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2013, Number 2

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Revista Cubana de Ortopedia y Traumatología 2013; 27 (2)

Minimally invasive surgery in the treatment of extracapsular hip fractures

Amigo CP, Rodríguez DM, Domínguez LJL, Oliver MA

Language: Spanish
References: 20
Page: 173-185
PDF size: 296.47 Kb.


ABSTRACT

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.


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