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Además del acortamiento de 3 cm, la abducción estaba limitada, y la paciente experimentaba un dolor creciente, por lo que apenas podía caminar. La única alternativa a una perjudicial artrodesis de cadera era, a pesar de su corta edad, una articulación artificial de la cadera para conseguir liberarse del dolor y recuperar la movilidad.",[],[337],"lg:col-span-6",{"_uid":339,"image":340,"title":343,"component":344,"copyright":9,"image_style":345,"component_style":346},"681b5e04-476c-4569-bb0a-6e5d6fa49476",{"id":341,"alt":102,"name":9,"focus":102,"title":102,"filename":342,"copyright":102,"fieldtype":11},1773189,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1638x3274\u002Ffc48a7f8e0\u002Fcase9_1.jpg","Pierna acortada con luxación de cadera","Image",[],[347],"col-span-3",{"_uid":349,"image":350,"title":353,"component":344,"copyright":9,"image_style":354,"component_style":355},"3bb80328-fb66-4beb-a733-4e2ba385100e",{"id":351,"alt":102,"name":9,"focus":102,"title":102,"filename":352,"copyright":102,"fieldtype":11},1773190,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F732x1464\u002F8cca07c58b\u002Fcase9_2.jpg","La cabeza del fémur ha salido del acetábulo hacia arriba",[],[347],{"_uid":357,"text":358,"component":324,"text_style":359,"component_style":360},"eb1da6c7-dc84-492b-abdb-78b765d5dfe3","## Tratamiento",[],[],{"_uid":362,"text":363,"component":324,"text_style":364,"component_style":365},"cb816814-a9dc-4843-ad55-482184380a72","Durante la primera fase del tratamiento, se implantó el cotilo artificial en la posición correcta a la misma altura que el lado opuesto. Se introdujo un clavo intramedular de distracción FITBONE en el fémur y se articuló con un nuevo tipo de placa de soporte pélvico. Tras el alta hospitalaria, la paciente se sometió a un estiramiento continuo de los tejidos blandos durante 6 semanas para que el sensible nervio ciático pudiera también estirarse lentamente, sin sufrir lesiones. Cuando el fémur alcanzó la posición correcta, se llevó a cabo la segunda fase del tratamiento: se retiró el clavo de distracción y se implantó el vástago de la articulación artificial de la cadera.",[],[],{"_uid":367,"image":368,"title":371,"component":344,"copyright":9,"image_style":372,"component_style":373},"95708aa4-f73b-47d6-8c6d-120455f7ed81",{"id":369,"alt":102,"name":9,"focus":102,"title":102,"filename":370,"copyright":102,"fieldtype":11},1773192,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2343x1920\u002F077126c24d\u002Fcase9_6.png","Antes de iniciar la distracción",[],[337],{"_uid":375,"image":376,"title":379,"component":344,"copyright":9,"image_style":380,"component_style":381},"fd67caef-6c85-477c-9540-f71c37a07f94",{"id":377,"alt":102,"name":9,"focus":102,"title":102,"filename":378,"copyright":102,"fieldtype":11},1773191,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F2366x1920\u002F50c4cba6fd\u002Fcase9_5.png","Tras la finalización de la distracción",[],[337],{"_uid":383,"text":384,"component":324,"text_style":385,"component_style":386},"75a9216b-8232-4f4d-9871-f9324b0f878f","## Resultado",[],[],{"_uid":388,"text":389,"component":324,"text_style":390,"component_style":391},"9832b659-b65c-47f6-84aa-593c21228051","Tras el tratamiento, la articulación de la cadera afectada estaba por primera vez en una posición anatómicamente correcta, con una movilidad casi normal. Además, la longitud de sus piernas era igual y podía caminar sin dolor. Ambas articulaciones de la cadera y la rodilla estaban al mismo nivel, lo que es crucial para un patrón de marcha normal. Anteriormente, este tratamiento sólo podía llevarse a cabo con fijadores externos, lo que suponía un importante riesgo de infección, especialmente en la zona de la articulación artificial de la cadera.",[],[337],{"_uid":393,"image":394,"title":398,"component":344,"copyright":9,"image_style":399,"component_style":400},"fe5e3720-7619-4be8-ba38-fc9b0f7a22c1",{"id":395,"alt":102,"_uid":396,"name":9,"focus":102,"title":102,"filename":397,"copyright":102,"fieldtype":11},1773187,"0eb3552f-a188-4b7a-ad04-8b05417841bd","https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1412x2824\u002F0ee21b8edb\u002Fcase9_3.jpg","Resultado del tratamiento con piernas de igual longitud",[],[347],{"_uid":402,"image":403,"title":406,"component":344,"copyright":9,"image_style":407,"component_style":408},"293aa458-6488-4cb9-932a-c8e0d82ef2d3",{"id":404,"alt":102,"name":9,"focus":102,"title":102,"filename":405,"copyright":102,"fieldtype":11},1773188,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F740x1480\u002Fba63ab98d0\u002Fcase9_4.jpg","Articulación artificial de la cadera en la posición anatómicamente correcta",[],[347],{"_uid":410,"title":411,"stories":412,"component":422},"b0322016-634a-4d3f-b56a-f323cbdf48e7","Más información",[413],{"uuid":414,"full_slug":415,"content":416},"a02cccff-a8a7-4c6e-a604-ba2d4af44658","es\u002Fespectro-de-tratamiento\u002Freposicionamiento-de-una-cadera-dislocada",{"_uid":417,"_editable":-1,"image":418,"intro":421,"meta_title":254},"ddc3badb-105c-4630-8131-43c4c53eff13",{"id":419,"alt":102,"name":9,"focus":102,"title":102,"filename":420,"copyright":102,"fieldtype":11},2692144,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F9567x3958\u002F17248b0850\u002Ffitbone_hip.png","Si la cabeza del fémur (bola) se desplaza hacia arriba debido a un mal desarrollo del acetábulo (cavidad) y, como consecuencia, la pierna se acorta, se puede utilizar un nuevo método desarrollado en ZEM-Germany para desplazar la articulación de la cadera a la posición correcta. Después de este procedimiento, se hace posible la implantación de una prótesis anatómicamente correcta y al mismo tiempo se alarga la pierna.","Reference",{"id":341,"alt":102,"name":9,"focus":102,"title":102,"filename":342,"copyright":102,"fieldtype":11},"Una paciente de 28 años con displasia de cadera no diagnosticada desarrolló una migración de la cabeza del fémur a lo largo de los años con un dolor creciente y un acortamiento de la pierna. A pesar de su corta edad, una articulación de cadera artificial era la única opción de tratamiento razonable, pero primero había que llevar la pierna a la posición correcta.","Page",[],[428],"max-w-screen-lg","Una paciente de 28 años con displasia de cadera se sometió a un tipo especial de alargamiento de piernas. Este tratamiento sólo es posible actualmente en la ZEM-Germany.","hueftluxation","es\u002Festudios-de-caso\u002Fdislocacion-de-cadera",120,[],5185868,"bc41d0b6-27ce-4d2d-9db0-a90fabbcc9a3","2020-12-29T13:15:35.000Z",[],"fallbeispiele\u002Fhueftluxation",[440,444,447,451,455],{"path":441,"name":442,"lang":443,"published":21},"cases\u002Fhip-dislocation","Hip dislocation","en",{"path":445,"name":446,"lang":204,"published":21},"estudios-de-caso\u002Fdislocacion-de-cadera","Dislocación de cadera",{"path":448,"name":449,"lang":450,"published":21},"drasat-alhalh\u002Fkhla-alwrk","خلع الورك","ar",{"path":452,"name":453,"lang":454,"published":21},"tematicheskie-issledovaniya\u002Fvyvikh-bedra","Вывих бедра","ru",{"path":456,"name":457,"lang":458,"published":21},"an4-li4-yan2-jiu1\u002Fkuan1-guan1-jie2-tuo1-wei4","髋关节脱位","zh",1793077541414]