Realinhamento subcapital no escorregamento epifisário proximal do fêmur
DOI:
https://doi.org/10.34117/bjdv9n7-109Keywords:
ortopedia, epífise deslocada, fêmur, quadrilAbstract
A terapêutica do deslizamento epifisário proximal do fêmur, mesmo em casos de discreto desvio, é pautada principalmente na prevenção de novos sintomas precoces de lesão da cartilagem articular do quadril. Sendo assim, a remontagem anatômica através de intervenção cirúrgica é a primeira escolha. O realinhamento subcapital é a cirurgia com melhor prognóstico de restabelecimento anatômico e realinhamento da epífise femoral, além da diminuição do impacto femoroacetabular, que é evidenciado na região da lesão. O objetivo desse estudo sistemático é revisar as técnicas especiais de acesso, com luxação cirúrgica do quadril e descolamento subperiosteal do retináculo e dos rotadores externos que asseguram a mobilização da epífise, ressecção do calo neoformado no colo, curetagem da placa de crescimento e redução anatômica epifisária sob controle manual e visão direta, sem estirar os vasos originados da artéria circunflexa medial, mantendo o aporte sanguíneo da cabeça.
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