Abstract

AMIGO CASTANEDA, Pavel; RODRIGUEZ DIAZ, Maylin; REGUERA RODRIGUEZ, Rolando  and  FERNANDEZ VALLE, Oscar. Implants in hip fractures. Rev Cubana Ortop Traumatol [online]. 2012, vol.26, n.2, pp. 156-166. ISSN 0864-215X.

Introduction: traumatological surgery is one of the most common treatments in hip fractures. Objective: select the appropriate implant for the surgical treatment of hip fractures. Methods: a prospective longitudinal study was conducted with all the patients admitted with hip fracture (535 patients in all) from 1 January 2009 to 31 December 2010. The sample consisted of 163 patients meeting the inclusion criteria. Results: a predominance was found of the female sex (60 %) and the 70-79 age group in both sexes (36 %). Extracapsular fractures predominated (74 %). The most common implant in this group was the Gt intramedullary nail, whereas simple prostheses were more common in intracapsular fractures (36 %). In 90 % of cases surgical time was under 2 hours. 97 % of patients were discharged within 5 days. 12.8 % had complications, the most common of which was wound hematoma, found in several implants. Conclusions: use of the foot to support body weight was indicated in all biarticular prosthesis cases within 30 days. The last patients to rest their foot on the floor were those with spongy screws or spongy screws plus Ender nails. 14.7 % of patients died within the year following surgery, patients with 130º and 95º plates representing the highest percentage (32 %).

Keywords : hip fracture; implants; osteosynthesis.

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