Epidemiologia das fraturas intertrocantéricas do fêmur
DOI:
https://doi.org/10.33233/fb.v10i1.1499Abstract
As fraturas intertrocantéricas do fêmur ocorrem normalmente na população idosa e o número de novas fraturas cresce devido ao aumento na expectativa de vida. O objetivo deste estudo foi realizar uma revisão sobre aspectos epidemiológicos de prevenção e reabilitação das fraturas intertrocantéricas do fêmur no idoso. Foi realizada uma revisão da literatura de artigos em português, inglês e espanhol, dos últimos 10 anos, sobre a incidência, fatores de risco, prevenção, tratamento, taxa de mortalidade e morbidade das fraturas intertrocantéricas do fêmur. As fraturas do quadril são consideradas atualmente como um problema de saúde pública e a segunda principal causa de hospitalização do idoso, o que provoca aumento nos gastos com os serviços de saúde. Apesar da constante evolução do tratamento cirúrgico, as taxas de morbidade e mortalidade continuam elevadas. No primeiro ano pós-fratura a expectativa de vida reduz de 15% a 20% e a taxa de mortalidade pode chegar a 50%. Vários fatores podem predispor o idoso a apresentar a fratura intertrocantérica, como a osteoporose, diminuição da acuidade visual, menopausa, dentre outros. A visão multidisciplinar envolvendo a atenção de outros especialistas além do ortopedista é de fundamental importância para a boa evolução clínica dos pacientes.
Palavras-chave: fraturas do quadril, incidência, morbidade, mortalidade.
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