Resumen

SUAREZ MONZON, Horacio; AGUILA TEJEDA, Gerardo; DELGADO FIGUEREDO, Rolando  y  SUAREZ COLLADO, Pedro O. Treatment strategy of hip fractures, 2010. Rev Cubana Ortop Traumatol [online]. 2012, vol.26, n.1, pp.2-15. ISSN 0864-215X.

Objective: to demonstrate the influence of preoperative and postoperative factors in the final result of rehabilitation treatment of hip fractures in patients admitted in the "Gustavo Aldereguía Lima" University Hospital of Cienfuegos municipality. Methods: a prospective, longitudinal, descriptive and observational study was conducted in 68 cases admitted due to hip fracture from January to June, 2010, operated on or not residents of this municipality. The main variables assessed from the moment of fracture up to one year after were: age, sex, validity, comorbid disease, preoperative and postoperative complications, final result. All were collected in the study period and were registered in a data form created to that end, in addition to the anesthetic checkup sheets, the geriatric assessment and the clinical records. Results: in the group of results is highlighted the age group of 80 to 89 years with predominance in the 50 % of study patients, as well as the female sex with the 72 %: the extracapsular fractures were the more frequent in the 63 % of total. The orthopedic complications were present in the 23 % of cases, preoperative rehabilitation in the 76 %, postoperative over 1 to 7 days in the 96 and the 86 % of patients assessed in hip specialized consultation, the 89 % of patients achieved to walk freely with some type of help. Conclusions: results demonstrate the experience obtained by specialists in the use of new technologies during the surgical act. The preoperative assessments by Geriatric or Anesthesia and the performing of an early rehabilitation, from the health and psychological measures with an strict outpatient follow-up and controlling the fulfillment of family training in the care of these patients.

Palabras clave : treatment; hip; rehabilitation.

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