Resultados clínico – radiológicos en adultos mayores postoperados de fractura de fémur proximal con clavo endomedular
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Date
2025-01-10
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Universidad Nacional de Trujillo
Abstract
Las fracturas de fémur proximal constituyen un grupo de lesiones habituales en adultos mayores por enfermedades metabólicas como la osteoporosis, comorbilidades y aumento de caídas; factores que se han incrementado en la última década. OBJETIVO: Identificar los resultados clínico - radiológicos en adultos mayores postoperados de fractura de fémur proximal con clavo endomedular en el Hospital Regional Docente de Trujillo. MATERIALES Y MÉTODOS: Estudio observacional descriptivo de corte transversal en el cual se analizaron 49 adultos mayores con fractura intertrocantérica postoperados con clavo endomedular desde octubre del 2022 hasta agosto del 2023. RESULTADOS: La edad media de nuestro estudio fue 81.8 años; el rango con mayor cantidad de pacientes fue 80-89 años (n=28) con un 57.14%. En el aspecto clínico, al evaluar la escala de Harris encontramos que 89.8% tuvo un resultado malo y el 10.2% un resultado regular a los 3 meses de postoperados. Respecto a los resultados radiológicos: el índice punta-ápex (TAD), el 79.6% (n=39) de pacientes tiene una TAD menor de 25 mm. CONCLUSIONES: Los resultados clínicos funcionales fueron predominantemente “malo” con 89.8%; y la valoración radiológica con el valor de la distancia punta - ápex fue menor de 25mm en el 79.5%.
PALABRAS CLAVE: Fracturas Femorales Proximales, Adulto Mayor, Fijación Intramedular de Fracturas.
Abstract Fractures of the proximal femur are a common group of injuries, especially in older adults, due to metabolic diseases of aging such as osteoporosis, comorbidities and increased falls; factors which have increased in the last decade. OBJECTIVE: To identify the clinical-radiological results in older adults postoperatively treated for proximal femur fracture with endomedullary nail in the Hospital Regional Docente de Trujillo. MATERIALS AND METHODS: Descriptive observational cross-sectional study in which 49 cases of older adult patients with intertrochanteric fracture postoperatively treated with endomedullary nail from October 2022 to August 2023 were analyzed. RESULTS: We found that the mean age of our study was 81.8 years, where the range with the highest number of patients is 80-89 years (n=28) with 57.14%. In the clinical aspect, when evaluating the dimensions of the Harris scale we found that 89.8% had a poor result and 10.2% a fair result at 3 months postoperatively. And regarding the radiological results: the tip-apex index (TAD), we have that 79.6% (n=39) of patients have a TAD less than 25 mm. CONCLUSIONS: The functional clinical results were predominantly “bad” with 89.8%; and the radiological assessment with the tip-apex distance value was less than 25mm in 79.5%.
Abstract Fractures of the proximal femur are a common group of injuries, especially in older adults, due to metabolic diseases of aging such as osteoporosis, comorbidities and increased falls; factors which have increased in the last decade. OBJECTIVE: To identify the clinical-radiological results in older adults postoperatively treated for proximal femur fracture with endomedullary nail in the Hospital Regional Docente de Trujillo. MATERIALS AND METHODS: Descriptive observational cross-sectional study in which 49 cases of older adult patients with intertrochanteric fracture postoperatively treated with endomedullary nail from October 2022 to August 2023 were analyzed. RESULTS: We found that the mean age of our study was 81.8 years, where the range with the highest number of patients is 80-89 years (n=28) with 57.14%. In the clinical aspect, when evaluating the dimensions of the Harris scale we found that 89.8% had a poor result and 10.2% a fair result at 3 months postoperatively. And regarding the radiological results: the tip-apex index (TAD), we have that 79.6% (n=39) of patients have a TAD less than 25 mm. CONCLUSIONS: The functional clinical results were predominantly “bad” with 89.8%; and the radiological assessment with the tip-apex distance value was less than 25mm in 79.5%.
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Keywords
Fracturas Femorales Proximales, Adulto Mayor, Fijación Intramedular de Fracturas