Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura

La artrosis trapeciometacarpiana es una patología frecuente en la población mundial con mayor prevalencia en mujeres postmenopáusicas. No hay consenso respecto a cuál tratamiento es el más efectivo y cuál tratamiento retrasa o disminuye la progresión a largo plazo de la enfermedad y de los síntomas...

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Autores:
Tobar Bonilla, Walther Edilson
López Acosta , David Santiago
Tipo de recurso:
https://purl.org/coar/resource_type/c_7a1f
Fecha de publicación:
2024
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
spa
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/12787
Acceso en línea:
https://hdl.handle.net/20.500.12495/12787
Palabra clave:
Revisión sistemática
artrosis
Articulación
Trapeciometacarpiana
Rizartrosis
Osteotomía
Artroscopia
Denervación
Artroplastia
Reconstrucción ligamentaria
Systematic review
Osteoarthritis
Trapeziometacarpal joint
Rhizarthrosis
Osteotomy
Arthroscopy
Denervation
Arthroplasty
Ligament reconstruction.
Joint
WE 830
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openAccess
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Atribución-NoComercial-CompartirIgual 4.0 Internacional
id UNBOSQUE2_4bc0a4db09cb6255a3c2f55d383040e3
oai_identifier_str oai:repositorio.unbosque.edu.co:20.500.12495/12787
network_acronym_str UNBOSQUE2
network_name_str Repositorio U. El Bosque
repository_id_str
dc.title.none.fl_str_mv Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
dc.title.translated.none.fl_str_mv Surgical management of trapeziometacarpal osteoarthritis in early stages: Systematic review of the literature
title Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
spellingShingle Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
Revisión sistemática
artrosis
Articulación
Trapeciometacarpiana
Rizartrosis
Osteotomía
Artroscopia
Denervación
Artroplastia
Reconstrucción ligamentaria
Systematic review
Osteoarthritis
Trapeziometacarpal joint
Rhizarthrosis
Osteotomy
Arthroscopy
Denervation
Arthroplasty
Ligament reconstruction.
Joint
WE 830
title_short Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
title_full Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
title_fullStr Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
title_full_unstemmed Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
title_sort Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literatura
dc.creator.fl_str_mv Tobar Bonilla, Walther Edilson
López Acosta , David Santiago
dc.contributor.advisor.none.fl_str_mv Sandoval Reyes, Julio
Romero Barreto, Camilo
Baez, Martha
dc.contributor.author.none.fl_str_mv Tobar Bonilla, Walther Edilson
López Acosta , David Santiago
dc.subject.none.fl_str_mv Revisión sistemática
artrosis
Articulación
Trapeciometacarpiana
Rizartrosis
Osteotomía
Artroscopia
Denervación
Artroplastia
Reconstrucción ligamentaria
topic Revisión sistemática
artrosis
Articulación
Trapeciometacarpiana
Rizartrosis
Osteotomía
Artroscopia
Denervación
Artroplastia
Reconstrucción ligamentaria
Systematic review
Osteoarthritis
Trapeziometacarpal joint
Rhizarthrosis
Osteotomy
Arthroscopy
Denervation
Arthroplasty
Ligament reconstruction.
Joint
WE 830
dc.subject.keywords.none.fl_str_mv Systematic review
Osteoarthritis
Trapeziometacarpal joint
Rhizarthrosis
Osteotomy
Arthroscopy
Denervation
Arthroplasty
Ligament reconstruction.
Joint
dc.subject.nlm.none.fl_str_mv WE 830
description La artrosis trapeciometacarpiana es una patología frecuente en la población mundial con mayor prevalencia en mujeres postmenopáusicas. No hay consenso respecto a cuál tratamiento es el más efectivo y cuál tratamiento retrasa o disminuye la progresión a largo plazo de la enfermedad y de los síntomas secundarios en los estadíos tempranos I, II y III Eaton-Littler. El objetivo de esta revisión sistemática de la literatura es determinar qué tratamientos quirúrgicos descritos en la literatura tienen un impacto positivo respecto a progresión del dolor y funcionalidad. El manejo de la artrosis trapeciometacarpiana sigue siendo controvertido con espacio de amplio debate. La denervación, reconstrucción ligamentaria y la osteotomía de extensión del primer metacarpiano son técnicas prometedoras para el manejo de la rizartrosis en etapas tempranas, sin embargo, requiere de más estudios multicéntricos de clase I y II que soporten conclusiones clínicamente aplicables con seguimiento a largo plazo. La artroscopia es una buena opción para los pacientes en estadio I y II ya que puede combinar otros procedimientos quirúrgicos. La artrodesis igual que la artroplastia con prótesis está muy controvertida en etapas iniciales y su utilidad es mayor en estadíos avanzados. Los implantes iniciales de interposición han entrado en desuso por importantes complicaciones, sin embargo, el implante de pyrocardan tiene estudios prometedores al igual que el uso de grasa autóloga en estadio I y aloinjerto de menisco en estadios II y III. Por último, los sistemas de tenosuspensión en combinación con artroscopia cada vez con mayor acogida con buenos resultados clínicos.
publishDate 2024
dc.date.accessioned.none.fl_str_mv 2024-08-01T20:27:45Z
dc.date.available.none.fl_str_mv 2024-08-01T20:27:45Z
dc.date.issued.none.fl_str_mv 2024-07
dc.type.coar.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.local.spa.fl_str_mv Tesis/Trabajo de grado - Monografía - Especialización
dc.type.coar.none.fl_str_mv https://purl.org/coar/resource_type/c_7a1f
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
dc.type.coarversion.none.fl_str_mv https://purl.org/coar/version/c_ab4af688f83e57aa
format https://purl.org/coar/resource_type/c_7a1f
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/20.500.12495/12787
dc.identifier.instname.spa.fl_str_mv instname:Universidad El Bosque
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad El Bosque
dc.identifier.repourl.none.fl_str_mv repourl:https://repositorio.unbosque.edu.co
url https://hdl.handle.net/20.500.12495/12787
identifier_str_mv instname:Universidad El Bosque
reponame:Repositorio Institucional Universidad El Bosque
repourl:https://repositorio.unbosque.edu.co
dc.language.iso.fl_str_mv spa
language spa
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spelling Sandoval Reyes, JulioRomero Barreto, CamiloBaez, MarthaTobar Bonilla, Walther EdilsonLópez Acosta , David Santiago2024-08-01T20:27:45Z2024-08-01T20:27:45Z2024-07https://hdl.handle.net/20.500.12495/12787instname:Universidad El Bosquereponame:Repositorio Institucional Universidad El Bosquerepourl:https://repositorio.unbosque.edu.coLa artrosis trapeciometacarpiana es una patología frecuente en la población mundial con mayor prevalencia en mujeres postmenopáusicas. No hay consenso respecto a cuál tratamiento es el más efectivo y cuál tratamiento retrasa o disminuye la progresión a largo plazo de la enfermedad y de los síntomas secundarios en los estadíos tempranos I, II y III Eaton-Littler. El objetivo de esta revisión sistemática de la literatura es determinar qué tratamientos quirúrgicos descritos en la literatura tienen un impacto positivo respecto a progresión del dolor y funcionalidad. El manejo de la artrosis trapeciometacarpiana sigue siendo controvertido con espacio de amplio debate. La denervación, reconstrucción ligamentaria y la osteotomía de extensión del primer metacarpiano son técnicas prometedoras para el manejo de la rizartrosis en etapas tempranas, sin embargo, requiere de más estudios multicéntricos de clase I y II que soporten conclusiones clínicamente aplicables con seguimiento a largo plazo. La artroscopia es una buena opción para los pacientes en estadio I y II ya que puede combinar otros procedimientos quirúrgicos. La artrodesis igual que la artroplastia con prótesis está muy controvertida en etapas iniciales y su utilidad es mayor en estadíos avanzados. Los implantes iniciales de interposición han entrado en desuso por importantes complicaciones, sin embargo, el implante de pyrocardan tiene estudios prometedores al igual que el uso de grasa autóloga en estadio I y aloinjerto de menisco en estadios II y III. Por último, los sistemas de tenosuspensión en combinación con artroscopia cada vez con mayor acogida con buenos resultados clínicos.Especialista en Cirugía de ManoEspecializaciónTrapeziometacarpal osteoarthritis is a common pathology in the world population with a higher prevalence in postmenopausal women. There is no consensus regarding which treatment is the most effective and which treatment delays or decreases the long-term progression of the disease and secondary symptoms in early Eaton-Littler stages I, II and III. The objective of this systematic review of the literature is to determine which surgical treatments described in the literature have a positive impact regarding pain progression and functionality. The management of trapeziometacarpal osteoarthritis remains controversial with room for extensive debate. Denervation, ligamentous reconstruction and extension osteotomy of the first metacarpal are promising techniques for the management of rhizarthrosis in early stages; however, more multicenter class I and II studies are required to support clinically applicable conclusions with long-term follow-up. Arthroscopy is a good option for patients in stage I and II as it can combine other surgical procedures. Arthrodesis, like arthroplasty with a prosthesis, is very controversial in the initial stages and its usefulness is greater in advanced stages. Initial interposition implants have fallen into disuse due to important complications, however, the pyrocardan implant has promising studies, as does the use of autologous fat in stage I and meniscus allograft in stages II and III. Finally, tenosuspension systems in combination with arthroscopy are increasingly popular with good clinical results.application/pdfAtribución-NoComercial-CompartirIgual 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-sa/4.0/Acceso abiertoinfo:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Revisión sistemáticaartrosisArticulaciónTrapeciometacarpianaRizartrosisOsteotomíaArtroscopiaDenervaciónArtroplastiaReconstrucción ligamentariaSystematic reviewOsteoarthritisTrapeziometacarpal jointRhizarthrosisOsteotomyArthroscopyDenervationArthroplastyLigament reconstruction.JointWE 830Manejo quirúrgico de la artrosis trapeciometacarpiana en estadios tempranos: Revisión sistematica de la literaturaSurgical management of trapeziometacarpal osteoarthritis in early stages: Systematic review of the literatureEspecialización en Cirugía de ManoUniversidad El BosqueFacultad de MedicinaTesis/Trabajo de grado - Monografía - Especializaciónhttps://purl.org/coar/resource_type/c_7a1fhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesishttps://purl.org/coar/version/c_ab4af688f83e57aaBatra S, Kanvinde R. 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