHRITIS, RANGE of motion of joints, JOINT diseases, REHABILITATION, TOTAL hip replacement |
| Abstract (English): | Introduction: acetabular dysplasia in adults represents a therapeutic challenge due to progressive joint instability, pain, and functional limitation. This article presents a case series using acetabuloplasty with autologous femoral head graft, combined with total hip arthroplasty, as a treatment option for adult patients with severe acetabular dysplasia and osteoarthritis. Material and methods: a prospective case series was carried out between 2023 and 2024 at Cancun General Hospital. Five adult patients diagnosed with advanced hip dysplasia (Crowe II-IV) and Tönnis grade IV coxarthrosis were included. All patients underwent cemented dual-mobility total hip arthroplasty combined with acetabuloplasty using the autologous femoral head as graft material. Demographic characteristics, surgical approach and outcomes at 12-month follow-up are reported. Results: the five patients (three females and two males, mean age 57 years) showed significant functional improvement. All patients achieved standing and assisted walking at four weeks, independent walking at 8-10 weeks, and restoration of functional mobility arcs. Harris hip score improved from < 70 preoperatively to > 90 points at final follow-up. Conclusions: acetabuloplasty with autologous femoral head graft combined with dual mobility total hip arthroplasty is a reliable procedure, providing joint stability, early rehabilitation and improved quality of life. Although limited by sample size, this case series supports the utility of this technique as a valid therapeutic option in adult hip dysplasia with osteoarthritis. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: la displasia acetabular del adulto constituye un desafío terapéutico importante en or-topedia, pues conlleva inestabilidad articular progresiva, dolor crónico y limitación funcional que derivan en artrosis avanzada. El presente artículo expone la experiencia con el uso de acetabuloplastía mediante injerto autólogo de cabe-za femoral, asociada con artroplastía total de cadera, como opción de tratamiento en pacientes adultos con displasia acetabular y artrosis severa. Material y métodos: se realizó un estudio observacional tipo serie de casos entre 2023 y 2024 en el Hospital General de Cancún. Se incluyeron cin-co pacientes adultos con diagnóstico de displasia acetabu-lar avanzada (Crowe II-IV) y coxartrosis grado IV. Todos fueron tratados con artroplastía total de cadera cementada de doble movilidad, complementada con acetabuloplastía empleando injerto autólogo de la cabeza femoral. Se des-criben características demográficas, técnicas quirúrgicas empleadas y evolución clínica durante 12 meses de segui-miento. Resultados: los cinco pacientes (tres mujeres y dos hombres, edad promedio 57 años, rango 52-63) presentaron mejoría funcional significativa. Se registró bipedestación y deambulación asistida con andadera a las cuatro semanas, deambulación independiente a las 8-10 semanas y recupe-ración de arcos de movilidad adecuados: flexión 90-100°, extensión 10-15°, abducción 30-35°, rotación interna 20-25° y rotación externa 30-35°. La puntuación en la escala de Ha-rris modificada mejoró de < 70 puntos en el preoperatorio a > 90 puntos en el postoperatorio. Conclusiones: la acetabu-loplastía con injerto autólogo de cabeza femoral, asociada con prótesis total de cadera de doble movilidad, representa una técnica quirúrgica confiable, con potencial de ofrecer estabilidad, restaurar arcos de movilidad y mejorar la cali-dad de vida. Este estudio, aunque limitado por el número de casos, aporta evidencia clínica favorable. [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 |
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| Header | DbId: lth DbLabel: MedicLatina An: 193297023 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Acetabuloplastía en displasia de cadera en el adulto con uso de injerto de cabeza femoral. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Acetabuloplasty in adult hip dysplasia using femoral head graft. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22J%2E+U%2E%2C+Rangel-Lara%22">J. U., Rangel-Lara</searchLink><relatesTo>1</relatesTo><i> armagedon.jtp@gmail.com</i><br /><searchLink fieldCode="AR" term="%22L%2E+E%2E%2C+García-Anaya%22">L. E., García-Anaya</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22M%2E+P%2E%2C+Muñoz-Navarro%22">M. P., Muñoz-Navarro</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22I%2E+D%2E%2C+Rojas-Muñoz%22">I. D., Rojas-Muñoz</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22F%2E+E%2E%2C+Márquez-Raygoza%22">F. E., Márquez-Raygoza</searchLink><relatesTo>1</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Acta+Ortopédica+Mexicana%22">Acta Ortopédica Mexicana</searchLink>. Mar/Apr2026, Vol. 40 Issue 2, p116-122. 7p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22ACETABULUM+surgery%22">ACETABULUM surgery</searchLink><br /><searchLink fieldCode="DE" term="%22BONE+grafting%22">BONE grafting</searchLink><br /><searchLink fieldCode="DE" term="%22FUNCTIONAL+status%22">FUNCTIONAL status</searchLink><br /><searchLink fieldCode="DE" term="%22OSTEOARTHRITIS%22">OSTEOARTHRITIS</searchLink><br /><searchLink fieldCode="DE" term="%22RANGE+of+motion+of+joints%22">RANGE of motion of joints</searchLink><br /><searchLink fieldCode="DE" term="%22JOINT+diseases%22">JOINT diseases</searchLink><br /><searchLink fieldCode="DE" term="%22REHABILITATION%22">REHABILITATION</searchLink><br /><searchLink fieldCode="DE" term="%22TOTAL+hip+replacement%22">TOTAL hip replacement</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Introduction: acetabular dysplasia in adults represents a therapeutic challenge due to progressive joint instability, pain, and functional limitation. This article presents a case series using acetabuloplasty with autologous femoral head graft, combined with total hip arthroplasty, as a treatment option for adult patients with severe acetabular dysplasia and osteoarthritis. Material and methods: a prospective case series was carried out between 2023 and 2024 at Cancun General Hospital. Five adult patients diagnosed with advanced hip dysplasia (Crowe II-IV) and Tönnis grade IV coxarthrosis were included. All patients underwent cemented dual-mobility total hip arthroplasty combined with acetabuloplasty using the autologous femoral head as graft material. Demographic characteristics, surgical approach and outcomes at 12-month follow-up are reported. Results: the five patients (three females and two males, mean age 57 years) showed significant functional improvement. All patients achieved standing and assisted walking at four weeks, independent walking at 8-10 weeks, and restoration of functional mobility arcs. Harris hip score improved from < 70 preoperatively to > 90 points at final follow-up. Conclusions: acetabuloplasty with autologous femoral head graft combined with dual mobility total hip arthroplasty is a reliable procedure, providing joint stability, early rehabilitation and improved quality of life. Although limited by sample size, this case series supports the utility of this technique as a valid therapeutic option in adult hip dysplasia with osteoarthritis. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: la displasia acetabular del adulto constituye un desafío terapéutico importante en or-topedia, pues conlleva inestabilidad articular progresiva, dolor crónico y limitación funcional que derivan en artrosis avanzada. El presente artículo expone la experiencia con el uso de acetabuloplastía mediante injerto autólogo de cabe-za femoral, asociada con artroplastía total de cadera, como opción de tratamiento en pacientes adultos con displasia acetabular y artrosis severa. Material y métodos: se realizó un estudio observacional tipo serie de casos entre 2023 y 2024 en el Hospital General de Cancún. Se incluyeron cin-co pacientes adultos con diagnóstico de displasia acetabu-lar avanzada (Crowe II-IV) y coxartrosis grado IV. Todos fueron tratados con artroplastía total de cadera cementada de doble movilidad, complementada con acetabuloplastía empleando injerto autólogo de la cabeza femoral. Se des-criben características demográficas, técnicas quirúrgicas empleadas y evolución clínica durante 12 meses de segui-miento. Resultados: los cinco pacientes (tres mujeres y dos hombres, edad promedio 57 años, rango 52-63) presentaron mejoría funcional significativa. Se registró bipedestación y deambulación asistida con andadera a las cuatro semanas, deambulación independiente a las 8-10 semanas y recupe-ración de arcos de movilidad adecuados: flexión 90-100°, extensión 10-15°, abducción 30-35°, rotación interna 20-25° y rotación externa 30-35°. La puntuación en la escala de Ha-rris modificada mejoró de < 70 puntos en el preoperatorio a > 90 puntos en el postoperatorio. Conclusiones: la acetabu-loplastía con injerto autólogo de cabeza femoral, asociada con prótesis total de cadera de doble movilidad, representa una técnica quirúrgica confiable, con potencial de ofrecer estabilidad, restaurar arcos de movilidad y mejorar la cali-dad de vida. Este estudio, aunque limitado por el número de casos, aporta evidencia clínica favorable. [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: 10.35366/123057 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 7 StartPage: 116 Subjects: – SubjectFull: ACETABULUM surgery Type: general – SubjectFull: BONE grafting Type: general – SubjectFull: FUNCTIONAL status Type: general – SubjectFull: OSTEOARTHRITIS Type: general – SubjectFull: RANGE of motion of joints Type: general – SubjectFull: JOINT diseases Type: general – SubjectFull: REHABILITATION Type: general – SubjectFull: TOTAL hip replacement Type: general Titles: – TitleFull: Acetabuloplastía en displasia de cadera en el adulto con uso de injerto de cabeza femoral. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: J. U., Rangel-Lara – PersonEntity: Name: NameFull: L. E., García-Anaya – PersonEntity: Name: NameFull: M. P., Muñoz-Navarro – PersonEntity: Name: NameFull: I. D., Rojas-Muñoz – PersonEntity: Name: NameFull: F. E., Márquez-Raygoza IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar/Apr2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 23064102 Numbering: – Type: volume Value: 40 – Type: issue Value: 2 Titles: – TitleFull: Acta Ortopédica Mexicana Type: main |
| ResultId | 1 |
