Fractures around a previous fixation of proximal femur. A simple solution to a complex problem.

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Fernando Manuel Bidolegui
Ximena Calvo
Sebastian Pereira
Gabriel Vindver

Abstract

The number of hip fractures in the elderly growth with the increase in life expectancy. Therefore meet with a femur fractured, distal to a previously  implant fixation used in intertrochanteric femur fractures as dynamic hip screw or fixed angle plate, is not an uncommon scenario despite year mortality of hip fracture of 30 to 50%.Given this situation, we used a retrograde intramedullary nail associated with extracting screws percutaneously prior implant.We present 8 cases in patients with an average age of 85.6 years, 5 female and 3 male with a time from the proximal femur fixation to the  new fracture average 3.5 years. Will we track 36 months and we evaluated postoperative mobility and pain getting a consolidation of the fracture in all cases.We found this technique effective; capable of achieving stable fixation without adding morbidity due to the possibility of overlapping two implants decreasing the possibility of potential new interimplantes fracture. 

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How to Cite
Bidolegui, F. M., Calvo, X., Pereira, S., & Vindver, G. (2016). Fractures around a previous fixation of proximal femur. A simple solution to a complex problem. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(2), 110-114. https://doi.org/10.15417/547
Section
Clinical Research
Author Biographies

Fernando Manuel Bidolegui, Hospital Sirio Libanes

Jefe Servicio Hospital Sirio Libanes

Ximena Calvo, Hospital Sirio Libanes

Jefa de residentes en el Htal. Sirio Libanes.

Sebastian Pereira, Hospital Sirio Libanés.

Médico de planta del Hospital Sirio Libanés.

Gabriel Vindver, Hospital Sirio Libanes

Médico consultor del servicio del Htal. Sirio Libanes.

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