{"id":4687,"date":"2025-03-28T00:00:00","date_gmt":"2025-03-28T07:00:00","guid":{"rendered":"https:\/\/www.vailhealth.org\/news\/understanding-acl-tears-from-risk-to-recovery-part-2\/"},"modified":"2026-05-05T14:40:40","modified_gmt":"2026-05-05T21:40:40","slug":"entendiendo-los-desgarros-del-ligamento-cruzado-anterior-de-la-lesion-a-la-recuperacion-parte-2","status":"publish","type":"post","link":"https:\/\/www.vailhealth.org\/es\/news\/understanding-acl-tears-from-risk-to-recovery-part-2\/","title":{"rendered":"Entendiendo los Desgarros del LCA: Del Riesgo a la Recuperaci\u00f3n \u2013 Parte 2"},"content":{"rendered":"

Esta serie de tres partes cubre las lesiones del LCA, desde el riesgo hasta la recuperaci\u00f3n. Aprenda de expertos de The Steadman Clinic, Vail Summit Orthopaedics & Neurosurgery y Howard Head Sports Medicine. Si bien nadie quiere lesionarse, no hay mejor lugar para desgarrarse un LCA que Vail, Colorado.<\/em><\/p>\n\n\n

Parte 2: Te has roto el ligamento cruzado anterior, \u00bfy ahora qu\u00e9?<\/h3>\n\n\n

\u201c\u00a1Pop!\u201d Es ese sonido temido y la sensaci\u00f3n inolvidable de una rotura del ligamento cruzado anterior (LCA). No todos los que se desgarran un LCA experimentan la sensaci\u00f3n, pero aquellos que s\u00ed lo hacen tienen una fuerte indicaci\u00f3n de que ser\u00e1 necesaria una visita al cirujano ortop\u00e9dico. Otros signos de una rotura del LCA pueden incluir dolor al apoyar peso en la pierna lesionada, hinchaz\u00f3n dentro de las 24 horas posteriores a la lesi\u00f3n, una sensaci\u00f3n de inestabilidad o de que la pierna \u201ccede\u201d al soportar peso, rango de movimiento limitado e incomodidad al caminar.<\/p>\n\n\n

Preparaci\u00f3n para la cirug\u00eda<\/h3>\n\n\n

Cuando se indica una cirug\u00eda, hay pasos que un paciente puede seguir para prepararse. El primero es determinar cu\u00e1ndo programar la cirug\u00eda.<\/p>\n\n\n

\u201cRara vez hay sensibilidad al tiempo en la reconstrucci\u00f3n del LCA\u201d, dijo Dr. Hackett<\/strong><\/a>. \u201cTomarse un tiempo para fortalecerse y recuperar el rango de movimiento es realmente \u00fatil porque puedes usar esa fuerza en la etapa posterior a la cirug\u00eda para recuperarte.\u201d<\/p>\n\n\n

Adem\u00e1s, si la rodilla est\u00e1 hinchada o r\u00edgida, se puede recomendar fisioterapia para reducir la hinchaz\u00f3n, aumentar el rango de movimiento y activar los m\u00fasculos. La cirug\u00eda realizada en una rodilla con hinchaz\u00f3n aguda puede llevar a una mayor incidencia de cicatrices y desaf\u00edos para restaurar el rango de movimiento despu\u00e9s de la cirug\u00eda.<\/p>\n\n\n

\u201cUna vez que la rodilla del paciente tenga una inflamaci\u00f3n m\u00ednima, extensi\u00f3n completa de la rodilla y casi flexi\u00f3n completa de la rodilla, y dejen las muletas y caminen con una marcha normal, entonces se puede programar la cirug\u00eda del LCA\u201d, dijo Dr. Cunningham<\/strong><\/a>.<\/p>\n\n\n

La fecha de la cirug\u00eda tambi\u00e9n depender\u00e1 de las obligaciones personales y profesionales del paciente. Si bien nunca hay un \u201cbuen\u201d momento para operarse, algunos pacientes optan por esperar hasta poder hacer los arreglos necesarios con su trabajo, escuela y\/o vida personal.<\/p>\n\n\n

Tipos de reconstrucci\u00f3n<\/h3>\n\n\n

A lo largo de los a\u00f1os, ha habido avances y tendencias en la reconstrucci\u00f3n del LCA. En \u00faltima instancia, el objetivo es reemplazar el LCA roto con un injerto; sin embargo, existen varios tipos de injertos que se pueden emplear, y el \u201ccorrecto\u201d depende de la edad del paciente, el nivel de actividad, la salud general y la gravedad de la lesi\u00f3n.<\/p>\n\n\n

Un autoinjerto utiliza un tend\u00f3n del cuerpo del paciente. Los especialistas en ortopedia han aprendido que los mejores autoinjertos provienen del tend\u00f3n rotuliano, el tend\u00f3n de la corva o el tend\u00f3n del cu\u00e1driceps. Un aloinjerto utiliza un injerto de tejido de un donante. En general, los autoinjertos se consideran m\u00e1s fuertes que los aloinjertos, y dado que un autoinjerto utiliza tejido natural del paciente, no hay riesgo de rechazo o transmisi\u00f3n de enfermedades, como puede suceder con un aloinjerto. Los aloinjertos se utilizan con m\u00e1s frecuencia en pacientes mayores que no planean participar en deportes de alto impacto o que ya han sufrido m\u00faltiples lesiones o revisiones de rodilla. Estos pacientes suelen experimentar tiempos quir\u00fargicos m\u00e1s cortos y una recuperaci\u00f3n inicial m\u00e1s r\u00e1pida.<\/p>\n\n\n

\u201cEn personas j\u00f3venes y activas, usar el propio tend\u00f3n es lo mejor\u201d, dijo el Dr. Cunningham. \u201cHay mucha literatura que demuestra que el tejido de donante tiene un mayor riesgo de volver a desgarrarse en pacientes j\u00f3venes (menores de 30 a\u00f1os). Si fuera mi hija de 24 a\u00f1os, nunca le permitir\u00eda que le hicieran un ACL alogenr\u00e1fico. Si fuera yo, lo considerar\u00eda\u201d.\u201d<\/p>\n\n\n

A medida que la reconstrucci\u00f3n del LCA ha evolucionado a lo largo de los a\u00f1os, los investigadores han encontrado formas de reforzar los injertos. La reconstrucci\u00f3n del ligamento anterolateral (LAL) y la tenodesis extraarticular lateral (TEL) son dos procedimientos que se utilizan para aumentar la reconstrucci\u00f3n del LCA, especialmente en pacientes de alto riesgo como las mujeres con hiperextensi\u00f3n y flexibilidad.<\/p>\n\n\n

\u201cEs como un concepto de cintur\u00f3n y tirantes donde se agregan refuerzos adicionales\u201d, dijo la Dra. Hackett.<\/p>\n\n\n

Los biol\u00f3gicos tambi\u00e9n se han convertido en una parte importante del apoyo a la reparaci\u00f3n de tejidos y la mejora de los resultados del paciente. Algunos cirujanos recomiendan el plasma rico en plaquetas (PRP) y las c\u00e9lulas madre para mejorar posiblemente la curaci\u00f3n y la regeneraci\u00f3n, pero se debate si esto ofrece un beneficio.<\/p>\n\n\n

Las t\u00e9cnicas de manejo del dolor tambi\u00e9n han evolucionado. Con una creciente preocupaci\u00f3n por la adicci\u00f3n a los opioides, los equipos quir\u00fargicos utilizan cada vez m\u00e1s un enfoque multimodal, que incorpora analg\u00e9sicos no opioides, anestesia regional y fisioterapia para mejorar el control del dolor. Los pacientes son enviados a casa con mayor frecuencia con un bloqueo del nervio femoral, que se dirige al nervio femoral y adormece el \u00e1rea alrededor de la rodilla, reduciendo as\u00ed significativamente el dolor y minimizando la necesidad de medicamentos orales para el dolor.<\/p>\n\n\n

La Cl\u00ednica Steadman<\/a>,<\/strong> Vail-Summit Ortopedia y Neurocirug\u00eda<\/strong><\/a>, y Howard Head Medicina Deportiva<\/strong><\/a> son mundialmente reconocidos por brindar la mejor atenci\u00f3n ortop\u00e9dica del sector. Atletas profesionales y amateurs viajan de todo el mundo para ser tratados y recuperarse en Vail, Colorado. Si bien nadie desea lesionarse, no hay mejor lugar para desgarrarse un ligamento cruzado anterior.<\/p>\n\n\n

Y si te has roto un ligamento cruzado anterior y est\u00e1s en busca de una cirug\u00eda reconstructiva, lee la tercera parte de esta serie: Qu\u00e9 esperar en el camino hacia la recuperaci\u00f3n<\/strong><\/a>.<\/p>","protected":false},"excerpt":{"rendered":"

TThis three-part series covers ACL injuries, from risk to recovery. Learn from experts at The Steadman Clinic, Vail Summit Orthopaedics & Neurosurgery and Howard Head Sports Medicine. While no one wants to be injured, there is no better place to tear an ACL than Vail, Colorado. Part 2: So You’ve Torn Your ACL, Now What?…<\/p>","protected":false},"author":1,"featured_media":4688,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4687","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nUnderstanding ACL Tears: From Risk to Recovery - Part 2 - Vail Health<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Understanding ACL Tears: From Risk to Recovery - Part 2 - Vail Health\" \/>\n<meta property=\"og:description\" content=\"TThis three-part series covers ACL injuries, from risk to recovery. 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