{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T05:24:30Z","timestamp":1774761870488,"version":"3.50.1"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T00:00:00Z","timestamp":1710979200000},"content-version":"vor","delay-in-days":49,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo:\u2003As fraturas de quadril em idosos s\u00e3o as que mais impactam na sa\u00fade do paciente e est\u00e3o associadas a muitas complica\u00e7\u00f5es, levando a redu\u00e7\u00e3o da capacidade funcional, da qualidade de vida e da expectativa de vida. O nosso trabalho visa trazer mais dados epidemiol\u00f3gicos sobre os desfechos dessas fraturas em nonagen\u00e1rios em uma grande cidade atendidos em um hospital terci\u00e1rio.<\/jats:p><jats:p>\n          M\u00e9todos:\u2003O trabalho foi realizado atrav\u00e9s de revis\u00e3o de prontu\u00e1rios e entrevistas.<\/jats:p><jats:p>\n          Resultados:\u2003Foram realizadas 82 cirurgias em 76 pacientes nesse per\u00edodo. A m\u00e9dia de idade foi de 92,5 anos, 90% eram mulheres e ficaram 10,4 dias internados. A cirurgia foi realizada em m\u00e9dia 2,3 dias ap\u00f3s a interna\u00e7\u00e3o. Do total, 46 fraturas foram trocant\u00e9ricas (56%) e 34 do colo do f\u00eamur (41,5%). Foram realizadas 41 cirurgias com a t\u00e9cnica da haste cefalomedular curta (50%) e 18 artroplastias parcial de quadril (22%). Durante a interna\u00e7\u00e3o, 46 pacientes (55%) n\u00e3o apresentaram complica\u00e7\u00f5es, excluindo epis\u00f3dios de delirium, e 7 pacientes (9% dos casos) evolu\u00edram para \u00f3bito. 42 pacientes j\u00e1 fecharam 1 ano ap\u00f3s cirurgia: 56% est\u00e3o vivos e 44% evolu\u00edram para \u00f3bito.<\/jats:p><jats:p>\n          Conclus\u00f5es:\u2003O tratamento de fraturas de quadril em pacientes idosos \u00e9 desafiador. O nosso objetivo deve estar focado em ajudar esses idosos a receber um tratamento r\u00e1pido e menos agressivo poss\u00edvel e a mobilizar precocemente. Esperamos que, com os dados apresentados nesse trabalho, possamos entender melhor acerca das caracter\u00edsticas da nossa popula\u00e7\u00e3o nonagen\u00e1ria v\u00edtimas de fratura de quadril e buscar o melhor tratamento poss\u00edvel para esses pacientes.<\/jats:p>","DOI":"10.1055\/s-0044-1779684","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T23:44:32Z","timestamp":1711064672000},"page":"e88-e92","source":"Crossref","is-referenced-by-count":0,"title":["Avalia\u00e7\u00e3o do tratamento cir\u00fargico de pacientes acima de 90 anos com fraturas de quadril e sua morbimortalidade"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9120-6562","authenticated-orcid":false,"given":"Daniela","family":"Burgu\u00eaz","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital S\u00e3o Lucas da PUCRS, Porto Alegre, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6637-5284","authenticated-orcid":false,"given":"Rangel","family":"Menegatti","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital S\u00e3o Lucas da PUCRS, Porto Alegre, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5084-9879","authenticated-orcid":false,"given":"Felipe Odeh","family":"Susin","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital S\u00e3o Lucas da PUCRS, Porto Alegre, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5357-0010","authenticated-orcid":false,"given":"Lauro Manoel Etchepare","family":"Dornelles","sequence":"additional","affiliation":[{"name":"Servi\u00e7o de Ortopedia e Traumatologia, Hospital S\u00e3o Lucas da PUCRS, Porto Alegre, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9303-7237","authenticated-orcid":false,"given":"Osvaldo Andr\u00e9","family":"Serafini","sequence":"additional","affiliation":[{"name":"Faculdade de Medicina, Pontif\u00edcia Universidade Cat\u00f3lica do Rio Grande do Sul (PUCRS), Porto Alegre, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,3,21]]},"reference":[{"issue":"02","key":"ref1","first-page":"395","article-title":"Fraturas do f\u00eamur proximal no idoso: estudo de custo da doen\u00e7a sob a perspectiva de um hospital p\u00fablico no Rio de Janeiro, Brasil","volume":"21","author":"R A Fernandes","year":"2011","journal-title":"Acta Ortop\u00e9dica Brasileira"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1590\/S1413-78522009000500012","article-title":"Fraturas proximais do f\u00eamur em idosos: qual o melhor tratamento?","volume":"17","author":"L P Lustosa","year":"2009","journal-title":"Acta Ortop Bras"},{"key":"ref3","first-page":"57","article-title":"Influence of proximal femur fractures in the autonomy and mortality of elderly patients submitted to osteosynthesis with cephalomedullary nail","volume":"52","author":"R SB Petros","year":"2017","journal-title":"Rev Bras Ortop"},{"issue":"06","key":"ref4","first-page":"195","article-title":"Fratura da extremidade proximal do f\u00eamur em idosos: independ\u00eancia funcional e mortalidade em um ano","volume":"41","author":"U Cunha","year":"2006","journal-title":"Rev Bras Ortop"},{"issue":"186","key":"ref5","first-page":"45","article-title":"Hip fracture mortality. 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