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Artroplastia total do quadril pelos acessos lateral direto e póstero-lateral: comparação da função de marcha pós operatória.

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Academic year: 2017

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Pacientes Lateral diretoAcesso Póstero-lateralAcesso Total

Total 14 19 33

Homens 10 7 17

Mulheres 4 12 16

Idade mínima1 28 28

-Idade máxima1 74 75

-Idade média1 54.9 56.1

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Fonte: HTO/INTO, 2000. - * M, Masculino; F, Feminino - † D, quadril direito operado; E, quadril

esquerdo operado - ‡ Lat., Acesso Lateral direto; Post., Acesso Póstero-Lateral direto - #,

refere-se ao tempo de pós operatório em merefere-ses.

(4)

Caso MínimaFlexão MáximaFlexão Arco FE† Adução

Mínima AduçãoMáxima Arco AA‡ Cirúrgico*Acesso Tren**

01 0o 35o 35o -14o 4o 18o Post.

-02 20o 50o 30o -6o 2o 8o Post.

-03 10o 40o 30o -15o 3o 18o Post.

-04 10o 50o 40o -15o 5o 20o Post.

-05 10o 45o 35o -17o -3o 14o Post.

-06 23o 47o 24o -2o -8o 6o Post.

-07 5o 28o 23o -2o 7o 9o Post.

-08 5o 37o 32o -11o 0o 11o Post.

-09 20o 45o 25o -15o 3o 18o Post.

-10 10o 51o 41o -18o -3o 15o Post.

-11 9o 33o 24o -14o -2o 12o Post.

-12 5o 47o 42o -25o -10o 15o Post.

-13 5o 47o 42o -10o 5o 15o Post. +

14 20o 50o 30o -4o 8o 12o Post.

-15 10o 23o 13o -18o -6o 12o Post.

-16 10o 50o 40o -15o 3o 18o Post. +

17 -5o 35o 40o -12o -2o 10o Post.

-18 0o 35o 35o -12o -2o 10o Post.

-19 15o 40o 25o -8o 4o 12o Post. +

20 14o 37o 23o -8o 6o 14o Lat. +

21 2o 33o 31o -8o 5o 13o Lat.

-22 0o 37o 37o -7o 7o 14o Lat.

-23 -2o 40o 42o -13o 3o 16o Lat.

-24 20o 55o 35o -15o 0o 15o Lat.

-25 1o 40o 39o -8o 3o 11o Lat.

-26 18o 38o 20o -15o 0o 15o Lat.

-27 -3o 35o 38o -4o 1o 5o Lat.

-28 20o 45o 25o -16o -6o 10o Lat.

-29 5o 35o 30o -12o -6o 6o Lat. +

30 18o 51o 33o -10o 7o 17o Lat.

-31 0o 31o 31o -12o 4o 16o Lat.

-32 15o 50o 35o -10o 7o 17o Lat. +

33 5o 45o 40o -15o 3o 18o Lat.

-Fonte: Sistema Vicon 140, LPMH, HTO/INTO, 2000. - Nota: por convenção, para efeito de cálculos, a extensão e a abdução são negativas, a  exão e a adução são positivas.

Arco de exo-extensão, Arco de abdução-adução - * Post., póstero-lateral; Lat., lateral direto - ** Marcha de Trendelenburg, +, positivo; -, negativo

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Acesso Cirúrgico

Flexão Mínima

Flexão máxima

Arco FE*

Adução Mínima

Adução Máxima

Arco AA**

Lateral

direto 8,21o 40,57o 32,38o -11o 2,28o 13,28o

Postero-Lateral 9,58o 41,47o 31,90o -12,26o 0,42o 12,68o

Fonte: Sistema Vicon 140, LPMH, HTO/INTO, 2000

Nota 1: Valores expressos em graus - Nota 2: Por convenção, para efeito de cálculos, a

extensão e a abdução são negativas, a  exão e a adução são positivas. -

* Arco de exo-extensão - ** Arco de abdução-adução

(5)

Caso

Lado normal Lado Operado Tempo de Duplo Apoio(s)

Passada

(mm) (passos/min)Cadência

Velocidade media

(mm/seg) Acesso Tempo de

Apoio (s) Passo(mm) Tempo de Apoio(s) Passo(mm)

01 1,0 500,0 0,9 535,0 0,1 1111,0 92,3 900,4 Post.

02 0,7 426,4 0,7 581,8 0,2 1035,0 72,7 646,2 Post.

03 0,9 509,8 1,0 476,7 0,0 1008,0 92,3 829,7 Post.

04 0,7 539,2 0,7 460,6 0,1 1092,0 107,4 1130,0 Post.

05 0,7 497,8 0,7 515,2 0,1 972,8 79,1 694,4 Post.

06 0,9 400,0 0,9 425,8 0,2 983,9 84,9 503,8 Post.

07 1,3 319,6 1,3 296,0 0,1 971,2 80,0 716,8 Post.

08 0,9 367,9 0,9 367,0 0,1 986,5 96,7 592,4 Post.

09 0,8 486,6 0,8 501,6 0,1 999,8 92,3 902,3 Post.

10 0,7 647,2 0,8 527,4 0,1 898,5 88,9 743,4 Post.

11 0,7 586,3 0,7 568,3 0,1 1013,0 91,1 793,2 Post.

12 0,7 578,8 0,7 532,6 0,1 825,8 71,3 489,0 Post.

13 0,8 542,3 0,8 457,8 0,1 1054,9 86,3 802,3 Post.

14 0,8 478,6 0,8 492,2 0,1 934,9 78,6 436,5 Post.

15 1,1 546,6 1,0 337,2 0,1 988,2 79,1 690,0 Post.

16 0,8 458,3 0,8 512,9 0,1 1175,0 90,0 869,7 Post.

17 0,7 512,4 0,7 386,1 0,1 1188,0 90,0 994,7 Post.

18 0,7 575,6 0,7 612,8 0,1 1155,0 88,9 851,3 Post.

19 0,6 682,4 0,7 405,4 0,1 1088,0 101,4 971,6 Post.

20 1,0 256,1 1,1 298,4 0,2 601,9 64,9 377,3 Lat.

21 0,7 873,8 0,6 467,3 0,1 879,1 98,5 287,4 Lat.

22 0,8 570,4 0,7 542,0 0,1 1046,0 106,5 841,7 Lat.

23 0,7 675,8 0,7 580,8 0,1 910,2 91,1 683,5 Lat.

24 0,6 495,9 0,8 488,8 0,1 1136,0 93,5 973,5 Lat.

25 1,0 280,6 0,7 503,9 0,0 1194,0 82,8 874,0 Lat.

26 0,7 442,9 0,7 506,2 0,1 1067,0 84,7 786,7 Lat.

27 0,6 593,8 0,8 437,0 0,1 1058,0 84,7 810,8 Lat.

28 0,8 613,4 0,5 662,0 0,1 1251,0 83,7 936,8 Lat.

29 0,8 569,2 1,1 345,7 0,0 1159,0 86,8 918,3 Lat.

30 0,7 654,7 0,8 472,6 0,1 1038,0 104,3 999,9 Lat.

31 0,9 606,1 0,8 496,2 0,1 1112,0 88,3 715,4 Lat.

32 0,8 461,3 0,8 575,4 0,1 898,2 81,8 629,7 Lat.

33 0,6 567,8 0,6 542,0 0,0 1230,0 109,1 1168,0 Lat.

Fonte: Sistema Vicon 140, LPMH, HTO/INTO, 2000 - Post. = acesso póstero-lateral; Lat. = acesso lateral direto

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(6)

Acesso

Cirúrgico

Lado não Operado Lado Operado

Tempo de

Duplo Apoio Compr. da Passada Cadência Velocidade media Tempo de

Apoio Compr. de Passo Tempo de Apoio Compr. de Passo

Póstero-lateral 0,81 508,20 0,82 473,28 0,10 1025,34 87,54 766,19

Lateral direto 0,76 547,27 0,75 494,16 0,07 1041,46 90,05 785,93

Fonte: Sistema Vicon 140, LPMH, HTO/INTO, 2000 - Compr.= comprimento – medidas em milímetros - Tempo – medido em segundos - Cadência – passos por minuto - Velocidade – milímetros por segundo

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