Hemiartroplastia como tratamiento de elección para fractura intertrocanterica en el adulto mayor, breve revisión de la literatura

Abstract

Introduction: intertrochanteric fractures are among the prevailing orthopedic issues in the cohort of elderly patients. Exacerbated by situations like bone demineralization and falling incidents, it becomes imperative to establish therapeutic modalities that promote proper andlasting restoration. Objective: this review aims to synthesize the findings from literature regarding hemiarthroplasty in its role as a preferred treatment for intertrochanteric fractures in geriatricindividuals, weighing its feasibility, advantages, and potential challenges. Methodology: a meticulous bibliographic investigation was undertaken in renowned medicalrepositories, selecting relevant studies that addressed the implementation of hemiarthroplasty in the context of intertrochanteric fractures in the geriatric segment. Selection criteriaincluded clinical trials, integrative reviews, and metaanalyses published in the last decade. Results: the literature endorses hemiarthroplasty as a solvent therapeutic modality for intertrochanteric fractures in the elderly. Those subjected to this approach reflected a swift restitution, shorter hospital stays, and a reduction in post-surgical complications compared to other modalities. Unipolar and bipolar configurations demonstrated diverse benefits, according to the clinical scenario and context. Conclusions: hemiarthroplasty stands out as an exemplary protocol in the management of intertrochanteric fractures in the geriatric stratum, showcasing tangible advantages in recovery and adversity mitigation. However, the choice between unipolar and bipolarconfigurations demands a deliberation tailored to the individual patient's profile. The literary corpus confirms a favorable tilt towards hemiarthroplasty, reinforcing its status as a priority protocol.