28-167

Epidemiología de las fracturas de la extremidad superior del fémur A propósito de 322 casos

EPYDEMIOLOGY OF FRACTURES OF THE PROXIMAL FEMUR. A REVIEW OF 322 CASES

A. DIAZ PEREZ* J. M. CURTO GAMALLO** y L. FERRANDEZ PORTAL*** *Servicio de Traumatología y Cirugía Ortopédica. Hospital «San Millán» Insalud. Logroño (La Rioja). **Hospital Clínico Universitario. Departamento de Cirugía. (Servicio de Traumatología y Cirugía Ortopédica). Facultad de Medicina. Universidad de Salamanca. ***Hospital Clínico Universitario. Departamento de Cirugía. Cátedra de Traumatología y Cirugía Ortopédica. Facultad de Medicina. Universidad Complutense de Madrid.
Recepción:
12/01/2009
Aceptación:
12/01/2009
Publicación:
13/01/2009


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Resumen (ES)

A retrospective epydemiologic study was undertaken in a serie of 322 aged patientswith fracture of the upper extremity of the femur treated at the traumatology unit ofthe «Hospital del Insalud» in Logroño beetween 1985 and 1988. Accidental falls with a minimumtraumatism were the main cause of the injury, with major incidence on 78 years old women,the trochanteric fractures being more frequent than femoral week fractures. In our serie, 48%of patients were affected by more than one previous disease to the fracture. Local post-operatirecomplications (nail migration, local infection, haematoma) were found in 12%, and generalcomplications (urinary infection, pulmonary embolism, crust) in 19%. According to Nickens'functional evaluation we found that 71% of patients were able to walk after surgery. The resultsobtained in this community have been found similar to those reported by other authors.

Palabras clave (ES):

Epidemiología
Cadera
Fractura
Extremidad
Superior
Fémur

Resumen (EN)

A retrospective epydemiologic study was undertaken in a serie of 322 aged patientswith fracture of the upper extremity of the femur treated at the traumatology unit ofthe «Hospital del Insalud» in Logroño beetween 1985 and 1988. Accidental falls with a minimumtraumatism were the main cause of the injury, with major incidence on 78 years old women,the trochanteric fractures being more frequent than femoral week fractures. In our serie, 48%of patients were affected by more than one previous disease to the fracture. Local post-operatirecomplications (nail migration, local infection, haematoma) were found in 12%, and generalcomplications (urinary infection, pulmonary embolism, crust) in 19%. According to Nickens'functional evaluation we found that 71% of patients were able to walk after surgery. The resultsobtained in this community have been found similar to those reported by other authors.

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