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Revista de la Asociación Argentina de Ortopedia y Traumatología

On-line version ISSN 1852-7434


BURGO, Federico J et al. Fracturas intertrocantericas inestables tratadas con clavos endomedulares cortos intertrocantericos/subtrocantericos: Valoracion de la calidad de vida y de la recuperacion funcional. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2015, vol.80, n.3, pp.177-184. ISSN 1852-7434.

Introduction: The aim of this study was to evaluate a consecutive series of patients with unstable inter- or subtrochanteric fractures (AO 3.1 A2 and A3) treated with short nail fixation (ITSTR), focusing mainly on quality of life and functional recovery. Methods: We included 171 patients with intertrochanteric hip fractures (AO 3.1 A2 and A3), with a minimum follow-up of 14 months. The average age was 79 years. The following parameters were evaluated: quality of life using the WOMAC reduced scale converted to a 1 to 100 scale; functional recovery based on the time needed to achieve standing position, need for orthesis at the end of the follow-up, and return to daily activities using the American Musculoskeletal Tumor Society functional scale. Results: After 14 months the average WOMAC score was 77. The 73% of the group was walking within 36 hours after surgery, 48% of the patients were able to return to their daily activities with minimal restriction, and the rest only presented partial or recreational restrictions. Considering the group without orthesis before surgery, 71% were able to maintain this condition at the end of the follow-up. The incidence of complications was 6.5% during the procedure and 23% after it. The nail distal fracture and the “cut-out” were observed in only 1% of the cases. Conclusions: The low incidence of nail distal fracture and the “cut-out”, together with the early return to the daily activities and the good quality of life and function make the short ITSTR nail fixation the treatment of choice for unstable intertrochanteric hip fractures.

Keywords : Unstable fractures; Hip; Intertrochanteric/subtrochanteric nail; Functional recovery; Quality of life.

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