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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(03): 511-520
DOI: 10.1055/s-0041-1732392
Artigo Original

Substituição do calcar cimentado versus hemiartroplastia de haste longa cimentada em fraturas intertrocantéricas instáveis em octogenários

Article in several languages: português | English
Kavin Khatri 
1   Departamento de Ortopedia, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Ravinder Kumar Banga 
2   Departamento de Ortopedia, Government Medical College, Patiala, Punjab, India
,
Neeraj Malhotra 
3   Departamento de Ortopedia, Government Medical College, Amritsar, Punjab, India
,
Deepak Bansal 
4   Departamento de Ortopedia, AIMC Bassi Hospital, Ludhiana, Punjab, India
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Resumo

Objetivo O objetivo do presente estudo foi comparar os resultados funcionais após a substituição do Calcar cimentado em comparação com a hemiartroplastia cimentada de haste longa em pacientes com mais de 80 anos com fratura intertrocantérica instável.

Métodos O presente estudo prospectivo e randomizado incluiu 140 pacientes com fratura de fêmur intertrocantérica, conforme classificação AO/OTA tipo 31-A2, A3, randomizados em 2 grupos de tratamento e acompanhados por um período mínimo de 2 anos. Sessenta e sete pacientes do grupo A foram tratados com uma prótese de substituição do calcar cimentada e 65 pacientes do grupo B foram tratados com uma prótese femoral de haste longa cimentada. Os desfechos primários foram as funções do quadril em 2 anos. Os eventos secundários foram as complicações encontradas, a mortalidade, o tempo cirúrgico, segunda cirurgia, perda de sangue e as atividades do cotidiano.

Resultados Não houve grandes diferenças entre os grupos em termos de função do quadril, qualidade de vida (relacionada à saúde), segunda cirurgia, mortalidade e perda de sangue. No entanto, a função da articulação do quadril e as atividades da vida diária se deterioraram em ambos os grupos em comparação com os níveis pré-fratura.

Conclusão Nos octogenários com fratura intertrocantérica instável, a prótese de substituição do calcar cimentada apresentou resultados clínicos semelhantes em comparação com a hemiartroplastia de haste longa cimentada. A hemiartroplastia com qualquer um dos implantes é uma boa opção nesse subgrupo de pacientes. Nível de evidência: I

Palavras-chave

hemiartroplastia - fraturas do quadril - artroplastia de quadril - prótese de quadril

Suporte Financeiro e Material

Suporte financeiro e material foi fornecido pela administração do Hospital AIMC Bassi, Ludhiana, Punjab. Pincode-151001


Trabalho desenvolvido no Hospital Mediways, Ludhiana, Punjab, Índia.




Publication History

Received: 07 January 2021

Accepted: 08 March 2021

Article published online:
11 September 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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