Descripción de las medidas antropométricas de la cadera (relación articulo  trocantérica y longitud del cuello femoral) y su concordancia con las prótesis  de cadera más usadas en una institución de cuarto nivel del Nororiente  Colombiano

Canencio Salgado, María Camila

doi:https://doi.org/10.29375/tesis.20334

Descripción de las medidas antropométricas de la cadera (relación articulo trocantérica y longitud del cuello femoral) y su concordancia con las prótesis de cadera más usadas en una institución de cuarto nivel del Nororiente Colombiano

dc.contributor.advisor	Amado Pico, Omar Alejandro
dc.contributor.advisor	Serrano Gómez, Sergio
dc.contributor.author	Canencio Salgado, María Camila
dc.coverage.campus	UNAB Campus Bucaramanga	spa
dc.coverage.spatial	Floridablanca, Santander	spa
dc.coverage.temporal	Mayo 2022- Mayo 2023	spa
dc.date.accessioned	2023-06-24T02:49:21Z
dc.date.available	2023-06-24T02:49:21Z
dc.date.issued	2023-06-08
dc.degree.name	Especialista en Ortopedia y Traumatología	spa
dc.description.abstract	El reemplazo total de cadera ha presentado un aumentado progresivo y sostenido en las últimas décadas por diversos factores, entre ellos, el envejecimiento de la población a nivel mundial con mayor expectativa de vida. La discrepancia en la longitud de las extremidades continúa siendo la principal causa de insatisfacción, es por ello que día a día se ha dado importancia a el planeamiento prequirúrgico, dado que existen medidas radiológicas que nos pueden dar información de la morfología de la articulación de la cadera para poder elegir la prótesis adecuada y así restaurar la anatomía y biomecánica normal. Por esta razón este estudio busca caracterizar en radiografías AP de pelvis la relación articulo trocantérica y la longitud del cuello femoral en pacientes de una institución de cuarto nivel en el Nororiente Colombiano. Metodología Estudio de corte transversal analítico en pacientes sanos que se tomaron una radiografía de cadera o pelvis en una institución de cuarto nivel. Se tomarón dos medidas antropométricas como es la relación articulo trocantérica y la longitud del cuello femoral y se obtuvieron variables como género y edad, entre otras. Se usó programa Stata 16 y se realizó la caracterización de las variables cualitativas y cuantitativas, utilizando métodos de estadística descriptivos. Resultados Se recolectaron 401 radiografías con pacientes edad promedio de 60,05 años, la mayoría mujeres en el 74,56%. En cuanto a las medidas antropométricas se obtuvo que el 94,26% para la cadera derecha y 93,52% para la cadera izquierda tenían relaciones articulo trocantérica negativas con promedio de -8mm y que la longitud de cuello femoral promedio fue 45mm. Por otro lado, en la regresión logística se obtuvo que la talla y el sexo tienen relación estadísticamente significativa con la longitud del cuello y la RAT mientras que el peso y la edad no mostraron alterar las medidas. Conclusión Las medidas antropométricas de la cadera varían indudablemente según la población y están directamente relacionadas con la talla de los pacientes. Es por ello que para evitar discrepancia de longitud en los reemplazos articulares de cadera es importante buen planeamiento prequirúrgico para determinar la prótesis que más se adecue. Se recomienda para trabajos futuros tener mediciones en las diferentes poblaciones.	spa
dc.description.abstractenglish	Total hip replacement has presented a progressive and sustained increase in recent decades due to various factors, including the aging of the world population with greater life expectancy. The discrepancy in the length of the extremities continues to be the main cause of dissatisfaction in this procedure. That’s why the importance has given to pre-surgical planning, since there are radiological measurements that can give us information on the morphology of the joint of the leg. In order to choose the appropriate prosthesis and thus restore normal anatomy and biomechanics. For this reason, this study seeks to characterize the vertical distance from grater trochanter to center femoral head and the length of the femoral neck in AP radiographs of the pelvis in patients from a fourth-level institution in Northeastern Colombia. Methodology Analytical cross-sectional study in healthy patients who underwent a hip or pelvic radiograph in a fourth level institution. Two anthropometric measurements were taken, such as vertical distance from grater trochanter to center femoral head and the length of the femoral neck, and variables such as gender and age, among others, were obtained. The Stata 16 program was used and the characterization of the qualitative and quantitative variables was carried out, using descriptive statistical methods. Results 401 x-rays were collected with patients with an average age of 60.05 years, the majority being women at 74.56%. Regarding the anthropometric measurements, it was obtained that 94.26% for the right hip and 93.52% for the left hip had negative trochanteric joint relations with an average of -8mm and that the average femoral neck length was 45mm. On the other hand, in the logistic regression it was found that height and sex have a statistically significant relationship with neck length and tip trochanter to centre femoral head, while weight and age did not appear to alter the measurements. Conclusion Anthropometric measurements of the hip undoubtedly vary according to the population and are directly related to the height of the patients. That is why, in order to avoid length discrepancy in hip joint replacements, good pre-surgical planning is important to Determine the most suitable prosthesis. It is recommended for future work to have measurements in the different populations.	spa
dc.description.degreelevel	Especialización	spa
dc.description.learningmodality	Modalidad Presencial	spa
dc.description.tableofcontents	Contenido Resumen del proyecto: .................................................................................................................. 4 1. Justificación: .......................................................................................................................... 6 2. Marco teórico: ....................................................................................................................... 9 3. Estado del Arte:.................................................................................................................... 16 4. Objetivos.............................................................................................................................. 18 4.1. Objetivo General .......................................................................................................... 18 4.2. Objetivos específicos.................................................................................................... 18 4.3. Pregunta de investigación:............................................................................................ 18 4.4. Hipótesis ...................................................................................................................... 18 5. Metodología......................................................................................................................... 19 5.1. Tipo de estudio............................................................................................................. 19 5.2. Población...................................................................................................................... 19 5.3. Criterios de inclusión .................................................................................................... 19 5.4. Criterios de exclusión.................................................................................................... 19 5.5. Cálculo de tamaño de muestra ..................................................................................... 19 5.6. Muestreo...................................................................................................................... 19 5.7. Recolección de la información ...................................................................................... 20 5.8. Variables ...................................................................................................................... 20 5.9. Plan de análisis de datos............................................................................................... 22 5.10. Consideraciones éticas.............................................................................................. 22 6. Resultados esperados........................................................................................................... 24 6.1. Relacionados con la generación de nuevo conocimiento............................................... 24 6.2. Conducentes al fortalecimiento de la capacidad científica institucional ........................ 24 6.3 Dirigidos a la apropiación social del conocimiento.............................................................. 24 7. Impactos esperados ............................................................................................................. 25 8. Resultados ........................................................................................................................... 25 9. Discusión.............................................................................................................................. 33 10. Conclusiones.................................................................................................................... 35 11. Referencias bibliográficas................................................................................................. 36 Anexos......................................................................................................................................... 40 Cronograma de actividades.......................................................................................................... 40 Presupuesto................................................................................................................................. 40 Tablas Tabla 1. Operacionalización de variables...................................................................................... 20 Tabla 2. Características sociodemográficas y clínicas de la población de estudio. ......................... 26 Tabla 3. Variables antropométricas por sexo................................................................................ 29 Tabla 4.Regresión lineal longitud cuello femoral derecho............................................................. 30 Tabla 5. Regresión lineal longitud cuello femoral izquierdo .......................................................... 30 Tabla 6. Regresión logística asociación variables prótesis de cadera ............................................. 32 Gráficas Gráfica 1. Distribución variables cuantitativas.............................................................................. 28	spa
dc.format.mimetype	application/pdf	spa
dc.identifier.doi	https://doi.org/10.29375/tesis.20334
dc.identifier.instname	instname:Universidad Autónoma de Bucaramanga - UNAB	spa
dc.identifier.reponame	reponame:Repositorio Institucional UNAB	spa
dc.identifier.repourl	repourl:https://repository.unab.edu.co	spa
dc.identifier.uri	http://hdl.handle.net/20.500.12749/20334
dc.language.iso	spa	spa
dc.publisher.faculty	Facultad Ciencias de la Salud	spa
dc.publisher.grantor	Universidad Autónoma de Bucaramanga UNAB	spa
dc.publisher.program	Especialización en Ortopedia y Traumatología	spa
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Kumar A, Passey J, Kumar M, Chouhan D, Saini M. Journal of Clinical Orthopaedics and Trauma Reliability of relation between greater trochanter and center of rotation of femoral head in Indian population. J Clin Orthop Trauma [Internet]. 2020;(xxxx):1–4. Available from: https://doi.org/10.1016/j.jcot.2020.04.017 46. Antapur P, Prakash D, Orth F. Proximal Femoral Geometry A Radiological Assessment. 2006;21(6):2005–6. 47. Prevention of limb length discrepancy in total hip arthroplasty. 2017;78(7):385–90. 48. Lu Y. Reliability study of measuring leg length discrepancy in patients with total hip arthroplasty using the tip of the greater trochanter. 2020;1–12. 49. Eggli, S., Pisan, M., & Müller, M. J. (1998). The value of preoperative planning for total hip arthroplasty. The journal of bone and joint surgery, 80-B(3), 382- 390. https://doi.org/10.1302/0301-620x.80b3.0800382	spa
dc.rights.accessrights	info:eu-repo/semantics/restrictedAccess	spa
dc.rights.creativecommons	Atribución-NoComercial-SinDerivadas 2.5 Colombia	*
dc.rights.local	Abierto (Texto Completo)	spa
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/2.5/co/	*
dc.subject.keywords	Medical sciences	spa
dc.subject.keywords	Health sciences	spa
dc.subject.keywords	Tip greater trochanter to centre femoral head	spa
dc.subject.keywords	Length femoral neck	spa
dc.subject.keywords	Hip	spa
dc.subject.keywords	Artificial hip joints	spa
dc.subject.keywords	Hip prothesis	spa
dc.subject.lemb	Ciencias médicas	spa
dc.subject.lemb	Cadera	spa
dc.subject.lemb	Prótesis de cadera	spa
dc.subject.proposal	Ciencias de la salud	spa
dc.subject.proposal	Relación articulo trocantérica	spa
dc.subject.proposal	Longitud cuello femoral	spa
dc.subject.proposal	Medidas antropométricas cadera	spa
dc.title	Descripción de las medidas antropométricas de la cadera (relación articulo trocantérica y longitud del cuello femoral) y su concordancia con las prótesis de cadera más usadas en una institución de cuarto nivel del Nororiente Colombiano	spa
dc.title.translated	Description of the anthropometric measurements of the hip (centre of the femoral head to tip of greater trochanter and length of the femoral neck) and their concordance with the most used hip prostheses in a fourth-level institution in Northeastern Colombia	spa
dc.type	Thesis	eng
dc.type.coar	http://purl.org/coar/resource_type/c_bdcc
dc.type.coarversion	http://purl.org/coar/version/c_b1a7d7d4d402bcce	spa
dc.type.driver	info:eu-repo/semantics/masterThesis	spa
dc.type.hasversion	info:eu-repo/semantics/acceptedVersion	spa
dc.type.local	Tesis	spa
dc.type.redcol	http://purl.org/redcol/resource_type/TM	spa