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Rehabilitación (Madr., Ed. impr.) ; 46(1): 60-63, ene.-mar. 2012.
Article in Spanish | IBECS | ID: ibc-96506

ABSTRACT

Se presenta el caso clínico de una mujer de 58 años, con una rizartrosis del pulgar de grado III en la escala de Eaton. Tras el fracaso del tratamiento conservador, se procedió a la artroplastia de resección-suspensión-interposición. En estos casos la rehabilitación postoperatoria es fundamental para consolidar los mecanismos quirúrgicos correctores y conseguir el máximo rendimiento funcional. Sin embargo, los protocolos de rehabilitación seguida tras este tipo de cirugía no han sido descritos con detalle. El objetivo de nuestro trabajo es exponer el programa terapéutico postoperatorio llevado a cabo por nosotros, que difiere del seguido por otros autores, así como los resultados funcionales alcanzados en esta patología, que habitualmente no pasa por la consulta del médico rehabilitador (AU)


We present the clinical case of a 58-year old woman suffering osteoarthritis of the base of the thumb with grade III on the Eaton classification. After failure of conservative treatment, surgical treatment based on a trapeziectomy, with ligament reconstruction and tendon interposition arthroplasty, was performed. In these cases, postoperative rehabilitation is important to consolidate surgical correction mechanisms and achieve maximum functional performance. However, rehabilitation protocols following this type of surgery have not been described in depth. The purpose of this article is to explain our postoperative rehabilitation program which differs from that followed by other authors and to explain the functional results achieved in this condition, which is generally not treated by the rehabilitation physician (AU)


Subject(s)
Humans , Female , Middle Aged , Osteoarthritis/rehabilitation , Arthroplasty/methods , Arthroplasty/rehabilitation , Arthroplasty , Infiltration-Percolation/methods , Betamethasone/therapeutic use , Mepivacaine/therapeutic use , Thumb/injuries , Thumb/physiopathology , Muscle Strength Dynamometer/trends , Muscle Strength Dynamometer
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