54-277

Fractura del cuello femoral en pacientes menores de 65 años. Análisis de las complicaciones tras fijación con tornillos canulados.

Fracture of the femoral neck in patients younger than 65 years-old. Analysis of complications after fixation with cannulated screws

F.A. Miralles Muñoz, G. Mahiques Segura, A. Lizaur Utrilla. 1. CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL GENERAL UNIVERSITARIO DE ELDA. 2. DEPARTAMENTO DE PATOLOGÍA Y CIRUGÍA, UNIVERSIDAD MIGUEL HERNÁNDEZ DE ELCHE.
Recepción:
20/09/2019
Aceptación:
20/09/2019
Publicación:
20/09/2019


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Resumen (ES)

To analyze the complications after femoral neck fracture in minors of 65 years old with cannulated screws. Material and method. retrospective study of 49 cases with a minimum follow-up of 2 years, evaluating the hip function and postoperative complications, analyzing the risk factors for necrosis and hip non-union. Results. 48.9% were operated in the first 24 hours, with an average surgical delay of 2,1 days. The clinical results were satisfactory (93,9%), finding 7 cases of necrosis and 2 cases of non-union, that required reconversion to total hip arthroplasty (18,3%). In the univariate analysis, no variable was correlated with the complications or final results. Conclusions. Age, displacement of the fracture, shortening of the femoral neck and surgical delay do not influence the final functional results or the presence of necrosis or non-union after the fixation of the femoral neck fracture.

Palabras clave (ES):

Fijación
fémur
Osteosíntesis
de
quirúrgica
Tornillos
canulados
Complicaciones
Cadera
Fractura
Cuello
de
fémur
Proximal

Resumen (EN)

To analyze the complications after femoral neck fracture in minors of 65 years old with cannulated screws. Material and method. retrospective study of 49 cases with a minimum follow-up of 2 years, evaluating the hip function and postoperative complications, analyzing the risk factors for necrosis and hip non-union. Results. 48.9% were operated in the first 24 hours, with an average surgical delay of 2,1 days. The clinical results were satisfactory (93,9%), finding 7 cases of necrosis and 2 cases of non-union, that required reconversion to total hip arthroplasty (18,3%). In the univariate analysis, no variable was correlated with the complications or final results. Conclusions. Age, displacement of the fracture, shortening of the femoral neck and surgical delay do not influence the final functional results or the presence of necrosis or non-union after the fixation of the femoral neck fracture.

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