Geriatric hip fractures treated with AO plate. Clinical and surgical Evolution

Abstract

Introduction: Hip fracture in the elderly generates negative connotations at a functional level, in addition to the repercussions on mortality. Objective: To identify the clinical and epidemiological profile of older adults with hip fracture operated on with hemiarthroplasty by posterior approach. Method: Observational, longitudinal, ambispective and descriptive research, carried out at the "Abel Santamaría" Hospital; between 2020 and 2023. The sample consisted of 180 older adult patients with Garden III and IV hip fracture and who underwent hemiarthroplasty by the Osborne technique. For statistical analysis, the absolute and percentage frequency, the mean and the standard deviation were used. Results: 81.1% were 70 years of age or older, 62.8% were female. HBP and diabetes mellitus were present in 60.0% and 24.4% of the patients. Extracapsular fractures occurred in 61.7%; the most affected limb was the left with 59.4%; 62.2% of the patients underwent surgery within 24 hours of the event. While the Austin Moore prosthesis was implanted in 78.3%; pain and anemia were the most frequent complications. 95.6% of the patients were discharged alive, meanwhile, 68.6% had an adequate evolution 12 weeks after surgery. Conclusions: The findings described in this research reaffirm that hip fracture is an important health problem originating in older adults, and hemiarthroplasty offers high levels of satisfaction, by quickly integrating them into daily activities.