59-297
Influencia de la calidad de reducción sobre complicaciones y funcionalidad en pacientes de edad avanzada con fractura subtrocantérea
Influence of reduction quality on complications and functionality in elderly patients with subtrochanteric fracture.
CUÑAT-NAVARRO L, JORDÁ-GÓMEZ P, MOHD ABU ALI Z, FERRARO-ESPARZA L, PÉREZ-CLIMENT V, FERRANDOPIÑANA C, DESVIAT-RUIZ M, POYATOS-CAMPOS SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL GENERAL UNIVERSITARIO DE CASTELLÓN, ESPAÑA
Recepción:
16/04/2024
Aceptación:
16/04/2024
Publicación:
16/04/2024
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Resumen (ES)
Purpose of the study: To analyse if an optimal subtrochanteric fracture reduction relates with a decrease in postsurgical
complications and better functional outcomes. Material and methods: Cohort retrospective study where we obtained
presurgical and postsurgical variables, complications, degree of pain and return-to previous wandering in 1 year follow up.
Results: We evaluated a total of 79 fractures. 38 of them with an optimal reduction, the remaining 41 in the group of
suboptimal reduction. We didnt observe statistical differences in complication rates but found higher bleeding in patients
with a poorer fracture reduction. Opening of fracture site tends to a higher infection rate and failure of the material without
being statistically significant. We found higher percentage of patients who couldnt walk after surgery in fractures with poor
reductions, being statistically significant. Conclusions: Poor fracture reduction correlates with lower functional outcomes
and quality of life of the patient, without conditioning an increase in infection rate or failure of the material.
complications and better functional outcomes. Material and methods: Cohort retrospective study where we obtained
presurgical and postsurgical variables, complications, degree of pain and return-to previous wandering in 1 year follow up.
Results: We evaluated a total of 79 fractures. 38 of them with an optimal reduction, the remaining 41 in the group of
suboptimal reduction. We didnt observe statistical differences in complication rates but found higher bleeding in patients
with a poorer fracture reduction. Opening of fracture site tends to a higher infection rate and failure of the material without
being statistically significant. We found higher percentage of patients who couldnt walk after surgery in fractures with poor
reductions, being statistically significant. Conclusions: Poor fracture reduction correlates with lower functional outcomes
and quality of life of the patient, without conditioning an increase in infection rate or failure of the material.
Palabras clave (ES):
postoperatorias.
complicaciones
reducción
de
calidad
abierta
reducción
subtrocantérea
Fractura
Resumen (EN)
Purpose of the study: To analyse if an optimal subtrochanteric fracture reduction relates with a decrease in postsurgical
complications and better functional outcomes. Material and methods: Cohort retrospective study where we obtained
presurgical and postsurgical variables, complications, degree of pain and return-to previous wandering in 1 year follow up.
Results: We evaluated a total of 79 fractures. 38 of them with an optimal reduction, the remaining 41 in the group of
suboptimal reduction. We didnt observe statistical differences in complication rates but found higher bleeding in patients
with a poorer fracture reduction. Opening of fracture site tends to a higher infection rate and failure of the material without
being statistically significant. We found higher percentage of patients who couldnt walk after surgery in fractures with poor
reductions, being statistically significant. Conclusions: Poor fracture reduction correlates with lower functional outcomes
and quality of life of the patient, without conditioning an increase in infection rate or failure of the material.
complications and better functional outcomes. Material and methods: Cohort retrospective study where we obtained
presurgical and postsurgical variables, complications, degree of pain and return-to previous wandering in 1 year follow up.
Results: We evaluated a total of 79 fractures. 38 of them with an optimal reduction, the remaining 41 in the group of
suboptimal reduction. We didnt observe statistical differences in complication rates but found higher bleeding in patients
with a poorer fracture reduction. Opening of fracture site tends to a higher infection rate and failure of the material without
being statistically significant. We found higher percentage of patients who couldnt walk after surgery in fractures with poor
reductions, being statistically significant. Conclusions: Poor fracture reduction correlates with lower functional outcomes
and quality of life of the patient, without conditioning an increase in infection rate or failure of the material.
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