Resumen

AMIGO CASTANEDA, Pavel; RODRIGUEZ DIAZ, Maylin; DOMINGUEZ LLAMA, Jorge Luís  y  OLIVER MARTIN, Alfredo. Minimally invasive surgery in the treatment of extracapsular hip fractures. Rev Cubana Ortop Traumatol [online]. 2013, vol.27, n.2, pp.173-185. ISSN 0864-215X.

Introduction: the trochanteric GT-estandard nail of the intramedullary nailing system has been designed and manufactured to treat proximal femoral fractures by minimally invasive surgery in a rational, comfortable and effective manner. Objective: apply this treatment in patients hospitalized and assess their evolution. Methods: prospective cross-sectional study. The study universe was composed of 280 patients with this hip fracture, hospitalized between 1 January 2009 and 31 December 2010 at José R. López Tabrane Provincial Clinical Surgical University Hospital in Matanzas. The sample consisted of 53 patients meeting the inclusion criteria. Results: the intervention was performed on 53 patients with extracapsular fractures (29 %). There was a predominance of the male sex (64 %) and the 80-89 age group (43 %). In 64 % of these patients surgical time ranged between one and two hours. Only five patients (9 %) had complications: two wound hematomas, two loss of fixation and one migration of femoral neck screws. Only four patients (8 %) had to be transfused during the operative and postoperative stages. All patients were discharged alive, 75 % of them within 48 hours. Follow-up revealed that 56 % of patients were indicated to rest their foot on the floor within 15 days. Conclusions: patients undergoing the treatment had a very good evolution.

Palabras clave : hip fracture; osteosynthesis; intramedullary nail.

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