Article information
Abstract
By preserving the femoral head, hip resurfacing arthroplasty is associated with a series of problems specifically related to the surgical approach that are not present in conventional hip replacement. These problems are attributable to the need to preserve blood supply and to allow a wider surgical exposure in order to place the different components appropriately. In this study, we analyze the blood supply to the femoral head and its relationship with the different approaches and surgical techniques used. We also review the different approaches used to perform hip resurfacing surgery, indicating the main advantages and disadvantages of each of them.
Keywords:
Approaches
Hip surgery
Resurfacing prosthesis
Surface replacement
Resumen
La artroplastia de superficie de la cadera, al retener la cabeza femoral, presenta una serie de problemas con el abordaje quirúrgico que no tiene la artroplastia convencional. Estos problemas derivan de la necesidad de conservar la vascularización y de una exposición quirúrgica más amplia para colocar adecuadamente los componentes. Se analiza la vascularización de la cabeza del fémur y su relación con los diferentes abordajes y las técnicas quirúrgicas empleadas y también los principales abordajes empleados para realizarla, y se indican las principales ventajas e inconvenientes de cada vía.
Palabras clave:
Abordajes
Cirugía de la cadera
Prótesis de superficie
Prótesis de recubrimiento
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