de la Torre GDM, Góngora LJ, Galeana LJC

Language: Spanish
References: 15
Page: 53-58
PDF size: 84.05 Kb.

ABSTRACT

Hip fractures increase the mortality index in the elderly. Diagnosis is made based on clinical history, symptoms, and simple X-ray frames of the hip in two positions. We evaluated two surgical techniques for treating trochanter unstable fractures in the elderly. Methods: Patients with unstable trochanter fractures with previous normal gait were included. Fractures were classified by the Evans method modified by Jensen and Michelson for unstable hip fractures. Patients were treated either by using a partial hip prosthesis (Thompson or Lazcano’s), or by internal fixation using a DHS system. Results: 98 patients with a mean age of 68 were treated. Patients in witch a partial hip prosthesis was used could start rehabilitation almost immediately, or begin weight lifting with the affected pelvic extremity. Patients with internal fixation using DHS system could not lift weight until they had clinical and radiological evidence of consolidation. The six month results did not differ. Discussion: arthroplasty offered an earlier rehabilitation, and could be considered an adequate option for treating trochanter hip fractures in the elderly.

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