Optimización preoperatoria del paciente para una artroplastia de cadera o rodilla: parte 2

• Luis A. Camacho Terceros ^[1] ; María Florencia Garbini ^[1] ; Fernando Tillet ^[1] ; Eduardo Bochatey ^[1] ; Walter Fabián Martínez ^[1] ; Fernando Adrián Lopreite ^[1]
  1. [1] Grupo GRECARO, Argentina
• Localización: Revista de la Asociación Argentina de Ortopedia y Traumatología, ISSN 1852-7434, Vol. 89, Nº. 5, 2024, págs. 544-552
• Idioma: español
• DOI: 10.15417/issn.1852-7434.2024.89.5.1850
• Títulos paralelos:
  • Preoperative Patient Optimization Before Hip or Knee Arthroplasty: Part 2
• Enlaces
  • Texto completo  1    2  
• Resumen
  • español

    Las artroplastias de cadera y rodilla son procedimientos eficaces para el tratamiento de la enfermedad articular degenerativa cuando el abordaje conservador ha fracasado. El propósito de este artículo es continuar analizando los factores de riesgo modificables en un paciente antes de la cirugía, con el objetivo de disminuir las complicaciones posquirúrgicas. Estos factores incluyen obesidad, malnutrición, tabaquismo, diabetes, anemia, consumo de opiOKoides, deficiencia de vitamina D, insuficiencia renal crónica, colonización por S. aureus resistente a la meticilina y artropatías inflamatorias. Si los cirujanos conseguimos mejoras o contrarrestar estos factores podremos reducir el riesgo de complicaciones.

  • English

    Hip and knee arthroplasty are effective procedures for treating degenerative joint diseases when conservative treatments have failed. The purpose of this article is to further analyze modifiable risk factors in patients prior to surgery, with the aim of reducing postoperative complications. These factors include obesity, malnutrition, smoking, diabetes, anemia, opioid use, vitamin D defi-ciency, chronic renal failure, colonization by methicillin-resistant Staphylococcus, and inflammatory arthropathies. By addressing and optimizing these factors, surgeons can significantly reduce the risk of complications.

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