Valoración de resultados funcionales de tratamientos quirúrgicos en pacientes con fractura de cadera de 45-90 años atendidos en el Hospital Alcívar durante el periodo 2017-2020.

Abstract

Introduction: The Harris scale is used to assess the functional results of surgical treatments in patients with hip fractures, they are varied, and it shows us the post-surgical situation of the treatments treated in this investigation. Objectives: To assess the surgical treatments used in proximal femur fractures in patients aged 45-90 years, at the Alcívar Hospital during the period 2017-2020. Materials and methods: A descriptive and retrospective study was carried out that included all patients with the inclusion and exclusion criteria during the period 2017-2020 treated at the Alcívar Hospital. They were excluded; patients under 45 years of age, patients over 90 years of age, patients with commitment from the cup to the cetabular, patients who died in hospital, patients who currently died. An Excel table was made with the study variables. Results: The sample consisted of 207 patients, 71.5% female, 28.5% male, aged between 45 and 90 years. It was determined that 71.5% of the female population tends to suffer fractures more frequently. Regarding the frequency of the affected side, it was determined that the frequency of the right side was 71.5%, with the remaining 28.5% with the left affected limb. The most frequent type of fracture, we determined that there is a frequency of femoral neck fracture of 54.6%, followed by intertrochanteric fracture of 17.4%, followed by subtrochanteric fracture of 14.5%, with 13, Remaining 5% pertrochanteric fracture. Conclusion: It was obtained in this study that the modified Harris scale is suitable for post-surgical functional assessment since it provides us with essential information on the functionality of the chosen treatment, emphasizing that a different treatment is applied to each of the types of fracture, that is, the osteosynthesis with plates and cephalomedullary nail and partial femoral head prostheses.