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Revista Cubana de Ortopedia y Traumatología

On-line version ISSN 1561-3100

Abstract

COLLAZO ALVAREZ, Hilario  and  BOADA SALA, Noelia M.. Morbimortality from hip fracture. Rev Cubana Ortop Traumatol [online]. 2000, vol.14, n.1-2, pp. 21-25. ISSN 1561-3100.

An observational descriptive study was conducted among 788 patients with hip fracture admitted in the Provincial General Teaching Hospital of Morón from January, 1991, to January, 1999. The objectives were to determine the surgical procedure used, the postoperative complications, the age groups and the time of consolidation. There were 250 intracapsular fractures and 538 extracapsular fractures.The surgical techniques used in the first fractures were osteosynthesis with Etropal nail (10.0 %), AO cancellous screws (8.8 %) and partial arthroplasty (80.4 %); whereas the surgical techniques used in the second fractures were the osteosynthesis with AO angular plate of 130º (50.7 %) and of 95 º (17.0 %), Smith Petersen nail and McLauglin plate (28.9 %) and extrafocal fixation with RALCA fixator (2.4 %). The complications were: bronchopneumonia (4.9 %) and wound sepsis (3.08 %). 47 patients died (5.9 %). The consolidation time in the intracapsular fractures was from 13 to 16 weeks (5l.0 %); whereas in the extracapsular it was from 17 to 20 weeks (57.0 %).

Keywords : HIP FRACTURES [surgery]; INDICATORS OF MORBIDITY AND MORTALITY; FRACTURE FIXATION, INTERNAL [methods]; ORTHOPEDIC PROCEDURES [methods].

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