Características y manejo de fracturas de fémur proximal, en pacientes mayores de 60 años, en el Hospital José Carrasco Arteaga enero 2013 – julio 2016

Abstract

Background: The fracture of the Proximal Femur is the main cause of query in the Area Traumatological overcoat in the elderly population; contributing to an increase of the morbidity and mortality and the functional deterioration of these patients. This injury is produced usually by injuries minor as the falls inside and outside of the home. There are different classifications, however, has been considered the capsule articulate as the anatomical boundary to divide them in extracapsular and intracapsular. Currently the conservative or orthopedic medical treatment has no indication, so that surgical treatment is the most used which uses several implants for their realization and whose election depends not only on the type of fracture, but also of the general condition of the patient. General objective. Determine the characteristics and management of proximal femur fractures in patients older than 60 years in the Hospital José Carrasco Arteaga, january 2013 - july 2016. Methodological design. This is a retrospective descriptive quantitative study, which is to determine the characteristics and management of proximal femur fractures in patients older than 60 years with data stolen from medical records, which will be tabulated by using tables and analyzed using software (Epi-info, Spss 15.0). Results. The prevalence found was 9.55%, with predominance of females (22.84%) and an age of 82.1 years ± (9.6 DS); The extracapsular fractures were the most frequent (65.2%) with a superiority of the Intertrochanteric ones (57.78%); The most used surgical treatment was osteosynthesis (53.33%) and arterial hypertension was the most common comorbidity with 60% of the cases