Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail
Abstract: Introduction Hip fractures occur more frequently in patients over 65 years of age, predominantly in females. Although there are multiple classifications of these fractures, the main concept of them is related to the irrigation of the proximal femoral epiphysis; medial or intracap...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/35019 |
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I10-R327-article-35019 |
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Universidad Nacional de Córdoba |
| institution_str |
I-10 |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| format |
Artículo revista |
| topic |
Evaluation 6 months osteosynthesis cephalo-medullary evaluación 6 meses osteosintesis cefalo medular |
| spellingShingle |
Evaluation 6 months osteosynthesis cephalo-medullary evaluación 6 meses osteosintesis cefalo medular Espejo , Sebastián Quinteros , Mauricio Zarate , Carlos Stauffer , Juan Sanchez Carpio , Diego Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail |
| topic_facet |
Evaluation 6 months osteosynthesis cephalo-medullary evaluación 6 meses osteosintesis cefalo medular |
| author |
Espejo , Sebastián Quinteros , Mauricio Zarate , Carlos Stauffer , Juan Sanchez Carpio , Diego |
| author_facet |
Espejo , Sebastián Quinteros , Mauricio Zarate , Carlos Stauffer , Juan Sanchez Carpio , Diego |
| author_sort |
Espejo , Sebastián |
| title |
Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail |
| title_short |
Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail |
| title_full |
Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail |
| title_fullStr |
Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail |
| title_full_unstemmed |
Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail |
| title_sort |
time to consolidation of lateral hip fractures, surgically treated with a gamma-type cephalomedullary osteosynthesis nail |
| description |
Abstract:
Introduction
Hip fractures occur more frequently in patients over 65 years of age, predominantly in females. Although there are multiple classifications of these fractures, the main concept of them is related to the irrigation of the proximal femoral epiphysis; medial or intracapsular ones affect circumflex vessels and future cephalic viability; lateral or extracapsular fractures would not compromise the terminal circulation of the femoral head. The surgical treatment of reduction and osteosynthesis is indicated in lateral fractures, in this way, the patient preserves his native joint; and this is different from arthroplasty, where a joint replacement is performed.
Objective
Determine the healing time of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail.
Material and methods
A series of cases was studied, which included patients who underwent surgery for lateral hip fracture, treated with Gamma-type cephalomedullary osteosynthesis. Those procedures performed during the year 2020 (January to December) were evaluated. An orthopedic and radiological follow-up was carried out, recording the time of consolidation of the fracture and rehabilitation to achieve gait.
Results
36 patients were included, 25 female and 11 male, with a mean age of 71 years (range 65 - 95 years). Regarding bone consolidation assessed by radiographic controls, it was obtained in 19 patients (52%) in the first four months after surgery, 5 cases (13%) had delayed union, which resolved with orthopedic treatment. 31% (12 patients) could not be assessed due to death or loss of follow-up. The recovery period that patients needed to return to their previous ambulation was 4.8 months on average. No patient was reoperated during follow-up.
Conclusions
Lateral hip fractures are surgically treated with a cephalomedullary nail, they achieve consolidation in adequate time, in more than half of the patients studied, allowing them to return to their ambulatory activity prior to surgery. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2021 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/35019 |
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I10-R327-article-350192024-04-15T16:19:09Z Time to consolidation of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail Evaluacion a los 6 meses de fractura de cadera tratadas con clavo de osteosintesis cefalomedular Espejo , Sebastián Quinteros , Mauricio Zarate , Carlos Stauffer , Juan Sanchez Carpio , Diego Evaluation 6 months osteosynthesis cephalo-medullary evaluación 6 meses osteosintesis cefalo medular Abstract: Introduction Hip fractures occur more frequently in patients over 65 years of age, predominantly in females. Although there are multiple classifications of these fractures, the main concept of them is related to the irrigation of the proximal femoral epiphysis; medial or intracapsular ones affect circumflex vessels and future cephalic viability; lateral or extracapsular fractures would not compromise the terminal circulation of the femoral head. The surgical treatment of reduction and osteosynthesis is indicated in lateral fractures, in this way, the patient preserves his native joint; and this is different from arthroplasty, where a joint replacement is performed. Objective Determine the healing time of lateral hip fractures, surgically treated with a Gamma-type cephalomedullary osteosynthesis nail. Material and methods A series of cases was studied, which included patients who underwent surgery for lateral hip fracture, treated with Gamma-type cephalomedullary osteosynthesis. Those procedures performed during the year 2020 (January to December) were evaluated. An orthopedic and radiological follow-up was carried out, recording the time of consolidation of the fracture and rehabilitation to achieve gait. Results 36 patients were included, 25 female and 11 male, with a mean age of 71 years (range 65 - 95 years). Regarding bone consolidation assessed by radiographic controls, it was obtained in 19 patients (52%) in the first four months after surgery, 5 cases (13%) had delayed union, which resolved with orthopedic treatment. 31% (12 patients) could not be assessed due to death or loss of follow-up. The recovery period that patients needed to return to their previous ambulation was 4.8 months on average. No patient was reoperated during follow-up. Conclusions Lateral hip fractures are surgically treated with a cephalomedullary nail, they achieve consolidation in adequate time, in more than half of the patients studied, allowing them to return to their ambulatory activity prior to surgery. Resumen: Tiempo de consolidación de fracturas laterales de cadera , tratadas quirurgicamente con clavo de osteosintesis cefalomedular tipo Gamma Introducción Las fracturas de cadera se presentan con mayor frecuencia en pacientes mayores de 65 años, predominando en sexo femenino. Aunque existen múltiples clasificaciones de estas fracturas, el concepto principal de ellas se relaciona con la irrigación de la epífisis femoral proximal; por su lado las mediales o intracapsulares afectan vasos circunflejos y la futura viabilidad cefálica ; las fracturas laterales o extracapsulares no comprometerían la circulación terminal de la cabeza femoral. El tratamiento quirúrgico de reducción y osteosíntesis es el indicado en fractura laterales, de esta forma, el paciente preserva su articulación nativa; y esto la diferencia de la artroplastia, donde se realiza un reemplazo articular. Objetivo Determinar el tiempo de consolidación de fracturas laterales de caderas, tratadas quirúrgicamente con clavo de osteosíntesis cefalomedular tipo Gamma. Material y Métodos Se estudio una serie de casos , que incluyo a pacientes intervenidos quirúrgicamente por fractura lateral de cadera, tratados con osteosíntesis cefalomedular tipo Gamma. Se valoraron aquellos procedimiento realizados durante el año 2020 (enero a diciembre). Se realizo un seguimiento ortopédico y radiológico, consignando el tiempo de consolidación de la fractura y de rehabilitación para lograr la marcha. Resultados Se incluyen 36 pacientes, 25 de sexo femenino y 11 masculinos, con una edad promedio de 71 años (rango 65 - 95 años). Con respecto a la consolidación ósea valorada mediante controles radiográficos se obtuvo en 19 pacientes (52 %) en los primeros cuatro meses postquirúrgico, 5 casos (13 %) tuvieron retardo de consolidación, que resolvió con tratamiento ortopédico. Un 31 % (12 pacientes) no pudieron ser valorados por causas de óbito o pérdida de seguimiento. El periodo de recuperación que necesitaron los pacientes para regresar a su deambulación previa fue de 4,8 meses en promedio. Ningún paciente fue reintervenido durante el seguimiento. Conclusiones Las fracturas latetales de cadera tratas quirurgicamente con clavo cefalomedular , logran una consolidacion en tiempo adecuado , en mas de la mitad de los pacientes estudiados , permitiendo retornar a su actividad deambulatoria previa a la cirugia. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-10-12 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto https://revistas.unc.edu.ar/index.php/med/article/view/35019 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 78 No. Suplemento (2021): Suplemento JIC XXII Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 78 Núm. Suplemento (2021): Suplemento JIC XXII Revista da Faculdade de Ciências Médicas de Córdoba; v. 78 n. Suplemento (2021): Suplemento JIC XXII 1853-0605 0014-6722 http://creativecommons.org/licenses/by-nc/4.0 |