[Translated article] Treatment of supracondylar femoral fractures by minimally invasive techniques vs. exposure of the fracture site: A retrospective cohort study.
Rev Esp Cir Ortop Traumatol
; 2024 Jul 04.
Article
em En, Es
| MEDLINE
| ID: mdl-38971563
ABSTRACT
INTRODUCTION:
Fractures of the distal femoral third are an important cause of morbidity and mortality, and their treatment is currently controversial.OBJECTIVES:
To compare the results between minimally invasive techniques versus exposure of the fracture site. Secondly, to evaluate the relationship between demographic factors, mechanism of injury and surgical delay with patient prognosis.METHOD:
Retrospective cohort study carried out between 2015 and 2021 in a tertiary hospital. Data collection was performed by reviewing medical histories, measuring demographic and hospital parameters and definitive treatment strategy. One year of follow-up was completed in all patients, assessing the occurrence of surgical complications and mortality. A stratified analysis of the variables of interest was performed among patients over 65 years of age.RESULTS:
128 fractures were recorded, with definitive osteosynthesis being performed in 117. Patients who underwent minimally invasive techniques required a shorter hospital stay (9 [7-12] vs. 12 [8.75-16] days) (p=0.007), with no differences in mortality or complications during follow-up. In those over 65 years of age, opening the fracture site was associated with an increased risk of infection compared to minimally invasive techniques (33.3% vs. 2%) (p=0.507). All the deceased were patients over 65 years of age (33.7% at one year). Surgical delay longer than 48h increased mortality by 10% among those older than 65 years (p=0.3). High-energy trauma had a higher proportion of pseudarthrosis (27.6% vs. 6.1%) (p=0.011).CONCLUSIONS:
Minimally invasive techniques decreased hospital stay but not complications or long-term mortality. LEVEL OF EVIDENCE IIb.
Texto completo:
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
/
Es
Revista:
Rev Esp Cir Ortop Traumatol
Ano de publicação:
2024
Tipo de documento:
Article