Intrahospital behavior between the intracapsular and the extracapsular hip fracture

Revista Cubana de Ortopedia y Traumatología

Rodríguez Díaz, Maylin³  Amigo Castañeda, Pavel²  Castañeda Gueimonde, Caridad María¹ 

[1] Hospital Provincial Universitario Comandante Faustino Pérez, Matanzas, Cuba;Hospital Provincial Clínico Quirúrgico Docente José Ramón López Tabrane, Matanzas, Cuba;Hospital Pedriático Eliseo Noel Caamaño, Matanzas, Cuba

关键词: : hip fracture;    osteosynthesis;    hip arthroplasty;    hip fracture;    classification;   

DOI  :  

学科分类：生理学

来源: SciELO

【 摘 要 】

Objective: to establish the difference in the intrahospital behavior between the intracapsular and the extracapsular hip fracture one. Methods: a cross-sectional and retrospective study was conducted in all patients operated on due to hip fracture (400 patients) admitted in the Orthopedics and Traumatology service of the "José Ramón López Tabrane" Hospital from January, 2008 to December, 2009. Results: two hundred and seventy seven patients (69 %) presenting with extracapsular fractures, with predominance of white race and the age group of 80 to 89 years were found. The left hip was the more involved one in the extracapsular fractures and in the intracapsular ones the was predominance of the right hip. In both types of fractures the operating time was between 1 and 2 h (95 %), mean 1.27 min, the complications were similar but with predominance of medical complications in the intracapsular ones (76 %) and the surgical ones in the extracapsular type (40 %). The acute inflammatory pneumonia was the more frequent medical complication in both groups. Into the surgical ones, the cellulitis was the more represented. The preoperative, the postoperative as a total were similar in both groups. In the treatment the #130 layer and the screw (36 %) predominated in the extracapsular ones and the partial prosthesis in the intracapsular ones (39 %). As regards the discharge status was the same in both groups, 97 % of lives and the 3 % of deceased. Conclusions: the extracapsular fractures were present were more frequent than the intracapsular ones with a slight predominance of complications in this group at the expense of the medical ones.

【 授权许可】

CC BY-NC