Prótese Total do Quadril “Hibrida Reversa”

Apresentação em tema: "Prótese Total do Quadril “Hibrida Reversa”"— Transcrição da apresentação:

1 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

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4 PTQ Cimentadas Início Problemas

5 PTQ Cimento Revisões Cimentadas Soluções Não Cimentadas

6 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

7 PTQ Não Cimentadas Outras Hastes

8 PTQ Não Cimentadas Acetábulos Expansivo

9 PTQ Não Cimentadas Com femur resolvido e sem acetabulos de qualidade !!!

10 PTQ Não Cimentadas Qualidade Discutida Problemas Próprios
Problemas Conhecidos

11 PTQ Hibridas Resersa Acetábulo Cimentado com Haste Quadrangular

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13 Is reverse hybrid hip replacement the solution?
Acta Orthop Dec;82(6): 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.

14 Acetabular Fixation Options in Total Hip Replacements
Merrill A. Ritter, MD; Matthew R. Galley Orthopedics September 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

15 Mr. Muthu Ganapathi  MBBS, MS(Ortho), FRCS, MSc (Ortho Eng), FRCS (Orth)

16 Muito Obrigado