{"id":702,"date":"2022-04-01T11:28:37","date_gmt":"2022-04-01T10:28:37","guid":{"rendered":"https:\/\/institutdelgenoll.com\/lesiones-del-cartilago\/"},"modified":"2022-04-28T09:59:22","modified_gmt":"2022-04-28T08:59:22","slug":"lesiones-del-cartilago","status":"publish","type":"page","link":"https:\/\/institutdelgenoll.com\/es\/lesiones-del-cartilago\/","title":{"rendered":"Lesiones del cart\u00edlago"},"content":{"rendered":"<p>[et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbHero\u00bb _builder_version=\u00bb4.14.8&#8243; background_color=\u00bb#f1f5f7&#8243; custom_padding=\u00bb70px|0px|70px|0px|true|false\u00bb bottom_divider_height=\u00bb0px\u00bb border_radii=\u00bboff|||300px|\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row _builder_version=\u00bb3.25&#8243; custom_margin=\u00bb|||\u00bb custom_margin_tablet=\u00bb||0px|\u00bb custom_margin_last_edited=\u00bboff|desktop\u00bb custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb custom_padding_tablet=\u00bb0px|50px|50px|50px\u00bb custom_padding_last_edited=\u00bboff|desktop\u00bb global_colors_info=\u00bb{}\u00bb padding_tablet=\u00bb0px|50px|50px|50px\u00bb padding_last_edited=\u00bboff|desktop\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; text_font=\u00bb|700||on|||||\u00bb text_text_color=\u00bb#677a92&#8243; text_line_height=\u00bb1.8em\u00bb header_font=\u00bb|800|||||||\u00bb header_font_size=\u00bb50px\u00bb header_2_font=\u00bb||||||||\u00bb max_width=\u00bb750px\u00bb custom_margin=\u00bb||0px||false|false\u00bb custom_margin_tablet=\u00bb0px|50px||50px\u00bb custom_margin_phone=\u00bb|20px||\u00bb custom_margin_last_edited=\u00bboff|desktop\u00bb text_line_height_tablet=\u00bb1.8em\u00bb text_line_height_phone=\u00bb1.8em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb header_font_size_tablet=\u00bb\u00bb header_font_size_phone=\u00bb36px\u00bb header_font_size_last_edited=\u00bbon|phone\u00bb header_2_font_size_last_edited=\u00bboff|desktop\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h1>Lesiones del cart\u00edlago<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbHero\u00bb _builder_version=\u00bb3.22&#8243; custom_padding=\u00bb70px|0px|70px|0px|true|false\u00bb bottom_divider_height=\u00bb0px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row column_structure=\u00bb1_4,3_4&#8243; use_custom_gutter=\u00bbon\u00bb gutter_width=\u00bb2&#8243; _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb1_4&#8243; _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb background_color=\u00bb#028DD1&#8243; custom_padding=\u00bb20px|20px|20px|20px|true|true\u00bb border_radii=\u00bbon|25px|25px|25px|25px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bb61514fbe-8f08-48e0-a704-1a8052eef58f\u00bb text_text_color=\u00bb#FFFFFF\u00bb header_2_text_color=\u00bb#FFFFFF\u00bb header_2_font_size=\u00bb30px\u00bb text_orientation=\u00bbleft\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h2>\u00bfQu\u00e9 es el cart\u00edlago?<\/h2>\n<p>Es la estructura que recubre el hueso a nivel de la articulaci\u00f3n. Es avascular (no recibe riego sangu\u00edneo) y aneural (no posee nervios). Tiene una gran capacidad para resistir y transmitir las fuerzas a las que est\u00e1 sometida la articulaci\u00f3n.[\/et_pb_text][\/et_pb_column][et_pb_column type=\u00bb3_4&#8243; _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb text_orientation=\u00bbleft\u00bb max_width=\u00bb800px\u00bb custom_margin=\u00bb||35px||false|false\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h2>\u00bfC\u00f3mo tratarlas?<\/h2>\n<p>Su capacidad de regeneraci\u00f3n es escasa o nula, estando sometidos a un proceso degenerativo que desemboca en la p\u00e9rdida de la funcionalidad de la articulaci\u00f3n y dolor en fases muy avanzadas.<\/p>\n<p>En fases iniciales, son lesiones indoloras por no tener terminaciones nerviosas. Empezaremos a notar dolor cuando la lesi\u00f3n afecte a la capa m\u00e1s profunda de cart\u00edlago, que est\u00e1 en contacto con el hueso subcondral. En definitiva, cuando una lesi\u00f3n en el cart\u00edlago es dolorosa, deberemos interpretar que la lesi\u00f3n ya es avanzada, y su pron\u00f3stico en cuanto al tratamiento poco alentador.<\/p>\n<p>Las lesiones del cart\u00edlago articular de la rodilla suelen afectar con mayor frecuencia a los c\u00f3ndilos femorales (medial o lateral) y suelen ser muy sintom\u00e1ticas cuando se sit\u00faan en zona de carga de la articulaci\u00f3n. Muy a menudo suelen estar acompa\u00f1adas de lesiones meniscales o ligamentarias (generalmente del LCA).[\/et_pb_text][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb text_orientation=\u00bbleft\u00bb max_width=\u00bb800px\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h3><strong>Opciones de tratamiento quir\u00fargico<\/strong><\/h3>\n<p>Para el tratamiento, existen diferentes opciones terap\u00e9uticas que variar\u00e1n en funci\u00f3n de la localizaci\u00f3n y del tama\u00f1o de la lesi\u00f3n, grado de afectaci\u00f3n articular y de demanda funcional del paciente.<\/p>\n<ul>\n<li>\u200b<strong>Microfracturas &#8211; Nanofracturas<\/strong>: Consisten en la realizaci\u00f3n de perforaciones en el hueso subcondral una vez raspado el lecho de la lesi\u00f3n con el objetivo de favorecer la llegada de unas c\u00e9lulas llamadas \u00abprogenitoras\u00bb que tienen la capacidad de diferenciar- formarse un nuevo tejido fibrocartilaginoso que recubrir\u00e1 la zona da\u00f1ada.<\/li>\n<li><strong>Mosaicoplastia<\/strong>: Est\u00e1 indicada cuando buscamos reconstruir el defecto provocado por la \u00falcera en el cart\u00edlago. Se utilizan cilindros osteocondrales que se obtienen de zonas de menor carga de la rodilla y se implantan en la zona a tratar (injerto aut\u00f3logo). Tambi\u00e9n se pueden hacer a partir de injerto de donante (aloinjerto).<\/li>\n<li><strong>Terapias regenerativas<\/strong>: Consisten en la utilizaci\u00f3n de biomateriales con el objetivo de la nueva formaci\u00f3n de un cart\u00edlago hialino, con mayor semejanza al cart\u00edlago nativo. Su utilizaci\u00f3n debe ser individualizada y depender\u00e1 del tipo de lesi\u00f3n que presente el paciente.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb text_orientation=\u00bbleft\u00bb max_width=\u00bb800px\u00bb hover_enabled=\u00bb0&#8243; global_colors_info=\u00bb{}\u00bb sticky_enabled=\u00bb0&#8243;]<\/p>\n<h3><strong>OSTEOCONDRITIS DISECANTE (OCD)<\/strong><\/h3>\n<p>Se trata de una patolog\u00eda que afecta a pacientes j\u00f3venes donde se desprende un fragmento de cart\u00edlago junto con el hueso subyacente. Suele dar dolor y bloqueos de la articulaci\u00f3n. Es necesario plantear inicialmente un tratamiento no quir\u00fargico.<\/p>\n<p>En caso de que los s\u00edntomas no desaparezcan, se realiza la s\u00edntesis del fragmento con tornillos que deben retirarse antes de volver a iniciar la carga de la extremidad. En los casos en que no sea posible sintetizar la lesi\u00f3n, es necesario optar por t\u00e9cnicas reparadoras o regenerativas.[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1&#8243; admin_label=\u00bbFAQ\u00bb module_id=\u00bbformulario\u00bb _builder_version=\u00bb4.14.8&#8243; background_color=\u00bb#F4F4F4&#8243; custom_margin=\u00bb|||\u00bb custom_padding=\u00bb35px|0|35px|0px|true|false\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row column_structure=\u00bb1_5,3_5,1_5&#8243; _builder_version=\u00bb4.14.8&#8243; custom_margin=\u00bb31px|auto||auto||\u00bb custom_padding=\u00bb16px|||||\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb1_5&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][\/et_pb_column][et_pb_column type=\u00bb3_5&#8243; _builder_version=\u00bb3.25&#8243; custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.14.8&#8243; _module_preset=\u00bbdefault\u00bb header_2_text_align=\u00bbleft\u00bb position_origin_a_tablet=\u00bb\u00bb position_origin_a_phone=\u00bb\u00bb position_origin_a_last_edited=\u00bbon|phone\u00bb position_origin_f_tablet=\u00bb\u00bb position_origin_f_phone=\u00bb\u00bb position_origin_f_last_edited=\u00bbon|desktop\u00bb position_origin_r_tablet=\u00bb\u00bb position_origin_r_phone=\u00bb\u00bb position_origin_r_last_edited=\u00bbon|desktop\u00bb width=\u00bb100%\u00bb custom_margin_tablet=\u00bb\u00bb custom_margin_phone=\u00bb\u00bb custom_margin_last_edited=\u00bbon|desktop\u00bb positioning_tablet=\u00bbabsolute\u00bb positioning_phone=\u00bbabsolute\u00bb positioning_last_edited=\u00bbon|desktop\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n<h2>Contacta con nosotros<\/h2>\n<p>[\/et_pb_text][et_pb_code _builder_version=\u00bb4.14.8&#8243; 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Es la estructura que recubre el hueso a nivel de la articulaci\u00f3n. Es avascular (no recibe riego sangu\u00edneo) y aneural (no posee nervios). Tiene una gran capacidad para resistir y transmitir las fuerzas a las que est\u00e1 sometida la articulaci\u00f3n.\u00bfC\u00f3mo tratarlas? Su capacidad de regeneraci\u00f3n es escasa o nula, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"_links":{"self":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages\/702"}],"collection":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/comments?post=702"}],"version-history":[{"count":2,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages\/702\/revisions"}],"predecessor-version":[{"id":704,"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/pages\/702\/revisions\/704"}],"wp:attachment":[{"href":"https:\/\/institutdelgenoll.com\/es\/wp-json\/wp\/v2\/media?parent=702"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}