Characteristics of proximal femoral fractures

Características de las fracturas de fémur proximal

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Rueda, G., Tovar, J. L., Hernández, S., Quintero, D., & Beltrán, C. A. (2017). Characteristics of proximal femoral fractures. Journal of Medicine and Surgery Repertoire, 26(4), 213–218. Retrieved from https://revistas.fucsalud.edu.co/index.php/repertorio/article/view/50
Published: Dec 1, 2017
Issue
Vol. 26 No. 4 (2017): October - December
Section
Research Article
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Guillermo Rueda
José Leonardo Tovar
Saúl Hernández
Daniel Quintero
Carlos Andrés Beltrán

Abstract

Introduction: Hip fractures may occur in the femoral head, neck or intertrocantheric line. Treatment is based on, type and location of the fracture and patient’s age and comorbidities.
Objective: To describe hip fracture characteristics and risk factors in patients seen at Hospital de San José of Bogotá between January 2014 and June 2016.
Methods: A case series study. Adults with primary fractures and a complete medical record were included. Those with prior surgical management of ipsilateral proximal femoral and pathologic fractures were excluded. Data collection was based on clinical records.
Results: 96 patients were included, 66.7% females, mean age 81 years (IQR 29 – 93 years), and comorbidities such as hypertension (58.3%), coronary artery disease (16.7%), diabetes mellitus (8.3%), tobacco smoking (9.4%), Alzheimer’s (14.6%) and osteoporosis (4.2%) present in 69.8%. Intertrochanteric fracture (69.8%) caused by a fall from own height (93.8%) was the commonest fracture. The most widely used treatment was fixation (50%) followed by arthroplasty (43.8%). Osteosynthesis by an intramedullary long proximal femoral nail was the most common fixation method used (77.1%). Major complications were postoperative mortality (5.2%), component loosening and reoperations (3.1%), pressure ulcers, pneumonia, pulmonary thromboembolism and periprosthetic fractures in 2.1%.
Conclusions: Hip fractures associated with significant morbidity and mortality are common in elders. It is essential to provide timely treatment and to count on prevention programs regarding this pathology.

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