Controversias en el manejo de la fractura de cadera en el adulto mayor. Encuesta nacional a Traumatólogos especialistas en cirugía de cadera / Management of hip fractures in the elderly. A national survey among Chilean orthopaedic surgeons
Rev. méd. Chile
;
147(2): 199-205, Feb. 2019. tab, graf
Article
in Spanish
| LILACS
| ID: biblio-1004333
ABSTRACT
Background:
As the population ages, patients exposed to osteoporotic fractures increase, especially hip fracture, which is the most severe and costly.Aim:
To characterize surgical practices in the management of hip fractures in older patients through a nationwide survey of specialized hip surgeons dedicated to the care of these patients. Material andMethods:
A survey composed of 32 questions was formulated, including demographic factors, preoperative evaluation, definitive treatment, and postoperative management. It was sent to 140 specialists. 84 of them replied (61%), and 71 answers were included.Results:
Eighty six percent of respondents agreed that orthogeriatric management is fundamental in the outcome of these patients, but only 73% had the collaboration of an internist or a geriatrician. Although 97% considered 72 hours or less the ideal time to perform surgery, only 52% of the respondents declared performing surgery within that timeframe, with differences between private and public system. Regarding surgical treatment, 94-98% of femoral neck fractures are treated with an arthroplasty and 98-99% of per-subtrochanteric fractures are treated with internal fixation and osteosynthesis. Osteoporosis treatment is only carried out by 51% of the respondents and with significant variation.Conclusions:
This survey shows that there is agreement in surgical practice between specialists treating these patients, but clear differences in preoperative optimization, treatment timeframe, and post fracture medical treatment.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Practice Patterns, Physicians'
/
Surveys and Questionnaires
/
Orthopedic Surgeons
/
Hip Fractures
Type of study:
Prognostic study
Limits:
Aged
/
Humans
Country/Region as subject:
South America
/
Chile
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2019
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Clínica Alemana de Santiago/CL
/
Pontificia Universidad Católica de Chile/CL
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