Influencia de la calidad de reducción sobre complicaciones y funcionalidad en pacientes de edad avanzada con fractura subtrocantérea

Purpose of the study: To analyse if an optimal subtrochanteric fracture reduction relates with a decrease in postsurgical complications and better functional outcomes. Material and methods: Cohort retrospective study where we obtained presurgical and postsurgical variables, complications, degree of pain and return-to previous wandering in 1 year follow up. Results: We evaluated a total of 79 fractures. 38 of them with an optimal reduction, the remaining 41 in the group of suboptimal reduction. We didn?t observe statistical differences in complication rates but found higher bleeding in patients with a poorer fracture reduction. Opening of fracture site tends to a higher infection rate and failure of the material without being statistically significant. We found higher percentage of patients who couldn?t walk after surgery in fractures with poor reductions, being statistically significant. Conclusions: Poor fracture reduction correlates with lower functional outcomes and quality of life of the patient, without conditioning an increase in infection rate or failure of the material.