34-199

Fracturas femorales en pacientes portadores de artroplastia de cadera.

Femoral fractures in patients with hip replacement

M. MORALES SANTÍAS, J.E. MARTÍNEZ GIMÉNEZ, J.E. SALINAS GILABERT Y J. DE ANTA Y DE BARRIO. HOSPITAL GENERAL UNIVERSITARIO DE ALICANTE
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

The present study includes 25 patients with hip replacement
who presented an ipsilateral fracture of the femur.
According to Johansson's grading system, there were 9 type I
fractures, 9 type II and 7 type III. Surgical treatment was indicated
in 21 cases, and conservative treatment in 4. Of the 21
patients operated on, 9 required stem replacement, 9 internal
fixation with plate and screws, and inter-fragmentary compression
screws in 2 cases. Outcome assessment showed that,
except one case, all fractures healed after treatment. The results
of the arthroplasty were good in 68% of cases according to the
Merle D'Aubigne scale. Complications included 2 varus deformity,
one superficial infection and one deep infection.

Palabras clave (ES):

Periprotésica
Fractura
Cadera
Femoral
Fémur
Complicaciones
Artroplastia
Prótesis
Cadera

Resumen (EN)

The present study includes 25 patients with hip replacement
who presented an ipsilateral fracture of the femur.
According to Johansson's grading system, there were 9 type I
fractures, 9 type II and 7 type III. Surgical treatment was indicated
in 21 cases, and conservative treatment in 4. Of the 21
patients operated on, 9 required stem replacement, 9 internal
fixation with plate and screws, and inter-fragmentary compression
screws in 2 cases. Outcome assessment showed that,
except one case, all fractures healed after treatment. The results
of the arthroplasty were good in 68% of cases according to the
Merle D'Aubigne scale. Complications included 2 varus deformity,
one superficial infection and one deep infection.

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