2009, Number 6
Acta Ortop Mex 2009; 23 (6)
Cemented femoral prosthesis with calcar replacement for intertrochanteric hip fractures in the elderly
García JJD, Tohen BA, García HA, Dávila SO
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ABSTRACTIntroduction: The increase in hip fractures among the elderly and the presence of intercurrent diseases makes it necessary to institute treatments that help patients resume their activities as soon as possible. Objective: Analyze the clinical course of patients with a cemented femoral endoprosthesis with calcar replacement and determine the time to resuming walking. Material and methods: 18 patients were seen from January 2003 to December 2006, all of them with a diagnosis of Tronzo T IV and V intertrochanteric hip fractures, over 70 years of age and treated primarily with a cemented femoral endoprosthesis with calcar replacement. Results: The total number of patients was 18, 14 females (77.77%) and 4 males (22.22%). The fracture types were: Tronzo grade IV in 11 patients and grade V in 7 patients; mean age was 78 years and their functional capacity in the immediate postoperative period was: onset of walking with full weightbearing at 48 hours in 100% of patients. Return to usual activities occurred at 4 weeks in 17 patients (94.44%). Conclusions: Due to the complexity of these fractures and the patients’ bone quality, there are limited chances to treat them with osteosynthesis, as the latter would increase patients’ morbidity and mortality. Patients could undergo early rehabilitation.