Pérez-Atanasio JM

Language: Spanish
References: 5
Page: 239-241
PDF size: 85.68 Kb.

ABSTRACT

Based on the guidelines, the following recommendations are available for treating fractures of the proximal femur: Transtrocatheric and sub-trochanteric fractures should be treated with osteosynthesis. In femoral neck fractures, displacement and remodeling capacity for osteosynthesis should be considered. The use of preoperative traction is not recommended. Operating the patient within the first 48 hours after the fracture is associated with better results. There is no difference between wearing a unipolar or bipolar prosthesis. Hemi arthroplasty is a good option in patients with little functional demand and medical comorbidities. In elderly patients, the use of cemented stems is recommended. There appears to be an increased risk of dislocation when the posterior approach is used.

REFERENCES

1. Manejo Médico Integral de Fractura de Cadera en el Adulto Mayor. México: Instituto Mexicano del Seguro Social; 08/07/2014.

2. Diagnóstico y tratamiento de fracturas intracapsulares del extremo proximal del fémur. México: Secretaría de Salud; 2009.

3. Management of hip fractures in the elderly: evidence-based clinical practice guideline. Adopted by the American Academy of Orthopaedic Surgeons (AAOS) Board of Directors September 5, 2014.

4. National Institute for Health and Clinical Excellence. Evidence Update 34-Hip fracture. London: National Institute for Health and Clinical Excellence (NICE). [Last updated 10 May 2017] Available in: https://www.nice.org.uk/terms-and-conditions#notice-ofrights

5. Australian and New Zealand Hip Fracture Registry (ANZHFR) Steering Group. Australian and New Zealand Guideline for Hip Fracture Care: Improving Outcomes in Hip Fracture Management of Adults. Sydney: Australian and New Zealand Hip Fracture Registry Steering Group; 2014.