O manejo cirúrgico da artroplasia total de joelho / The surgical management of total knee arthroplasia

Authors

  • Karinne Nancy Sena Rocha
  • Matheus Frota Oliveira Souto
  • Eduardo Vinicius Alves Azevedo
  • Carolina Pinheiro de Castro Alves
  • Víctor Augusto de Souza Nébias
  • Juliana Menezes Morais
  • Eduardo de Oliveira Azevedo
  • Laura Cristina Ribeiro Cangue
  • João Pedro Spanier

DOI:

https://doi.org/10.34119/bjhrv5n1-030

Keywords:

Cirurgia, Artroplasia, Joelho, Tratamento.

Abstract

A artroplastia total do joelho (ATJ), é um dos procedimentos ortopédicos mais comumente realizados. A ATJ consiste na ressecção das superfícies articulares doentes do joelho, seguida de recapeamento com componentes de metal e próteses de polietileno, para o paciente devidamente selecionado, o procedimento resulta em significativo alívio da dor, bem como melhora da função e da qualidade de vida. Apesar dos benefícios potenciais da ATJ, ela geralmente é realizada de forma eletiva e só deve ser considerada após o esgotamento das terapias não cirúrgicas adequadas. A artroplastia total do joelho, consiste na ressecção das superfícies articulares doentes do joelho, seguida de recapeamento com componentes protéticos de metal e polietileno. O procedimento resulta em significativo alívio da dor, bem como melhora da função e da qualidade de vida, a indicação mais comum para ATJ é associada à osteoartrite do joelho em pacientes que não tiveram sucesso com os tratamentos não operatórios. 

References

Cram P, Lu X, Kates SL, et al. Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010. JAMA 2012; 308:1227.

Lavernia CJ, Guzman JF, Gachupin-Garcia A. Cost effectiveness and quality of life in knee arthroplasty. Clin Orthop Relat Res 1997; :134.

Jämsen E, Virta LJ, Hakala M, et al. The decline in joint replacement surgery in rheumatoid arthritis is associated with a concomitant increase in the intensity of anti-rheumatic therapy: a nationwide register-based study from 1995 through 2010. Acta Orthop 2013; 84:331.

Smith SR, Bido J, Collins JE, et al. Impact of Preoperative Opioid Use on Total Knee Arthroplasty Outcomes. J Bone Joint Surg Am 2017; 99:803.

Chen AT, Bronsther CI, Stanley EE, et al. The Value of Total Knee Replacement in Patients With Knee Osteoarthritis and a Body Mass Index of 40 kg/m2 or Greater : A Cost-Effectiveness Analysis. Ann Intern Med 2021; 174:747.

Rand JA, Trousdale RT, Ilstrup DM, Harmsen WS. Factors affecting the durability of primary total knee prostheses. J Bone Joint Surg Am 2003; 85-A:259.

Choi YJ, Ra HJ. Patient Satisfaction after Total Knee Arthroplasty. Knee Surg Relat Res 2016; 28:1.

Zhao XQ, Jiang N, Yuan FF, et al. The comparison of adductor canal block with femoral nerve block following total knee arthroplasty: a systematic review with meta-analysis. J Anesth 2016; 30:745.

Zhang P, Liang Y, He J, et al. Timing of tourniquet release in total knee arthroplasty: A meta-analysis. Medicine (Baltimore) 2017; 96:e6786.

Fortier LM, Rockov ZA, Chen AF, Rajaee SS. Activity Recommendations After Total Hip and Total Knee Arthroplasty. J Bone Joint Surg Am 2021; 103:446.

Duchman KR, Gao Y, Pugely AJ, et al. The Effect of Smoking on Short-Term Complications Following Total Hip and Knee Arthroplasty. J Bone Joint Surg Am 2015; 97:1049.

Ahmed I, Chawla A, Underwood M, et al. Tourniquet use for knee replacement surgery. Cochrane Database Syst Rev 2020; 12:CD012874.

Abdel MP, Chalmers BP, Taunton MJ, et al. Intravenous Versus Topical Tranexamic Acid in Total Knee Arthroplasty: Both Effective in a Randomized Clinical Trial of 640 Patients. J Bone Joint Surg Am 2018; 100:1023.

Katz JN, Mahomed NN, Baron JA, et al. Association of hospital and surgeon procedure volume with patient-centered outcomes of total knee replacement in a population-based cohort of patients age 65 years and older. Arthritis Rheum 2007; 56:568.

Meehan JP, Danielsen B, Kim SH, et al. Younger age is associated with a higher risk of early periprosthetic joint infection and aseptic mechanical failure after total knee arthroplasty. J Bone Joint Surg Am 2014; 96:529.

Kerkhoffs GM, Servien E, Dunn W, et al. The influence of obesity on the complication rate and outcome of total knee arthroplasty: A meta-analysis and systematic literature review. J Bone Joint Surg Am 2012; 94:1839.

Published

2022-01-11

How to Cite

ROCHA, K. N. S.; SOUTO, M. F. O.; AZEVEDO, E. V. A.; ALVES, C. P. de C.; NÉBIAS, V. A. de S.; MORAIS, J. M.; AZEVEDO, E. de O.; CANGUE, L. C. R.; SPANIER, J. P. O manejo cirúrgico da artroplasia total de joelho / The surgical management of total knee arthroplasia. Brazilian Journal of Health Review, [S. l.], v. 5, n. 1, p. 343–359, 2022. DOI: 10.34119/bjhrv5n1-030. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/42497. Acesso em: 28 mar. 2024.

Issue

Section

Original Papers