{"id":8977,"date":"2023-07-08T20:48:33","date_gmt":"2023-07-08T20:48:33","guid":{"rendered":"https:\/\/icatme.com\/?page_id=8977"},"modified":"2025-01-02T13:52:13","modified_gmt":"2025-01-02T13:52:13","slug":"aflojamiento-de-protesis","status":"publish","type":"page","link":"https:\/\/icatme.com\/es\/unidades-medicas\/cadera\/aflojamiento-de-protesis\/","title":{"rendered":"Aflojamiento de pr\u00f3tesis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"8977\" class=\"elementor elementor-8977 elementor-5010\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d4d0bc0 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"d4d0bc0\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bbd7efe elementor-invisible\" data-id=\"bbd7efe\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInLeft&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e974c6 elementor-widget elementor-widget-heading\" data-id=\"5e974c6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Unidad de Cadera<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-246d1d8 elementor-widget elementor-widget-text-editor\" data-id=\"246d1d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Constituida desde la creaci\u00f3n del Departamento de Patolog\u00eda del aparato Locomotor y Medicina del Deporte.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0b170ee elementor-widget elementor-widget-breadcrumbs\" data-id=\"0b170ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/icatme.com\/es\/\">Inicio<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-07f73c5\" data-id=\"07f73c5\" data-element_type=\"column\" 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data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot; aria-hidden=\\&quot;true\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;}}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-334f825\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-4262\"><a href=\"https:\/\/icatme.com\/unidades-medicas\/Cadera\/#patologias\" class=\"elementor-item elementor-item-anchor\">Patologies<\/a><\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-12107\"><a 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tabindex=\"-1\">Not\u00edcies<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-784fb07 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"784fb07\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f32c11f\" data-id=\"f32c11f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3cc3d36 elementor-widget elementor-widget-heading\" data-id=\"3cc3d36\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">\u00bfQu\u00e9 es el aflojamiento de pr\u00f3tesis?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0ad18db elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0ad18db\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2e3ef99\" data-id=\"2e3ef99\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48821ed elementor-widget elementor-widget-text-editor\" data-id=\"48821ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"intro details\"><p>Si bien la supervivencia de la pr\u00f3tesis total de cadera es muy alta, siempre puede recambiarse un implante que presenta aflojamiento. El paciente portador de pr\u00f3tesis tiene dolor al caminar que le limita su per\u00edmetro de marcha. Incluso presenta dolor al sentarse, levantarse de una silla e iniciar la marcha. Por otra parte es muy importante que el paciente portador de pr\u00f3tesis de cadera siempre siga de modo regular los controles que su especialista le indica, a fin de minimizar el desgaste \u00f3seo en caso de que la pr\u00f3tesis se pudiera aflojar.<\/p><p><strong>Causas del Aflojamiento<\/strong><\/p><p>Las causas del aflojamiento son multifactoriales aunque cl\u00e1sicamente se atribuye a la reacci\u00f3n que provoca en el organismo las part\u00edculas de polietileno que se desprenden de la c\u00fapula de polietileno del componente acetabular; es lo que se conoce como osteolisis periprot\u00e9sica. Las modernas c\u00fapulas de polietileno de alto entrecruzado (high cross linked polyethylene) presentan un menor desgaste por lo que es de esperar que en los a\u00f1os futuros este fen\u00f3meno pueda presentarse con una frecuencia cada vez menor.<\/p><p>Sin embargo disponemos de implantes de recambio para cada situaci\u00f3n, por lo que no tiene sentido pensar que una persona tenga un n\u00famero limitado de posibilidades de recambiarse una pr\u00f3tesis de cadera en el peor de los casos. Adem\u00e1s la disponibilidad de un banco de hueso permite la reconstrucci\u00f3n anat\u00f3mica de aquellas porciones de hueso que puedan precisar. Asimismo adem\u00e1s de los ex\u00e1menes radiogr\u00e1ficos-esc\u00e1nneres-gammagraf\u00edas, realizamos el TAC helicoidal con representaci\u00f3n tridimensional que nos permite reconocer con exactitud el defecto \u00f3seo y la situaci\u00f3n de la pr\u00f3tesis aflojada con una gran precisi\u00f3n.<\/p><p>Nuestro centro, con banco de hueso ligado a la Transplant Services Foundation del Hospital Cl\u00ednic de Barcelona, es uno de los centros con mayor experiencia en el transplante \u00f3seo en el mundo, habi\u00e9ndose realizado m\u00e1s de 1500 transplantes desde el a\u00f1o 1986.<\/p><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e4e0e30\" data-id=\"e4e0e30\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-31fb8d3 elementor-widget elementor-widget-image\" data-id=\"31fb8d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"227\" src=\"https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.52-1024x291.png\" class=\"attachment-large size-large wp-image-4311\" alt=\"\" srcset=\"https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.52-1024x291.png 1024w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.52-300x85.png 300w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.52-768x218.png 768w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.52.png 1508w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-47d5362 elementor-section-height-min-height elementor-section-boxed elementor-section-height-default elementor-section-items-middle\" data-id=\"47d5362\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d4e73de\" data-id=\"d4e73de\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5de4b79 elementor-widget elementor-widget-heading\" data-id=\"5de4b79\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Tratamiento del aflojamiento de pr\u00f3tesis<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-16282c6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"16282c6\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9ef7a7e\" data-id=\"9ef7a7e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a653d2 elementor-widget elementor-widget-text-editor\" data-id=\"1a653d2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"intro details\"><div class=\"btText\"><div class=\"intro\"><p>Los objetivos del recambio de pr\u00f3tesis total de cadera son varios:<\/p><\/div><div class=\"intro\"><div class=\"text light-blue\"><ul><li><b class=\"uno\">Devolver la funci\u00f3n articular en su posici\u00f3n anat\u00f3micamente m\u00e1s adecuada.<\/b><\/li><li><b class=\"dos\">Restaurar la p\u00e9rdida de hueso provocada por el aflojamiento \u2013 osteolisis.<\/b><\/li><li><b class=\"tres\">Los implantes utilizados deben asegurar el m\u00e1ximo de supervivencia<\/b><\/li><\/ul><p>A tal efecto utilizamos implantes de revisi\u00f3n dependiendo del grado de desgaste, tanto a nivel del acet\u00e1bulo como a nivel del f\u00e9mur. Del mismo modo se utiliza aloinjerto o transplante \u00f3seo de acuerdo con cada caso y seg\u00fan una clasificaci\u00f3n predeterminada. Por ejemplo en el acet\u00e1bulo utilizamos la clasificaci\u00f3n Icatme modificada de Gross con cuatro grados, que se ilustra en el dibujo de la derecha.<\/p><\/div><\/div><div class=\"intro\"><p>Los casos m\u00e1s comunes corresponden a los grados I y II. Por lo general utilizamos c\u00f3tilos de tantalio (titanio reticulado 80% m\u00e1s poroso) y en algunos casos relleno de injerto-transplante fragmentado-impactado seg\u00fan la t\u00e9cnica de Sloof. En los grados III y IV donde existe la falta de una columna , generalmente la posterior , o bien queda una cadera flotante utilizamos el transplante masivo de acet\u00e1bulo del banco de hueso. Junto con los hospitales Mount Sinai de Toronto y Rush Presbiterian Hospital de Chicago disponemos de la mayor experiencia en el mundo en este tipo de transplantes.<\/p><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bbffd67\" data-id=\"bbffd67\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-104d936 elementor-widget elementor-widget-image\" data-id=\"104d936\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"498\" src=\"https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.34.47-1024x637.png\" class=\"attachment-large size-large wp-image-4314\" alt=\"\" srcset=\"https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.34.47-1024x637.png 1024w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.34.47-300x187.png 300w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.34.47-768x477.png 768w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.34.47.png 1512w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e385349 elementor-widget elementor-widget-image\" data-id=\"e385349\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"800\" height=\"244\" src=\"https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.35-1024x312.png\" class=\"attachment-large size-large wp-image-4315\" alt=\"\" srcset=\"https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.35-1024x312.png 1024w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.35-300x92.png 300w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.35-768x234.png 768w, https:\/\/icatme.com\/wp-content\/uploads\/2023\/06\/Captura-de-pantalla-2018-11-14-a-les-9.36.35.png 1508w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Unidad de Cadera Constituida desde la creaci\u00f3n del Departamento de Patolog\u00eda del aparato Locomotor y Medicina del Deporte. \u00bfQu\u00e9 es el aflojamiento de pr\u00f3tesis? Si bien la supervivencia de la pr\u00f3tesis total de cadera es muy alta, siempre puede recambiarse un implante que presenta aflojamiento. El paciente portador de pr\u00f3tesis tiene dolor al caminar que [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":1248,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-8977","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Aflojamiento de pr\u00f3tesis | ICATME<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/icatme.com\/es\/unidades-medicas\/cadera\/aflojamiento-de-protesis\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Aflojamiento de pr\u00f3tesis | ICATME\" \/>\n<meta property=\"og:description\" content=\"Unidad de Cadera Constituida desde la creaci\u00f3n del Departamento de Patolog\u00eda del aparato Locomotor y Medicina del Deporte. \u00bfQu\u00e9 es el aflojamiento de pr\u00f3tesis? Si bien la supervivencia de la pr\u00f3tesis total de cadera es muy alta, siempre puede recambiarse un implante que presenta aflojamiento. 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