Resumen de Fracturas del trocánter femoral tratadas por procedimientos quirúrgicos: mortalidad en el primer año

E. Nieto-Andueza, C. Bonilla Horcajo

• español

  Introducción Las fracturas del área del trocánter femoral son frecuentes en los ancianos y están asociadas con significativa mortalidad en el primer año. Materiales y método Se realizó un estudio observacional tipo cohorte hospitalaria de 45 pacientes mayores de 60 años, tratados de manera quirúrgica, con placa de ángulo fijo (PAF) conocida como placa condílea de 95° o el tornillo que desliza y telescopa (TDT). Resultados y conclusiones La edad promedio del grupo fue de 79,3 años; discretamente de más edad y con una hemoglobina menor los tratados con TDT; la mortalidad, en el primer año, es más elevada en el grupo mayor de 80 años, de sexo femenino, con menos de 12 g de hemoglobina, con fracturas inestables, cirugía realizada en los primeros 5 días, mas de 90 minutos de tiempo quirúrgico, con anestesia general y usando una PAF. Introduction Trochanteric hip fractures in the elderly are common and associated with significant mortality in the first year. Materials and methods We performed a hospital observational cohort study of 45 consecutive trochanteric fractures patients over 60 years old, treated with a sliding screw plate (TDT) and 95° condilar blade plate (PAF). Results and conclusions The average age of participants was 79.3 years, 58% were female; the TDT group was oldest and with lowest Hb the determinants of one year mortality were as follows: over 80 years of age, female, lowest Hb [< 12 g hemoglobin], unstable fractures, early (less than 5 days) surgical treatment, more than 90 minutes of average intraoperative time, general anesthesia and utilization of fixed-angle plate.

• English

  Introduction. Trochanteric hip fractures in the elderly are common and associated with significant mortality in the first year. Materials and methods. We performed a hospital observational cohort study of 45 consecutive trochanteric fractures patients over 60 years old, treated with a sliding screw plate (TDT) and 95° condilar blade plate (PAF). Results and conclusions. The average age of participants was 79.3 years, 58% were female; the TDT group was oldest and with lowest Hb the determinants of one year mortality were as follows: over 80 years of age, female, lowest Hb [< 12 g hemoglobin], unstable fractures, early (less than 5 days) surgical treatment, more than 90 minutes of average intraoperative time, general anesthesia and utilization of fixed-angle plate.