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Revista Cubana de Ortopedia y Traumatología
On-line version ISSN 1561-3100
Abstract
ALVAREZ BENITO, Octavio et al. Results of osteosynthesis in unstable intertrochanteric fractures of the femur with proximal femoral nailing. Rev Cubana Ortop Traumatol [online]. 2023, vol.37, n.1 Epub Mar 01, 2023. ISSN 1561-3100.
Introduction:
Intertrochanteric fractures of the proximal end of the femur constitute the nosological group with the highest morbidity and mortality of traumatic skeletal injuries.
Objective:
To evaluate reduction, implant placement and consolidation time.
Methods:
A descriptive, longitudinal and prospective study was carried out in 114 patients with diagnosis of fractures of the proximal end of the femur treated with proximal femoral nailing, and a one-year postoperative follow-up.
Results:
A functional clinical result from excellent to good was achieved in 82.4% of the cases. Radiological signs of consolidation were evidenced in an average of 4.2 months in most of the sample.
Conclusions:
Loss of fixation was the most frequent complication; therefore, proximal femoral nailing is considered to offer good results in the treatment of unstable intertrochanteric fractures of the femur.
Keywords : hip fracture; osteosynthesis; proximal femoral nail; health of the elderly; follow-up studies.