Hip fracture in the elderly
Main Article Content
Abstract
Is an increasingly frequent pathology in our society due to the general increase in life expectancy. It has a extensive social and economic impact. An epidemiological study is essential to describe the predominant characteristics of the patients affected by such fractures that help us adopt the most convenient and individualized treatment in each case. Usually, these types of patients have abundant associated pathologies that condition the prognosis in the short and long term. The etiology is multiple, there are clear predisposing factors such as osteoporosis, constitutional factors (age, race), nutritional status, weight, toxic habits, intake of medications, etc. Elderly people may even be depleted from doing their usual activities and personal hygiene. Hip fracture is common among women due to osteoporosis. They are classified according to the type of fracture and the anatomical location. The initial diagnosis is made by physical examination and the use of radiographs. Early surgical treatment has been shown to improve functional results and decrease mortality. Its objective is to repair or replace the fractured bone. There is a need to create specialized multidisciplinary care that is capable of identifying and treating specific requirements.
References
Advisory for Preanesthesia Evaluation. Anesthesiology, 96, 485-496.
Chang, J., Morton, S., Rubenstein, L., Mojica, W., Maglione, M., y Suttorp, M. (2004).
Interventions for the prevention of falls in older adults: systematic review and metaanalysis of randomized clinical trials. BMJ, 328, 680-687.
Del Gordo, D. (2014). Fracturas del fémur proximal. Opciones de tratamiento. Ortho-tips, 8(3),
157-164.
Demontiero, O., Gunawardene, P., y Duque, G. (2014). Postoperative prevention of falls in older
adults with fragility Fractures. Clinics in Geriatric Medicine, 30, 333-347.
Fernández, L. (1996). Fracturas de la extremidad superior del fémur. En H. Durán, I. Arcelus, L.
García, F. González, J. Álvarez, L. Fernández, y J. Méndez, Tratado de patología y
clínica quirúrgicas (pp. 4431-4454). Madrid: Interamericana-Mc.Graw-Hill.
García, F., y Fernández. (2018) Tipos de fractura de cadera y tratamiento quirúrgico. En T. Pareja,
y J. Rodríguez, Guía de Ortogeriatría. Sociedad Castellano-Manchega de Geriatría y
Gerontología, (pp. 23-34).
González, J., y Alarcón, T. (2011). ¿Por qué fallecen los pacientes con fracturas de cadera?
Medicina Clínica, 137, 355-360.
Herrera, A., Martínez, A., Fernández, I., Gil, E., y Moreno, A. (2006). Epidemiology of
osteoporotic hip fracture in Spain. International Orthopaedics, 30, 11-14.
Hodkinson, J. (1972). Evaluation of a mental test score for assessment of mental impairment in the
elderly. Age Ageing, 1, 233-238.
Instituto de Información Sanitaria (2010). Es mentadas: La Atención a la Fractura de Cadera en
les del SNS [Publicación en Internet]. Madrid: Ministerio Sanidad y Política Social.
Jódar, E. (2010). Epidemiología de las fracturas osteoporóticas. Revista de Osteoporosis y
Metabolismo Mineral, 5, 8-12.
Kanis, J., McCloskey, E., Johansson, H., Cooper, C., Rizzoli, R., y Reginster, J. (2013). Scientific
Advisory Board of the European Society for Clinical and Economic Aspects of
Osteoporosis and Osteoarthritis (ESCEO) and the Committee of Scientific Advisors of
the International Osteoporosis Foundation (IOF). European guidance for the diagnosis
and management of osteoporosis in postmenopausal women. Osteoporosis International,
24, 23-57.
Morán, C., Wenn, R., Sikand, M., y Taylor, A. (2005). Early mortality after hip fracture is delay
before surgery important? Journal of Bone and Joint Surgery, 87A(3), 483-489.
Peralta, E. (2007), Actualidades y nuevas perspectivas de la anestesia neuroaxial. Anestesia
Regional, 30(S), 256-260.
Rey, M. (2015). Cambios en la incidencia y mortalidad de la fractura osteoporótica de cadera en
el área sanitaria Macarena en los últimos 20 años. Universidad de Sevilla.
Sánchez, R., Bolloque, A., Pascual-Carra, M.D., Pérez-Aguilar, M., Rubio-Lorenzo, M.A.,
Alonso-Aguirre, P., y Sánchez-Juan, B. (2010). Mortalidad al año en fracturas de cadera
y demora quirúrgica. Revista Española de Cirugía Ortopédica y Traumatología, 54(1),
34-38.
Shea, B., Wells, G., Cranney, A., Zytaruk, N., Robinson, V., y Griffith, L. (2002). Meta-analyses
of therapies for postmenopausal osteoporosis. VII. Meta-analysis of calcium
supplementation for the prevention of postmenopausal osteoporosis. Endocrine Reviews,
23, 552-559.
Sorando, E., Benito, A., de Juan, J., Arranz, M., y García, L. (2004). Úlceras por presión en
pacientes traumatológicos: prevención basada en la evidencia médica. Revista Española
de Cirugía Osteo-Articular, 220, 147-156.
Vacanti, C., Van Houten, R., y Hill, R. (1970). Statistical analysis of the relationship of physical
status to postoperative mortality in 68,388 cases. Anesthesia and Analgesia, 49, 564-566.
Vidán, M., Sánchez, E., García, Y., Marañón, E., Vaquero, J., y Serra, J. (2007). Causes and
effects of surgical delay patients with hip fracture. Annals of Internal Medicine, 155,
223-226.
Villarejo, A., y Puertas-Martín, V. (2010). Utilidad de los test breves en el cribado de demencia.
Neurología, 26(7), 425-433.
Yusuf, A., Cummings, S., Watts, N., Feudjo, M., Sprafka, J., y Zhou, J. (2018). Efectividad en el
mundo real de las terapias de osteoporosis para la reducción de fracturas en mujeres
postmenopáusicas. Archives of Osteoporosis, 13(1), 33.