Prótese Total do Quadril “Hibrida Reversa”
Carlos Alberto Souza Macedo
Chefe do Grupo de Cirurgia do Quadril do HCPA
Chefe do Serviço de Ortopedia e Traumatologia do HCPA
PTQ Cimentadas
• Início
• Problemas
PTQ Cimento
• Revisões Cimentadas
• Soluções Não Cimentadas
PTQ Não Cimentadas
• Hastes Quadrangulares
Artroplastia total do quadril de Spotorno®
Carlos Alberto de Souza MacedoI; Rodrigo Benedet
ScheidtII; Humberto Moreira PalmaIII; Ricardo RositoIV;
Walmor Weissheimer JuniorV; Carlos Roberto GaliaVI
PTQ Não Cimentadas
• Outras Hastes
PTQ Não Cimentadas
• Acetábulos Expansivo
PTQ Não Cimentadas
• Com femur resolvido e sem acetabulos de qualidade !!!
PTQ Não Cimentadas
• Qualidade Discutida
• Problemas Próprios
• Problemas Conhecidos
PTQ Hibridas Resersa
• Acetábulo Cimentado com Haste Quadrangular
Acta Orthop. 2011 Dec;82(6):639-45. Epub 2011 Oct 17.
Is reverse hybrid hip replacement the solution?
Lindalen E1, Havelin LI, Nordsletten L, Dybvik E, Fenstad AM,
Hallan G, Furnes O, Høvik O, Röhrl SM.
Conclusion:
With a follow-up of up to 10 years, reverse hybrid THRs
performed well, and similarly to all-cemented THRs from the
same time period. The reverse hybrid method might therefore be
an alternative to all-cemented THR. Longer follow-up time is
needed to evaluate whether reverse hybrid hip replacement has
any advantages over all-cemented THR.
Acetabular Fixation Options in Total Hip Replacements
Merrill A. Ritter, MD; Matthew R. Galley
Orthopedics September 2008 - Volume 31 · Issue 9
Conclusion
This study shows that the reverse hybrid THR, although unusual, is a
successful alternative to hybrid THR when a need arises and institutional
resources allow. With the exclusion of varying patient demographics
(gender, body mass index, age, and primary diagnosis), the reverse hybrid
series of 54 hips accounted for excellent postoperative hip performance,
mobility, and survivorship, showing clinical outcomes better than the
hybrid series following a minimum 2-year follow-up retrospective review.
However, because of the overall difficulty in cementing the acetabular cup,
the ease and predictability of the cementless fixation, and now the options
of modular bearing surfaces, cementless fixation for the acetabular cup
must be considered the gold standard
Mr. Muthu Ganapathi MBBS, MS(Ortho),
FRCS, MSc (Ortho Eng), FRCS (Orth)
Muito Obrigado