{"id":708,"date":"2020-03-18T17:22:31","date_gmt":"2020-03-18T17:22:31","guid":{"rendered":"https:\/\/biotechsa.com\/2\/?p=708"},"modified":"2026-03-10T12:56:36","modified_gmt":"2026-03-10T18:56:36","slug":"articulacion-de-rodilla-infectada","status":"publish","type":"post","link":"https:\/\/biotechsa.com\/2\/articulos-cientificos\/articulos-stimulan\/articulacion-de-rodilla-infectada\/","title":{"rendered":"Articulaci\u00f3n de rodilla infectada"},"content":{"rendered":"<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_0 et_pb_row et_block_row\"><div class=\"et_pb_column_0 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p><span>Cortes\u00eda del Dr. Donald W. Hohman Jr., Cirujano Ortop\u00e9dico, Dallas, TX, EE. UU.<\/span><\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_1 et_pb_row et_block_row\"><div class=\"et_pb_column_1 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p>Genex, STIMULAN.<\/p>\n<\/div><\/div><\/div><\/div><\/div><div class=\"et_pb_section_1 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_2 et_pb_row et_block_row\"><div class=\"et_pb_column_2 et_pb_column et_pb_column_1_2 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_0 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/1-5.png\" width=\"470\" height=\"289\" srcset=\"https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/1-5.png 470w, https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/1-5-300x184.png 300w\" sizes=\"(max-width: 470px) 100vw, 470px\" class=\"wp-image-711\" \/><\/span><\/div><\/div><div class=\"et_pb_column_3 et_pb_column et_pb_column_1_2 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_1 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/2-5.png\" width=\"470\" height=\"289\" srcset=\"https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/2-5.png 470w, https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/2-5-300x184.png 300w\" sizes=\"(max-width: 470px) 100vw, 470px\" class=\"wp-image-712\" \/><\/span><\/div><\/div><\/div><div class=\"et_pb_row_3 et_pb_row et_block_row\"><div class=\"et_pb_column_4 et_pb_column et_pb_column_1_2 et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_2 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/3-1.png\" width=\"470\" height=\"289\" srcset=\"https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/3-1.png 470w, https:\/\/biotechsa.com\/2\/wp-content\/uploads\/2020\/03\/3-1-300x184.png 300w\" sizes=\"(max-width: 470px) 100vw, 470px\" class=\"wp-image-713\" \/><\/span><\/div><\/div><div class=\"et_pb_column_5 et_pb_column et_pb_column_1_2 et-last-child et_block_column et_pb_column_empty et_pb_css_mix_blend_mode_passthrough\"><\/div><\/div><div class=\"et_pb_row_4 et_pb_row et_block_row\"><div class=\"et_pb_column_6 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><p><strong>Detalles cl\u00ednicos<\/strong><\/p>\n<p>Mujer de 45 a\u00f1os de edad con antecedentes de dolor e inflamaci\u00f3n en la rodilla durante 6 meses. Este paciente se hab\u00eda sometido a una reconstrucci\u00f3n con aloinjerto del ligamento cruzado anterior 9 meses antes. El examen de rayos X indic\u00f3 ensanchamiento del t\u00fanel \u00f3seo y cambios reactivos en la tibia proximal. El examen de MRI indic\u00f3 derrame de la articulaci\u00f3n de la rodilla y cambios en la se\u00f1al en la tibia y el f\u00e9mur marcaron la presencia de osteomielitis. Los marcadores inflamatorios (ESR \/ CRP) se elevaron y la aspiraci\u00f3n del derrame de la articulaci\u00f3n de la rodilla fue positiva para Staphylococcus epidermidis .\u00a0<\/p>\n<p><strong>Tratamiento<\/strong><\/p>\n<p>El manejo quir\u00fargico fue elegido con extracci\u00f3n del aloinjerto. El riego y el desbridamiento de la tibia y el f\u00e9mur se llevaron a cabo para eliminar todo el tejido no viable con la eliminaci\u00f3n de todos los dispositivos de fijaci\u00f3n. Se usaron cuentas STIMULAN para llenar el defecto de la tibia y genex\u00ae para llenar el defecto femoral. Se complet\u00f3 un curso de antibi\u00f3ticos por v\u00eda intravenosa en funci\u00f3n de las sensibilidades del organismo.<\/p>\n<p><strong>Resultado<\/strong><\/p>\n<p>El dolor y la hinchaz\u00f3n se resolvieron despu\u00e9s de la operaci\u00f3n. Despu\u00e9s de la terapia con antibi\u00f3ticos, la infecci\u00f3n hab\u00eda desaparecido cl\u00ednicamente 3 meses despu\u00e9s de la cirug\u00eda con normalizaci\u00f3n de los marcadores inflamatorios y mejor\u00eda sintom\u00e1tica. A los 6 meses de seguimiento, tanto STIMULAN como genex fueron completamente absorbidos y reemplazados por hueso. Los marcadores inflamatorios permanecieron normales. El paciente ten\u00eda un dolor m\u00ednimo secundario a cambios artr\u00edticos en la rodilla.<\/p>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[162,26],"tags":[],"class_list":["post-708","post","type-post","status-publish","format-standard","hentry","category-articulos-cientificos","category-articulos-stimulan"],"_links":{"self":[{"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/posts\/708","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/comments?post=708"}],"version-history":[{"count":3,"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/posts\/708\/revisions"}],"predecessor-version":[{"id":11123,"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/posts\/708\/revisions\/11123"}],"wp:attachment":[{"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/media?parent=708"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/categories?post=708"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/biotechsa.com\/2\/wp-json\/wp\/v2\/tags?post=708"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}