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2012, Number 3

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Ortho-tips 2012; 8 (3)

Clasificación de las fracturas de la cadera

Padilla GR
Full text How to cite this article

Language: Spanish
References: 9
Page: 140-149
PDF size: 363.88 Kb.


Key words:

Hip fractures, classification, elderly, low energy, gabinet studies.

ABSTRACT

Hip fractures are a pathologies which are very complex and hard to treat. They are seen in older people most of the time after they suffer low energy accidents. Younger patients in the working age, on another side, show up hip fractures alter they suffer high energy accidents. Hip fractures are almost always side by side with conditions such as osteoporosis, diabetes, EPOC, hypertension, artrosis, anemia, urine infections, etc. It is a problem of public health, since the occupation of beds in private hospitals is really elevated, with really high economic and social costs. The patient presents medical, socioeconomic, psychological and familiar consequences without exception. The problem affects woman 2 or 3 times more than men, but the mortality rate during the first post-operatory year is higher in men, sometimes as high as 26%. In the EUA there are approximately more than 300 thousand fractures per year, influenced negatively by being Caucasian, the feminine sex, alcoholism, previous hip fracture history, psychotropic medical drugs, 3rd age insanity, excessive consumption of caffeine, etc. Common medical gabinet studies play an extremely important role in the diagnosis and treatment of those fractures. There have been described a lot of categories for the pathology, but in this article we will describe only the most important ones.


REFERENCES

  1. Boldin C, et al. The proximal femoral nail (PFN)-a minimal invasive treatment of unstable proximal femoral fractures: a prospective study of 55 patients with a follow-up of 15 months. Acta Orthop Scand 2003; 74(1): 53-58.

  2. Fielding JW, et al. Biomechanical characteristics and surgical management of subtrochanteric fractures. Orthop Clin North Am 1974; 5 (3): 629-650.

  3. Götze B, et al. [Osteosyntesen bei instabilen per-und subtrochanteren Femurfrakturen: experimentelle Untersuchungen mit PFN, Gamma-nagel, DHS/Trochanterstabilisier-ungsplatte, 95°-kondylenplatte und UFN/Spiralklinge.] Aktuelle Traumatologie 1998; 28: 197-204.

  4. Guyer P, et al. [Der Gamma-nagel bei per- und intertrochanteren Femurfrakturen: Alternative oder Erganzung zur DHS] Aktuelle Traumatologie 1991; 21: 242-249.

  5. Leung KS, et al. Gamma nails and dynamic hip screws for peritrochanteric fractures. A randomised prospective study in elderly patients J Bone Joint Surg Br 1992; 74 (3): 345-351.

  6. Schatzker J, et al. Subtrochanteric fractures of the femur. Orthop Clin North Am 1980; 11 (3): 539-554.

  7. Siensheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg 1978; 60 (3): 300-306.

  8. Simmermacher RK, et al. The AO/ASIF proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures. Injury 1999; 30 (5): 327-332.

  9. Valverde JA, et al. Use of the Gamma nail in the treatment of fractures of the proximal femur. Clin Orthop Relat Res 1998; 350: 56-61.




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Ortho-tips. 2012;8