Intertrochanteric fracture, Postoperative pain
Conditions
Interventions
The patients were divided into test and control groups. The 33 patients in the test group were treated with Dynamic Hip Screw by minimally invasive approach of the hip, an access performed on the side
Procedure/surgery
C26.404.061.425
Sponsors
Universidade Federal do Amazonas
Universidade Federal do Amazonas
Eligibility
Age
60 Years to 100 Years
Inclusion criteria
Inclusion criteria: Been brazilian 60 years old or older Any gender Patients with intertrochanteric fracture in codition approprated to the proposal surgical procedure Patients that authorize their participation through the signing of the consent form
Exclusion criteria
Exclusion criteria: Patients who declared themselves indian; Patients with intertrochanteric fractures with obliquity reverse fracture, whose treatment with DHS is not recommended; Patients with pathological intertrochanteric fractures due to malignant or benign tumor disease; Cases in which the anesthesia team refused to perform the intraoperative analgesia protocol chosen for the study; Patients who needed blood transfusion in the immediate trans or postoperative period; Patients with low level of discernment, to answer the pre and postoperative questions, of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The study purpose was to compare two different surgical approaches for intertrochanteric fractures treatment with DHS system. The minimally invasive hip and Hardinge lateral approach. The evaluation of pain on the first postoperative day showed that the lower aggressiveness of the minimally invasive approach generates a lower pain. This was also demonstrated into active hip mobility tests on the first postoperative day (the patient was instructed to perform the flexion of the operated hip and after that, try to sit on the bed and hold this position for a few seconds). Patients submitted to minimally invasive fixation presented better performance in these tests. Postoperative pain assessment was the primary endpoint of the study; The degree of hematimetric loss is essential to evaluate the aggressiveness of a surgical technique. The comparison between the Hardinge and minimally invasive approaches demonstrated that the second one cause reduced blood cell depletion, translated by a lower hemoglobin and hematocrit loss. | — |
Secondary
| Measure | Time frame |
|---|---|
| There was no secondary outcome on this study | — |
Countries
Brazil
Contacts
Public ContactEduardo Abreu
Universidade Federal do Amazonas
Outcome results
None listed