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2012, Number 6

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Medisur 2012; 10 (6)

Fibular Bone Graft in Patients under 65 Years Old with Displaced Femoral Neck Fracture

Leal OA, Rodríguez FF, Tejera SL, Aguilar TG, García EA
Full text How to cite this article

Language: Spanish
References: 6
Page: 491-494
PDF size: 37.62 Kb.


Key words:

bone transplantation, fibula, femoral neck fractures, hip fractures.

ABSTRACT

Background: Hip fractures account for over 10% of all skeletal fractures. Their treatment through replacement is very expensive and the economic situation experienced in Cuba makes its accessibility very difficult. Therefore, there is a need to use traditional methods.
Objective: To describe the results of the technique of fibular bone graft in patients less than 65 years old with displaced femoral neck fracture.
Methods: A case series study was conducted at the Dr. Gustavo Aldereguía Lima General University Hospital of Cienfuegos. It included 20 patients younger than 65 years old, who underwent surgery for displaced femoral neck fractures in which we used the traditional technique of bone grafting. The variables analyzed included: age, sex, graft healing time and complications.
Results: 50% of patients were between 55 and 65 years old, 70% of them were females. 70% of patients (14) needed from 12 to 16 weeks for graft consolidation, 20% (4) required from 16 to 20 weeks. The predominant complication was joint stiffness of the knee or hip, which was presented in five patients (25%).
Conclusions: fibular bone grafting in displaced femoral neck fracture is a valuable alternative, especially in patients under 65 years old.


REFERENCES

  1. Suárez Monzón H, Delgado Figueredo R, Sarmiento Sánchez E, Cabrera Suárez JC. Fractura de cadera. Estudio de nueve años. Medisur[revista en Internet]. 2007[citado 23 Ene 2012];5(2):[aprox. 13 p.]. Disponible en:http:// www.medisur.sld.cu/index.php/medisur/article/view/271/508.

  2. Robles MJ. Prevención de la fractura de cadera en ancianos: medidas no farmacológicas. Revista multidisciplinar de gerontología. 2004;14(2):81-9.

  3. Gil Orbezo FI, Preciado Aceves ME, Trueba Davalillo CA, Pino Aznar I, Saleh Larrañaga SS. Factores pronósticos en la morbi-mortalidad en las fracturas de cadera en el anciano. TRAUMA. 2001;4(2):52-6.

  4. Álvarez Cambras R, Ceballos Mesa A, Murgadas Rodríguez R. Tratado de Cirugía Ortopédica y Traumatología. La Habana: Editorial Pueblo y Educación; 1985.

  5. Hernández Rodríguez AR. Guías de Prácticas Clínicas. Manejo de las fracturas de la cadera en el adulto mayor. La Habana: Editorial Ciencias Médicas; 2009.

  6. de Miguel Herrero I, Calvo Crespo E. Fracturas de cadera: técnica quirúrgica y carga precoz. Patología del Aparato Locomotor. 2006;4(2):108-15.




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Medisur. 2012;10