{"id":309,"date":"2026-02-10T02:05:05","date_gmt":"2026-02-10T02:05:05","guid":{"rendered":"https:\/\/ortogeriatriaoaxaca.mx\/?p=309"},"modified":"2026-02-10T02:05:09","modified_gmt":"2026-02-10T02:05:09","slug":"la-rodilla-valga-merece-una-artroplastia-total-de-rodilla-personalizada","status":"publish","type":"post","link":"https:\/\/ortogeriatriaoaxaca.mx\/?p=309","title":{"rendered":"La rodilla valga merece una artroplastia total de rodilla personalizada"},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\">\n<figure class=\"wp-block-pullquote has-small-font-size\" style=\"font-style:italic;font-weight:700\"><blockquote><p>EFORT<br>@EFORTnet<br>RodillaValga (18.5% de las #ATR) merece un toque personalizado<br>Rese\u00f1a de #EFORT #EOR: La #Alineaci\u00f3nCinem\u00e1ticaRestringida (ATR) es clave para alcanzar altos \u00edndices de satisfacci\u00f3n<br>\u2705 Evita la #InestabilidadIiatrog\u00e9nica<br>\u2705 Mejor #SeguimientoRotuliano<br>\u2705 95% de #Satisfacci\u00f3nDelPaciente<\/p><cite><a href=\"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/11\/1\/EOR-2025-0046.xml\">Valgus knee deserves personalized total knee arthroplasty in: EFORT Open Reviews Volume 11 Issue 1 (2026)<\/a><\/cite><\/blockquote><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<center><blockquote class=\"twitter-tweet\"><p lang=\"en\" dir=\"ltr\"><a href=\"https:\/\/twitter.com\/hashtag\/ValgusKnee?src=hash&amp;ref_src=twsrc%5Etfw\">#ValgusKnee<\/a> (18.5% of <a href=\"https:\/\/twitter.com\/hashtag\/TKAs?src=hash&amp;ref_src=twsrc%5Etfw\">#TKAs<\/a>) deserves a personalized touch<a href=\"https:\/\/twitter.com\/hashtag\/EFORT?src=hash&amp;ref_src=twsrc%5Etfw\">#EFORT<\/a> <a href=\"https:\/\/twitter.com\/hashtag\/EOR?src=hash&amp;ref_src=twsrc%5Etfw\">#EOR<\/a> review: restricted <a href=\"https:\/\/twitter.com\/hashtag\/KinematicAlignment?src=hash&amp;ref_src=twsrc%5Etfw\">#KinematicAlignment<\/a> (rKA) is key to matching high satisfaction rates<br>\u2705 Avoids <a href=\"https:\/\/twitter.com\/hashtag\/IiatrogenicInstability?src=hash&amp;ref_src=twsrc%5Etfw\">#IiatrogenicInstability<\/a> <br>\u2705 Better <a href=\"https:\/\/twitter.com\/hashtag\/PatellarTracking?src=hash&amp;ref_src=twsrc%5Etfw\">#PatellarTracking<\/a> <br>\u2705 95% <a href=\"https:\/\/twitter.com\/hashtag\/PatientSatisfaction?src=hash&amp;ref_src=twsrc%5Etfw\">#PatientSatisfaction<\/a><br><br>\ud83d\udd17 <a href=\"https:\/\/t.co\/yrXP8xttrw\">https:\/\/t.co\/yrXP8xttrw<\/a> <a href=\"https:\/\/t.co\/Ns8shW47WH\">pic.twitter.com\/Ns8shW47WH<\/a><\/p>&mdash; EFORT (@EFORTnet) <a href=\"https:\/\/twitter.com\/EFORTnet\/status\/2020747046924214567?ref_src=twsrc%5Etfw\">February 9, 2026<\/a><\/blockquote> <script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/center>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:15%\"><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:90%\">\n<p><strong>Introducci\u00f3n<\/strong><br>La deformidad en valgo representa una proporci\u00f3n relevante de pacientes candidatos a artroplastia total de rodilla (ATR\/TKA) y, bajo paradigmas cl\u00e1sicos de <strong>alineaci\u00f3n mec\u00e1nica (MA)<\/strong>, hist\u00f3ricamente se ha considerado m\u00e1s \u201cdif\u00edcil\u201d que el varo por su tendencia a generar desequilibrios de espacios y problemas femoropatelar. Los autores sostienen que parte de esa dificultad proviene de <strong>conceptos anat\u00f3mico-biomec\u00e1nicos desactualizados<\/strong> (p. ej., la supuesta \u201chipoplasia\u201d del c\u00f3ndilo femoral lateral) y de no integrar los avances actuales en <strong>supervivencia de implantes<\/strong>, instrumentaci\u00f3n de precisi\u00f3n y filosof\u00edas de alineaci\u00f3n <strong>personalizadas<\/strong>.<\/p>\n\n\n\n<p><strong>M\u00e9todos<\/strong><br>Revisi\u00f3n narrativa\/argumentativa orientada a la pr\u00e1ctica cl\u00ednica: se sintetizan hallazgos anat\u00f3micos y biomec\u00e1nicos del valgo (f\u00e9mur distal, tibia, tejidos blandos, alineaci\u00f3n est\u00e1tica vs din\u00e1mica), el impacto iatrog\u00e9nico potencial de la MA sobre espacios en extensi\u00f3n\/flexi\u00f3n y sobre el tracking patelar, adem\u00e1s de consideraciones de <strong>dise\u00f1o prot\u00e9sico<\/strong> (especialmente tr\u00f3clea) y una <strong>estrategia quir\u00fargica personalizada<\/strong> basada en evaluaci\u00f3n de laxitud y l\u00edmites (\u201cboundaries\u201d) de alineaci\u00f3n tipo <strong>restricted kinematic alignment (rKA)<\/strong>.<\/p>\n\n\n\n<p><strong>Resultados<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Anatom\u00eda del valgo y \u201cmitos\u201d<\/strong>: el valgo puede originarse por orientaci\u00f3n articular femoral\/tibial, deformidad extraarticular (p. ej., tibia valga), gaps asim\u00e9tricos o combinaciones; se asocia con variantes como mayor laxitud colateral, displasia troclear, patela alta, anteversi\u00f3n femoral\/coxavalga, torsi\u00f3n tibial externa, pie plano y valgo de retropi\u00e9, entre otras. Se enfatiza que la orientaci\u00f3n en valgo del f\u00e9mur distal proviene m\u00e1s de <strong>angulaci\u00f3n metafisaria<\/strong> que de hipoplasia condilar lateral.<\/li>\n\n\n\n<li><strong>Efecto de MA en rodilla valga<\/strong>: al \u201cneutralizar\u201d una anatom\u00eda que rara vez es neutra, la MA tiende a <strong>distalizar<\/strong> y tambi\u00e9n a alterar resecciones posteriores del compartimento lateral femoral, aumentando tensi\u00f3n del retin\u00e1culo lateral y favoreciendo <strong>maltracking\/complicaciones femoropatelares<\/strong>; adem\u00e1s, la combinaci\u00f3n de corte tibial neutro y rotaciones femorales \u201csistem\u00e1ticas\u201d puede producir <strong>desbalance del espacio en flexi\u00f3n<\/strong>, apertura medial y <strong>inestabilidad medioflexi\u00f3n<\/strong>, especialmente cuando la tibia est\u00e1 cercana a neutro o en valgo.<\/li>\n\n\n\n<li><strong>Alineaci\u00f3n est\u00e1tica vs din\u00e1mica<\/strong>: la medida est\u00e1tica (telemetr\u00eda HKA) no siempre predice el comportamiento din\u00e1mico durante la marcha; una fracci\u00f3n de valgos \u201cest\u00e1ticos\u201d puede comportarse como varo en fase de apoyo, lo que limita usar la neutralidad est\u00e1tica como objetivo universal.<\/li>\n\n\n\n<li><strong>Implante y articulaci\u00f3n femoropatelar<\/strong>: existe alta variabilidad interindividual del \u00e1ngulo\/alineaci\u00f3n coronal de la tr\u00f3clea nativa y potencial <strong>mismatch<\/strong> con dise\u00f1os prot\u00e9sicos; los autores favorecen, para valgo, tr\u00f3cleas m\u00e1s \u201camables\u201d con el tracking (m\u00e1s anchas y con reborde lateral bajo) y discuten que los <strong>implantes personalizados<\/strong> podr\u00edan replicar mejor la relaci\u00f3n tr\u00f3clea\u2013c\u00f3ndilos, aunque con cautela para no \u201creproducir\u201d patelofemoral patol\u00f3gica.<\/li>\n\n\n\n<li><strong>T\u00e9cnica personalizada guiada por laxitud<\/strong>: proponen clasificar la rodilla por patr\u00f3n de laxitud (normal, hiperlaxitud generalizada, contractura lateral, laxitud medial por MCL elongado) y ajustar la estrategia: desde <strong>undercutting tibial<\/strong> (2\u20135 mm seg\u00fan laxitud) para \u201ctensar\u201d rodillas laxas, hasta liberaciones laterales\/constricci\u00f3n (PS constre\u00f1ida o bisagra si MCL incompetente) en inestabilidades m\u00e1s severas. En patelofemoral patol\u00f3gica, contemplan modificaciones (orientaci\u00f3n\/posici\u00f3n troclear, resurfacing patelar medializado, liberaci\u00f3n retinacular lateral, o incluso osteotom\u00eda de la tuberosidad tibial en casos seleccionados).<\/li>\n\n\n\n<li><strong>Resultados reportados<\/strong>: se resume evidencia contempor\u00e1nea con <strong>alta satisfacci\u00f3n<\/strong> en rKA y tasas de supervivencia muy favorables a largo plazo, con un foco especial en que los problemas femoropatelares son un determinante cr\u00edtico y que el uso de <strong>l\u00edmites de alineaci\u00f3n<\/strong> podr\u00eda mitigarlos.<\/li>\n<\/ol>\n\n\n\n<p><strong>Discusi\u00f3n y conclusiones<\/strong><br>La tesis central es que la rodilla valga \u201cmerece\u201d una ATR <strong>personalizada<\/strong>, no por capricho t\u00e9cnico, sino porque su variabilidad anat\u00f3mica (incluyendo PFJ y deformidades extraarticulares) y sus patrones de laxitud hacen que la MA sistem\u00e1tica incremente el riesgo de <strong>desbalances<\/strong> e <strong>inestabilidad<\/strong> y complique el tracking patelar. La propuesta pr\u00e1ctica es una ATR con mentalidad de <strong>restauraci\u00f3n funcional<\/strong> (rKA con l\u00edmites) y decisiones intraoperatorias dirigidas por <strong>medici\u00f3n objetiva de laxitud<\/strong> (idealmente con herramientas de alta precisi\u00f3n), priorizando un compartimento medial estable, minimizando liberaciones innecesarias y adaptando el manejo femoropatelar cuando exista patolog\u00eda.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Keyword\u2019s<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Rodilla valga<\/li>\n\n\n\n<li>Artroplastia total de rodilla<\/li>\n\n\n\n<li>Alineaci\u00f3n cinem\u00e1tica restringida (rKA)<\/li>\n\n\n\n<li>Artroplastia personalizada<\/li>\n\n\n\n<li>Balance de espacios (flexi\u00f3n\/extensi\u00f3n)<\/li>\n\n\n\n<li>Inestabilidad medioflexi\u00f3n<\/li>\n\n\n\n<li>Articulaci\u00f3n femoropatelar<\/li>\n\n\n\n<li>Seguimiento patelar (patellar tracking)<\/li>\n\n\n\n<li>Laxitud ligamentaria \/ MCL<\/li>\n\n\n\n<li>Implantes personalizados \/ dise\u00f1o troclear<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">Frase clave<\/h3>\n\n\n\n<p>La rodilla valga requiere TKA personalizada: comprender anatom\u00eda, laxitudes y PFJ evita distalizar el c\u00f3ndilo lateral y desequilibrar espacios; rKA con l\u00edmites y ajustes mejora satisfacci\u00f3n!!<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p style=\"text-align: center;\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41511890\/\">Valgus knee deserves personalized total knee arthroplasty &#8211; PubMed<\/a><br \/><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12796785\/\">Valgus knee deserves personalized total knee arthroplasty &#8211; PMC<\/a><br \/><a href=\"https:\/\/eor.bioscientifica.com\/view\/journals\/eor\/11\/1\/EOR-2025-0046.xml\">Valgus knee deserves personalized total knee arthroplasty in: EFORT Open Reviews Volume 11 Issue 1 (2026)<\/a><br \/>Beckers G, Kiss MO, Mass\u00e9 V, Vendittoli PA. Valgus knee deserves personalized total knee arthroplasty. EFORT Open Rev. 2026 Jan 9;11(1):34-45. doi: 10.1530\/EOR-2025-0046. PMID: 41511890; PMCID: PMC12796785.<\/p>\n<div class=\"d-panels font-secondary-light\">\n<div id=\"clp_a\" class=\"d-panel p\">\n<div style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>\u00a9 the author(s)<\/strong><\/span><\/div>\n<div style=\"text-align: center;\">\u00a0<\/div>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\"><strong><img decoding=\"async\" class=\"inline\" src=\"https:\/\/cdn.ncbi.nlm.nih.gov\/pmc\/blobs\/9233\/12796785\/bc114850879e\/88x31.jpg\" alt=\"Inline graphic\" \/><\/strong><\/span><\/p>\n<p style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>This work is licensed under a\u00a0<a class=\"usa-link usa-link--external\" style=\"color: #000000;\" href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\" target=\"_blank\" rel=\"noopener noreferrer\" data-ga-action=\"click_feat_suppl\">Creative Commons Attribution 4.0 International License.<\/a><\/strong><\/span><\/p>\n<div class=\"p\" style=\"text-align: center;\"><span style=\"color: #000000;\"><strong><a class=\"usa-link\" style=\"color: #000000;\" href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/about\/copyright\/\">PMC Copyright notice<\/a><\/strong><\/span><\/div>\n<\/div>\n<\/div>\n<div style=\"text-align: center;\"><span style=\"color: #000000;\"><strong>PMCID: PMC12796785\u00a0\u00a0PMID:\u00a0<a class=\"usa-link\" style=\"color: #000000;\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41511890\/\">41511890<\/a><\/strong><\/span><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:5%\"><\/div>\n<\/div>\n\n\n<div class=\"is-default-size wp-block-site-logo\"><a href=\"https:\/\/ortogeriatriaoaxaca.mx\/\" class=\"custom-logo-link\" rel=\"home\"><img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"640\" src=\"https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2024\/09\/WhatsApp-Image-2024-12-04-at-1.30.03-PM_2.jpeg\" class=\"custom-logo\" alt=\"Ortogeriatria Oaxaca\" srcset=\"https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2024\/09\/WhatsApp-Image-2024-12-04-at-1.30.03-PM_2.jpeg 640w, https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2024\/09\/WhatsApp-Image-2024-12-04-at-1.30.03-PM_2-300x300.jpeg 300w, https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2024\/09\/WhatsApp-Image-2024-12-04-at-1.30.03-PM_2-150x150.jpeg 150w, https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2024\/09\/elementor\/thumbs\/WhatsApp-Image-2024-12-04-at-1.30.03-PM_2-qynpl2o8evhuvvkdc0xjkc9ingegfsg0d295565o8w.jpeg 512w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><\/div>\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:50%\"><figure class=\"wp-block-post-featured-image\"><img decoding=\"async\" width=\"626\" height=\"939\" src=\"https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2026\/02\/z70.webp\" class=\"attachment-post-thumbnail size-post-thumbnail wp-post-image\" alt=\"\" style=\"object-fit:cover;\" srcset=\"https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2026\/02\/z70.webp 626w, https:\/\/ortogeriatriaoaxaca.mx\/wp-content\/uploads\/2026\/02\/z70-200x300.webp 200w\" sizes=\"(max-width: 626px) 100vw, 626px\" \/><\/figure><\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\"><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>EFORT@EFORTnetRodillaValga (18.5% de las #ATR) merece un toque personalizadoRese\u00f1a de #EFORT #EOR: La #Alineaci\u00f3nCinem\u00e1ticaRestringida (ATR) es clave para alcanzar altos \u00edndices de satisfacci\u00f3n\u2705 Evita la #InestabilidadIiatrog\u00e9nica\u2705 Mejor #SeguimientoRotuliano\u2705 95% de #Satisfacci\u00f3nDelPaciente Valgus knee deserves personalized total knee arthroplasty in: EFORT Open Reviews Volume 11 Issue 1 (2026) #ValgusKnee (18.5% of #TKAs) deserves a personalized touch#EFORT &#8230; <a title=\"La rodilla valga merece una artroplastia total de rodilla personalizada\" class=\"read-more\" href=\"https:\/\/ortogeriatriaoaxaca.mx\/?p=309\" aria-label=\"Leer m\u00e1s sobre La rodilla valga merece una artroplastia total de rodilla personalizada\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":1,"featured_media":308,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[21,18,20,19],"tags":[255,254,140,257,260,259,256,144,253,258],"class_list":["post-309","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oaxaca","category-ortopedia","category-ortopedia-geriatrica","category-traumatologia","tag-alineacion-cinematica-restringida","tag-artroplastia-personalizada","tag-artroplastia-total-de-rodilla","tag-knee","tag-personalized-arthroplasty","tag-restricted-kinematic-alignment","tag-rodilla","tag-total-knee-arthroplasty","tag-valgo","tag-valgus"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ortopedista y Traumat\u00f3logo<\/title>\n<meta name=\"description\" content=\"El Dr. Castro es un especialista en el tratamiento integral de Osteopenia y Osteoporosis y mejora funcional muscular del Adulto mayor. 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