Epidemiología de las fracturas de la extremidad superior del fémura propósito de 322 casos

Résumé

A retrospective epydemiologic study was undertaken in a serie of 322 aged patients with fracture of the upper extremity of the femur treated at the traumatology unit of the «Hospital del Insalud» in Logroño beetween 1985 and 1988. Accidental falls with a minimum traumatism were the main cause of the injury, with major incidence on 78 years old women, the trochanteric fractures being more frequent than femoral week fractures. In our serie, 48% of patients were affected by more than one previous disease to the fracture. Local post-operatire complications (nail migration, local infection, haematoma) were found in 12%, and general complications (urinary infection, pulmonary embolism, crust) in 19%. According to Nickens' functional evaluation we found that 71% of patients were able to walk after surgery. The results obtained in this community have been found similar to those reported by other authors.