35-203
Modificaciones funcionales, personales y sociales de las fracturas de la extremidad proximal del fémur en pacientes mayores.
Functional, personal and social changes in elderly patients with proximal femoral fractures.
J.A. DE CABO RGUEZ*, R.J. JORGE SANCHEZ**, D. BORREGO RATERO***, MORENO REGIDOR***, J. LOPEZ OLMEDO*** *SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA DEL HOSPITAL "VIRGEN DE LA VEGA". **SERVICIO DE MEDICINA INTERNA DEL HOSPITAL CLÍNICO UNIVERSITARIO. SALAMANCA
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
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Resumen (ES)
Case-history reviews and at-home interviews we
used to study retrospectively the 550 patients older than 69
years who suffered a hip fracture between 1995 and 1996 in
Salamanca (Spain). The average hospitalization time was 15
days. Almost half of patients were not dependent at all and
40.22% of them moved to another residence. Most patients
lost activity, and it was statistically correlated to the adverse
events reported. Almost every fracture occurred after a
casual fall due to stumbling or sliding. 57.67 % of patents had
a severe osteopenia. The most frequent fracture reported
was pertrochanteric (44.67%) followed by subcapital fractures
(33.70%). 25% of patients needed of rehabilitation, specially
those treated with intramedullary nailing. Mortality was
31.37% and statistical differences were found between
degree of activity before and after the fracture. These changes
in function and type of residence have a scarce influence
on rehabilitation and mortality of patients.
used to study retrospectively the 550 patients older than 69
years who suffered a hip fracture between 1995 and 1996 in
Salamanca (Spain). The average hospitalization time was 15
days. Almost half of patients were not dependent at all and
40.22% of them moved to another residence. Most patients
lost activity, and it was statistically correlated to the adverse
events reported. Almost every fracture occurred after a
casual fall due to stumbling or sliding. 57.67 % of patents had
a severe osteopenia. The most frequent fracture reported
was pertrochanteric (44.67%) followed by subcapital fractures
(33.70%). 25% of patients needed of rehabilitation, specially
those treated with intramedullary nailing. Mortality was
31.37% and statistical differences were found between
degree of activity before and after the fracture. These changes
in function and type of residence have a scarce influence
on rehabilitation and mortality of patients.
Palabras clave (ES):
Proximal
Fémur
Resultado
Anciano
Función
Fractura
Cadera
funcional
Social
Extremidad
Resumen (EN)
Case-history reviews and at-home interviews we
used to study retrospectively the 550 patients older than 69
years who suffered a hip fracture between 1995 and 1996 in
Salamanca (Spain). The average hospitalization time was 15
days. Almost half of patients were not dependent at all and
40.22% of them moved to another residence. Most patients
lost activity, and it was statistically correlated to the adverse
events reported. Almost every fracture occurred after a
casual fall due to stumbling or sliding. 57.67 % of patents had
a severe osteopenia. The most frequent fracture reported
was pertrochanteric (44.67%) followed by subcapital fractures
(33.70%). 25% of patients needed of rehabilitation, specially
those treated with intramedullary nailing. Mortality was
31.37% and statistical differences were found between
degree of activity before and after the fracture. These changes
in function and type of residence have a scarce influence
on rehabilitation and mortality of patients.
used to study retrospectively the 550 patients older than 69
years who suffered a hip fracture between 1995 and 1996 in
Salamanca (Spain). The average hospitalization time was 15
days. Almost half of patients were not dependent at all and
40.22% of them moved to another residence. Most patients
lost activity, and it was statistically correlated to the adverse
events reported. Almost every fracture occurred after a
casual fall due to stumbling or sliding. 57.67 % of patents had
a severe osteopenia. The most frequent fracture reported
was pertrochanteric (44.67%) followed by subcapital fractures
(33.70%). 25% of patients needed of rehabilitation, specially
those treated with intramedullary nailing. Mortality was
31.37% and statistical differences were found between
degree of activity before and after the fracture. These changes
in function and type of residence have a scarce influence
on rehabilitation and mortality of patients.
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