The Hip Pathology Unit of the Orthopedics and Traumatology Chair and Service performed for the first time a total bilateral hip arthroplasty in a while, an infrequent intervention method, not only nationally but worldwide, due to the high complexity involved. intervention requires.
In a surgical procedure that it lasted 185 minutes, in operating rooms of the Hospital de Clínicas. The team of specialists from the Hip Pathology Unit was led by Prof. Dr. Akira Kikuchi Hisaoka.
Read: Masks to go to Caacupé? Recommendation given by the experts
“The total hip replacement is generally performed unilaterallythat is, one side per time, and if the patient has a bilateral pathology, two surgical procedures are performed at different anesthetic times that are usually about six months away from each other”, explained Dr. Miguel Arza Fernández, Head of the Hip Pathology Unit.
He noted that: “in this case the procedure was carried out in the same surgical act on both hips, After an adequate selection of the patient, who presented aseptic bone necrosis of both hipsa 37-year-old young man with no other comorbidities, which was presented as ideal for undergoing this type of procedure.”
The osteonecrosis of the femoral head In common terms, it is the death of bone tissue at the level of the femoral head, a disease that presents in several stages, sclerosis, flattening and the last stage of this pathology is coxarthrosis, whose treatment is total hip arthroplasty. It was proposed to perform uncemented total hip arthroplasty on both sides, with multimodal anesthesia after evaluation by specialists in the area.
This treatment has advantages in terms of costs and hospital stay for those who suffer from it bilaterally; because in one surgery two procedures are performed.
Read More: Suspected case of meningitis detected in Concepción
The immediate post surgical recovery is 72 hours in a common room where the patient already sits down with the supervision of specialists from the Kinesiology and Physiotherapy area, after which recovery continues at home, the first control at 15 days to evaluate the healing of the surgical wound, arriving later to carry out the partial load (supported with crutches) at 8 weeks and a full load at 12 weeks.
For his part, Dr. Eduardo Barrios pointed out that in trauma clinics, they receive many patients with osteonecrosis of the femoral head in advanced stagesthat is, in the last stage of the disease, already when they have coxarthrosis.
But they are usually patients older than 60 yearsobese, diabetic, with hypertension, and with cardiac or pulmonary pathologies, who do not meet the clinical conditions, and who, due to this, must undergo surgery in two stages.
