Revista-SCLECARTO-Nº3-2021 - Flipbook - Página 18
Estudio retrospectivo de las fracturas intracapsulares de cadera intervenidas mediante osteosíntesis
con tornillos canulados en un período de 10 años
parecen ofrecer mayor resistencia mecánica. Más estudios
son necesarios para corroborar clínicamente esos resultados.
Número (%) de casos
intervenidos (11 casos)
PARÁMETROS
TIPO DE INTERVENCIÓN
PPC
7 (63.6%)
PTC
3 (27.3%)
EMO
1 (9.1%)
GARDEN
I
7 (63.6%)
II
1 (9.1%)
III
3 (27.3%)
IV
0
DESVIACIÓN AXIAL
CENTRADA
6 (54.5%)
POSTERIOR
5 (45.5%)
CONMINUCIÓN POSTERIOR
NO
7 (63.6%)
SI
4 (36.6%)
DISPOSICIÓN TORNILLOS
5. Gjertsen JE, Fevang JM, Matre K, Vinje T, Engesæter LB. Clinical
outcome after undisplaced femoral neck fractures. Acta Orthop.
2011 Jun;82(3):268-274.
6. Dolatowski FC, Frihagen F, Bartels S, Opland V, Benth JS, Talsnes
O, Hoelsbrekken SE, et al. Screw Þxation versus hemiarthroplasty
for nondisplaced femoral neck fractures in elderly patients: a
multicenter randomized controlled trial. J Bone Joint Surg Am.
2019;101:136-144
7. Overmann AL, Richards JT, O’Hara NN, D’Alleyrand JC, Slobogean
GP. Outcomes of elderly patients with nondisplaced or minimally
displaced femoral neck fractures treated with internal Þxation: A
systematic review and meta-analysis. Injury 2019;50:2158–2166
8. Chen WC, Yu SW, Tseng IC, Su JY, Tu YK, Chen WJ. Treatment of
undisplaced femoral neck fractures in the elderly. J Trauma
2005;58:1035–1039.
9. Conn KS, Parker MJ. Undisplaced intracapsular hip fractures:
results of internal Þxation in 375 patients. Clin Orthopaed Relat
Res 2004;249–254.
10. Lee YS, Chen SH, Tsuang YH, Huang HL, Lo TY, Huang CR. Internal
Þxation of undisplaced femoral neck fractures in the elderly:
a retrospective comparison of Þxation methods. J Trauma
2008;64(1):155-162.
11. Lu Q, Tang G, Zhao X, Guo S, Cai B, Li Q. Hemiarthroplasty versus
internal Þxation in super-aged patients with undisplaced femoral
neck fractures: a 5-year follow-up of randomized controlled trial.
Arch Orthop Trauma Surg 2017;137:27-35
12. Hui AC, Anderson GH, Choudhry R, Boyle J, Gregg PJ. Internal
Þxation or hemiarthroplasty for undisplaced fractures of the
femoral neck in octogenarians. J Bone Jt Surg Br 1994;76:891–894
V
9 (81.8%)
^
1 (9.1%)
LÍNEA
1 (9.1%)
13. Garden RS. Low-angle Þxation of fractures of the femoral neck. J
Bone Joint Surg BR. 1961;43:647-663
OK
5 (45.5%)
VALGO
2 (18.2%)
14. Bartonicek J. Pauwels’ classiÞcation of the femoral neck
fractures: correct interpretation of the original. J Orthop Trauma
2001;15:358-360
VARO
4 (36.6%)
RX POST-IQ
RX SEGUIMIENTO
COLAPSO
5 (45.5%)
VARO
4 (36.6%)
NAV
1 (9.1%)
CONSOLIDACIÓN
1 (9.1%)
Tabla 3. Parámetros de las reintervenciones.
BIBLIOGRAFÍA:
1. Johnell O, Kanis JA. An estimate of the worldwide prevalence,
mortality and disability associated with hip fracture. Osteoporos
Int 2004;15:897–902
2. Löfman O, Berglund K, Larsson L et al (2002) Changes in hip
fracture epidemiology: redistribution between ages, genders and
fracture types. Osteoporos Int 13:18–25
3. Støen, R.Ø, Lofthus, C.M, Nordsletten, L, Madsen JE, Frihagen F..
Randomized Trial of Hemiarthroplasty versus Internal Fixation for
Femoral Neck Fractures: No Differences at 6 Years. Clin Orthop
Relat Res 2014;472:360–367
4. Cooper C, Campion G, Melton LJ III. Hip fractures in the elderly: a
world-wide projection. Osteoporos Int. 1992;2:285–289.
18 - Revista Sclecarto- N.º 3 - Año 2021
15. Dolatowski FC, Adampour M, Frihagen F, Stavem K, Utvåg SE,
Hoelsbrekken SE. Preoperative posterior tilt of at least 20°
increased the risk of Þxation failure in Garden-I and -II femoral
neck fractures, Acta Orthopaedica, 2016;87:3,252-256
16. Bigoni M, Turati M, Leno G, Caminita AD, D’Angelo F, Munegato D,
Zatti G. Internal Þxation of intracapsular femoral neck fractures in
elderly patients: mortality and reoperation rate. Aging Clinical and
Experimental Research 2020;32:1173-1178
17. Bjørgul K, Reikerås O. Outcome of undisplaced and moderately
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21. Davison JNS, Calder SJ, Anderson GH, Ward G, Jagger C, Harper
WM, Gregg PJ. Treatment for displaced intracapsular fracture of
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