2012, Number 3
<< Back Next >>
Ortho-tips 2012; 8 (3)
Fracturas del fémur proximal. Opciones de tratamiento
Del Gordo D´ARJ
Language: Spanish
References: 29
Page: 157-164
PDF size: 154.06 Kb.
ABSTRACT
Proximal femur fractures present a reason for consultation in hospital for patients older than 65 years. This type of injury is usually produced by a trauma from falling from a low height in older patients, because a large number of predisposing factors are present in this age group. Several classifications have been described; however, the anatomical limit of proximal femoral articular capsule is decisive and in general terms, allows a classification in intracapsular and extracapsular. Medical treatment of these injuries has almost no place in current orthopaedic practice, but a surgical treatment offers the best result. Surgery for fractures of proximal femur resolution involves the use of variety of implants whose election will be subject to a number of factors that depend not only of the type of fracture, but are particular to each patient and situation. The objective of this review is to reach a consensus regarding the treatment of femoral proximal fractures.
REFERENCES
Marks R, Allegrante JP, Ronald Mackenzie C, Lane JM. Hip fractures among the elderly: causes, consequences and control. Ageing Res Rev 2003; 2: 57-93.
Steimberg ME. La cadera, diagnóstico y tratamiento de su patología. Editorial Panamericana. 1993: 290-332, 326-337.
Lu-Yao GL, Keller RB, Littenberg B, Wenn- berg JE: Outcomes after displaced fractures of the femoral neck: A meta-analysis of one hundred and six published reports. J Bone Joint Surg Am 1994; 76: 15-25.
Garden RS, Reduction and fixation of the sub-capital fractures of the femur. Orthop Clin North Am 1974; 5: 683-712.
Gustillo RB, Kile RF, Premer RF, Análisis intertrochanteric hip fractures. J Bone Joint Surg 1979; 61: 216-221.
Parker MJ, Pryor GA. Hip fracture management. Oxford: Blackwell Scientific Publications; 1993.
Siris ES, Miller PD, Barrett-Connor E, Faulkner KG, Wehren LE, Abbott TA, et al. Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: results from the National Osteoporosis Risk Assessment. JAMA 2001; 286: 2815-2822.
Gallagher JP, Melton LJ, Riggs BL, Bergstrath E. Epidemiology of fractures of the proximal femur in Rochester, Minnesota. Clin Orthop Relat Res 1980; (150): 163-171.
Koval KJ, Maurer SG, Su ET, Aharonoff GB, Zuckerman GD. The effects of nutritional status on outcome after hip fracture. J Orthop Trauma 1999; 13: 164-169.
Grisso Jeaneann, Kelsey P. Risk factors for falls as a cause of hip fracture in woman. N Engl Med 1991; 324 (19): 1326-1330.
Aharonoff GB, Koval KJ, Skovron ML, Zuckerman JD. Hip fractures in the elderly: Predictors of one-year mortality. J Orthop Trauma 1997; 11: 162-165.
Zahn HR, Skinner JA, Porteous MJ. The preoperative prevalence of deep vein thrombosis in patients with femoral neck fractures and delayed operation. Injury 1999; 30: 605-607.
Colwell CW Jr, Collis DK, Paulson R y cols. Comparison of enoxaparin and warfarin for the prevention of venous thromboembolic disease after total hip arthroplasty: Evaluation during hospitalization and three months after discharge. J Bone Joint Surg Am 1999; 81: 932-940.
Kitamura S, Hasegawa Y, Suzuki S y cols. Functional outcome after hip fracture in Japan. Clin Orthop 1998; 348: 29-36.
Rüedi TP, Buckley RE, Moran CG, eds. Muller AO Classification. In: AO Principles of Fracture Management. 2nd ed. New York: AO Publishing; 2007: 751, 755-777.
Manninger J, Kazar G, Fekete G, et al. Significance of urgent (within 6 h) internal fixation in the management of fractures of the neck of the femur. Injury 1989; 20(2):101-105.
Fekete K, Manninger J, Kazár Gy, Cserháti P, Bosch U. Percutaneous internal fixation of femoral neck fractures with cannulated screws and a small tension band plate. Orthop Traumatol 2000; 8: 250-263.
Swiontkowski MF. Intracapsular fractures of the hip. J Bone Joint Surg Am 1994; 76(1): 129-138.
Davison JN, Calder SJ, Anderson GH, et al. Treatment for displaced intracapsular fractures of the proximal femur. A prospective, randomized trial in patients aged 65 to 79 years. J Bone Joint Surg Br 2001; 83(2): 206-212.
Calder SJ, Anderson GH, Jagger C, Harper WM, Gregg PJ. Unipolar or bipolar prosthesis for displaced intracapsular hip fracture in octogenarians: A randomized prospective study. 2000; J Bone Joint Surg Br 1996; 78: 391-394.
Blair B, Koval KJ, Kummer F, Zuckerman JD: Basicervical fractures of the proximal femur: A biomechanical study of 3 internal fixation techniques. Clin Orthop 1994; 306: 256-263.
Adams CI, Robinson CM, Court-Brown CM, et al . Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur. J Orthop Trauma 2001; 15(6): 394-400.
O’Brien PJ, Meek RN, Blachut PA, et al. Fixation of intertrochanteric hip fractures: gamma nail versus dynamic hip screw. A randomized, prospective study. Can J Surg 1995; 38(6): 516-520.
Gebhard JS, Amstutz HC, Zinar DM, Dorey FJ. A comparison of total hip arthroplasty and hemiarthroplasty for treatment of acute fracture of the femoral neck. Clin Orthop Relat Res 1992; 282: 123-131.
Aune AK, Ekeland A, Odegaard B, Grogaard B, Alho A. Gamma nail vs compression screw for trochanteric femoral fractures: 15 reoperations in a prospective, randomized study of 378 patients. Acta Orthop Scand 1994; 65: 127-130.
Herrera A, Domingo LJ, Calvo A, et al. A comparative study of trochanteric fractures treated with the Gamma nail or the proximal femoral nail. Int Orthop 2002; 26(6): 365-369.
Fernández Dell’Oca AA. The principle of helical implants. Unusual ideas worth considering. Injury 2002; 33, Suppl. 1: SA1-27.
David A, Hüfner T, Lewandrowski KU, et al. The dynamic hip screw with support plate—a reliable osteosynthesis for highly unstable “reverse” trochanteric fractures? Chirurg 1996; 67(11): 1166-1173.
Goodman SB, Bauer TW, Carter D, et al. Norian SRS cement augmentation in hip fracture treatment: Laboratory and initial clinical results. Clin Orthop 1998; 348: 42-50.