Manejo y presentación de las fracturas transtrocantéricas de cadera durante la pandemia de COVID-19 en un hospital de tercer nivel de atención.

IF 0.5 4区医学 Q4 SURGERY Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI:10.24875/CIRU.22000399

Gustavo Rivera-Saldívar, Chantal Alejandra Martínez-González

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引用次数: 1

Abstract

Background: The prevalence of intertrochanteric hip fractures is approximately 30%. The usual management of hip fractures is performed by dynamic hip screw (DHS) or central medullary nailing (CMN). The COVID-19 pandemic has changed medical treatment guidelines in all specialties around the world.

Objective: To recognize the prevalence and management of unstable trochanteric hip fractures during the COVID-19 pandemic.

Method: An observational study was conducted in a third-level care hospital in patients with fractures of type AOOTA 31A2.1 and A2.2 managed with CMN or DHS. The management trends by orthopedic surgeons were analyzed.

Results: The prevalence during 2019 was 38%, in 2020 it was 21.3% and in 2021 it was 32.6%. The male-to-female ratio found was 1:1.7. The age was 66.48 ± 21.6 years (range: 17-92). Of orthopedic surgeons surveyed, 80.4% preferred CMN.

Conclusions: The prevalence decreased during 2020. The treatment trend during the pandemic was higher for the DHS system; the use of CMN decreased by 86%. The treatment of intertrochanteric hip fractures was influenced due to the COVID-19 pandemic towards a cheaper method.

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三级护理医院COVID-19大流行期间髋关节经轴骨折的管理和表现。

背景:股骨粗隆间髋部骨折的发生率约为30%。髋部骨折的常用治疗方法是动态髋螺钉(DHS)或中央髓内钉(CMN)。COVID-19大流行改变了世界各地所有专业的医疗指南。目的:了解新冠肺炎大流行期间不稳定股骨粗隆骨折的患病率及治疗方法。方法:在某三甲医院对采用CMN或DHS治疗的AOOTA 31A2.1和A2.2型骨折患者进行观察性研究。分析骨科医生的治疗趋势。结果:2019年患病率为38%，2020年为21.3%，2021年为32.6%。男女比例为1:7 .7。年龄66.48±21.6岁(范围:17 ~ 92岁)。在接受调查的骨科医生中，80.4%的人更喜欢CMN。结论:2020年患病率有所下降。大流行期间，DHS系统的治疗趋势较高;CMN的使用减少了86%。由于COVID-19大流行，影响髋粗隆间骨折的治疗，采用更便宜的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cirugia Y Cirujanos 医学-外科

CiteScore

0.90

自引率

20.00%

发文量

207

审稿时长

6-12 weeks

期刊介绍： Cirugía y Cirujanoses exponente del desarrollo académico, científico, médico, quirúrgico y tecnológico en materia de salud en México y en el ámbito internacional. Es una revista bimestral, open access, revisada por pares, que publica en español y en inglés (traducido sin coste para los autores) artículos científicos originales, casos clínicos, artículos de revisión de interés general y cartas al editor. Los artículos se seleccionan y publican siguiendo un riguroso análisis, de acuerdo con los estándares internacionalmente aceptados. Sus espacios están abiertos a los académicos, así como a todo miembro de la comunidad médica que manifieste interés por utilizar este foro para publicar sus trabajos.