Revista Brasileira de Ortopedia
versão impressa ISSN 0102-3616
MASCARENHAS, Leonardo Barros et al. Correlation between timing of surgery and the occurrence of perioperative complications in the treatment of trocantheric femoral fractures. Rev. bras. ortop. [online]. 2011, vol.46, suppl.1, pp.44-47. ISSN 0102-3616. http://dx.doi.org/10.1590/S0102-36162011000700011.
OBJECTIVE: This study aimed to verify if there is any relationship between the time of surgery and per operative complications in the treatment of intertrochanteric femoral fractures. METHOD: The records of 281 patients operated between the years of 2000 and 2009 were evaluated retrospectively. The variables taken into account were sex, age, date and mechanism of injury, time of admission, type of fracture (AO classification), pre and post-operative complica- tions, delay between trauma and surgery time, time and duration of surgery, implant used, Tip Apex Distance (TAD), and hospital stay. The cases were divided according with the start time of surgery into two groups: usual working hours (7:00 - 17:00) x non-usual working hours (17:01 - 6:59). RESULTS: Most of the surgeries were performed during working hours, at an approximate ratio of 5:1. The average time between trauma and surgery was three days. There was no statistical difference between groups (working vs. non-working hours) in relation to the average TAD, type of fracture, implant, clinical complications and mortality in one year. CONCLUSIONS: Our study demonstrates that for patients that are not admitted or operated within the first 24 hours from trauma, the time of surgery is not a relevant variable, regarding to per-operative complications. In our reality, there is no reason for operating such patients out of working hours, when all necessary resources are available.
Palavras-chave : Trocantheric Hip Fracture; Surgical Treatment; Timing of Surgery; Outcomes.