[Surgical treatment of hip fractures]

Evaluate the experience acquired in the surgical management of hip fractures.

Retrospective study of 206 patients undergoing surgical treatment of hip fracture from June 2005 to June 2007. Besides the demographic variables, the following variables were recorded: Fracture classification, interval between the occurrence of the fracture and its surgical treatment, physical status according to the American Society of Anesthesiology classification, preoperative comorbid conditions, type of implant used, approach used if a prosthesis was used, operative time, prophylaxis with antibiotics and for thromboembolic events, complications during the postoperative period and during a 24-month follow-up period. A descriptive statistical analysis was carried out.

Fifty patients were males and 156 females, mean age was 80 years (50-99 years). The most frequent types of fractures were the intertrochanteric fracture (130 patients) and the displaced intracapsular fracture (38 patients). The most frequent surgical procedures were the placement of a compression ring and plate (133 patients) and hemiarthroplasty (49 patients). Ten patients had various postoperative complications. Two patients died during the follow-up period (24 months).

Fixation was performed in young patients with undisplaced fractures and in all patients with an impacted and stable subcapital fracture. Arthroplasty was preferred in patients with a displaced fracture.