Rigidez Pós-Artroplastia Total do Joelho

Autores

  • Jorge Andrade Costa Serviço de MFR, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Marta Amaral Silva Serviço de MFR, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Joana Arcângelo Serviço de Ortopedia, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, Lisboa, Portugal
  • Augusto Martins Serviço de Ortopedia, Hospital Curry Cabral, Centro Hospitalar Lisboa Central, Lisboa, Portugal

DOI:

https://doi.org/10.25759/spmfr.200

Palavras-chave:

Amplitude de Movimento Articular, Artroplastia Total do Joelho

Resumo

A artroplastia total do joelho tem por objectivos minimizar a dor, promover a estabilidade articular durante a marcha e maximizar a amplitude de movimento. A prevalência de rigidez pós-artroplastia total do joelho pode atingir os 25%. A comunidade científica aponta, como principais factores de risco para o seu surgimento, uma menor amplitude articular pré-operatória, a pouca colaboração do doente num programa de reabilitação, patela ínfera ou o uso de anticoagulantes cumarínicos. A melhoria do arco de movimento do joelho raramente se verifica após seis meses de artroplastia, mesmo sob um programa de reabilitação adequado. No caso de rigidez pós-operatória, a opção atual mais eficaz para ganho de amplitude inclui a manipulação articular sob anestesia. A artrólise, artroscópica ou aberta, apresenta resultados modestos no ganho de amplitude articular, bem como a artroplastia de revisão. Contudo, a última revela-se eficaz nos casos particulares de rigidez com contratura em flexão.

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Como Citar

1.
Andrade Costa J, Amaral Silva M, Arcângelo J, Martins A. Rigidez Pós-Artroplastia Total do Joelho. SPMFR [Internet]. 17 de Janeiro de 2016 [citado 10 de Dezembro de 2024];27(2):13-8. Disponível em: https://spmfrjournal.org/index.php/spmfr/article/view/200

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