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ISSN 1995-9494 (Electronic)
Revista del Hospital Clínico Quirúrgico "Arnaldo Milián Castro"

2023, Number 1

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Acta Med Cent 2023; 17 (1)

Minimally invasive surgery with Dynamic Hip Screw Plate for hip fractures

Martínez AL, Martínez ELM, Martínez AL, Morales PS, Lugo PLA

Language: Spanish
References: 19
Page: 36-45
PDF size: 424.85 Kb.


ABSTRACT

Introduction: minimally invasive surgical techniques have gained interest among orthopedic surgery specialists in the last decade. Hip fractures in the elderly represent a huge socio-health problem because they are an important cause of morbidity, functional loss and mortality in the elderly.
Objective: to carry out a study of the procedure and to protocolize the technique in the service.
Methods: a prospective study of 15 patients who underwent surgery was carried out, using the minimally invasive technique as an approach to place the osteosynthesis, which was performed with the Dynamic Hip Screw plate nail. The study universe consisted of 128 patients admitted with hip fracture between January 1 and December 31, 2019 at the "Mártires del 9 de Abril" Hospital.
Results: the average age of the cases was 77.4 years, the female sex predominated, they generally presented good cognitive conditions and their general condition was good, although the average hematocrit in the preoperative period was low, the use of blood was low thanks to the benefits of the minimally invasive technique, approaches smaller than 4.5 cm and two or three-hole blades, the radiological evolution was satisfactory.
Conclusions: the use of minimally invasive techniques allows a better evolution of surgically operated cases of hip fractures.


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