Reconstrucción del labrum de la cadera con injerto de ligamento redondo de la cabeza femoral. Presentación de un caso y descripción de la técnica quirúrgica

• Fernando Díaz Dilernia ^[1] ; Franco De Cicco ^[1] ; Fernando Comba ^[1] ; Martín Buttaro ^[1] ; Gerardo Zanotti ^[1]
  1. [1] Hospital Italiano de Buenos Aires

     Hospital Italiano de Buenos Aires

     Argentina

     
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 86, Nº. 4, 2021 (Ejemplar dedicado a: ACARO), págs. 553-559
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2021.86.4.1281
• Títulos paralelos:
  • Hip Labral Reconstruction using the Ligamentum Teres Capitis: Case Report and surgical Technique
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    Las lesiones del labrum de la cadera con sustancia insuficiente se pueden tratar con técnicas de aumento, de reconstrucción o con trasplante de tejidos. Si el remanente labral es muy escaso, las opciones reconstructivas serían las más adecuadas. Se presenta el caso de una paciente de 40 años con dos cirugías artroscópicas previas fallidas por lesión labral, que fue sometida a una luxación controlada de cadera, siguiendo la técnica original descrita por Ganz, y a la resección del ligamento redondo de la cabeza femoral para cubrir el defecto del labrum. Según nuestro conocimiento, se trata del primer reporte de reconstrucción labral utilizando el ligamento redondo de la cabeza femoral en nuestro medio. Pese a los resultados poco alentadores en pacientes con cirugías previas, la reconstrucción labral utilizando el ligamento redondo ha mostrado ser una alternativa viable.

  • English

    Labral tears with insufficient substance can be treated with augmentation techniques, reconstruction, or grafting techniques. If the remnant labrum is very scarce, reconstructive options would be the most appropriate. We present the case of a 40-year-old female patient who had undergone two failed hip arthroscopies due to labral tears. Following the original technique described by Ganz, a surgical hip dislocation was performed, and the Ligamentum Teres Capitis was resected to cover the labral defect. To our knowledge, this is the first report of labral reconstruction using the Ligamentum Teres Capitis in our literature. Despite poorly reported outcomes in patients with previous procedures, surgical repair using the Ligamentum Teres Capitis has proven to be a viable option.

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