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Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: as the population pyramid gets inverted, more active and longer lives are lived, geriatric patients with high energy trauma (HET) become more frequent; requiring more resources, getting worse results with more perioperative complications, coupled with a fragile state of health and osteopenia, make these fractures difficult to manage. With the hypothesis that the incidence of pelvic and acetabular fractures in the elderly due to HET is higher than that reported in the world literature, the research question was generated: What is the incidence of pelvic and acetabular fractures in the elderly due to HET, in a 5-year period? Material and methods: with the authorization of the Ethics Committee, an observational study of a retrospective cohort was carried out, using medical records, identifying the incidence of these fractures, surgically treated in our institution Clínica Las Vegas, Medellin, Colombia, a level III hospital, from July 1, 2016 to June 30, 2021. Results: a cumulative incidence of 1.95 new cases per 100,000 person-years was calculated, a prevalence of 13.8%; resulting in a higher incidence and prevalence, confirming our hypothesis. Conclusion: treatment should be aimed at improving quality of life with stable fixation, identification and treatment of associated injuries, minimizing the risk of mechanical complications and prioritizing the reinforcement of preventive measures, also in the improvement of male role behavior, whom, as it seems, will keep carrying out risky activities despite their age. [ABSTRACT FROM AUTHOR]

Copyright of Cultura, Ciencia y Deporte is the property of Cultura, Ciencia y Deporte and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To establish the prevalence of delirium in patients with hip fracture in the Orthopedic Surgery Service of the Hospital Universitario Dr. Jose E. González from October 2008 to May 2009. Methods: Descriptive, cross-sectional and prospective study in the population of patients over 60 years admitted to the Orthopedic Surgery Service with a diagnosis of hip fracture during an eight-month period. Delirium was evaluated by the Confusion Assessment Method (CAM) and DSM IV criteria, during hospitalization and by a phone call one month after the discharge date. Results: The sample consisted of 74 analyzed patients with a mean age of 79.47 years; predominantly female (74.3%), the average duration of stay was of 14.68 days, with a delirium prevalence of 37.8% and a final mortality of 17.6%. No differences were found between groups; patients with delirium were older, which correlates with the pathology (average age: delirium= 84 years, without delirium= 77 years/p= 0.0016; Rho= 0,347/p= 0,002). Conclusions: The prevalence of delirium found is similar to that reported in other studies. However, a shorter hospital stay was observed, and an increased mortality for both groups, during hospitalization and after one month of stay, in the group of patients that developed delirium. [ABSTRACT FROM AUTHOR]

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

El artículo examina la conducta de la paciente con cesárea previa durante el trabajo de parto. Se investigan los motivos de la primera cesárea, como estenosis pelviana, pelvis fracturada o placenta previa. El artículo sigue con una descripción de la técnica operatoria y la condición de la mujer posparto. El artículo concluye con una lista de lo que se debe y no se debe hacer durante el trabajo de parto.

Multiple injured patients account for some of the biggest and most complex problems a trauma surgeon has to face in his daily routine; thus, applying orthopedic damage control (DCO) is important. Multiple injured patients treated at the Medical Red Cross Medical Trauma Center were reviewed, in the period comprised between June 2006 and July 2007. One-hundred cases with long bone and pelvis fractures, ranging between 10 and 75 years old, 21 women (21%) and 79 men (79%); the most common trauma mechanism was patients falling from a height above 2 meters (33%). The most frequently affected bone was the femur with 43 fractures AO32B. The most common open fracture was that of the tibia the (18 IIIB AO 42B). Six amputations were carried out, most commonly CDO used was external fixation (44), cases of fat embolism (2) deceased (3). The results were satisfactory with the usage of DCO. [ABSTRACT FROM AUTHOR]

Pelvic fractures are generally results of high-energy mechanisms. Associated injuries are common and the patient frequently presents sources of hemorrhage, requiring operative or interventional management. Initial management by the general surgeon is recommended. However, it is necessary that the orthopedic surgeon provides the general surgeon of certified suggestions of intra- and postoperative management: multidisciplinary approach coordinated with the orthopedic surgeon offers the best outcome. This paper pretends to unify the initial management of pelvis fractures at the Hospital Central Militar, recomemmeding the initial approach and treatment by the general surgeon, and an intra-and postoperative collaboration from the orthopedic surgeon. [ABSTRACT FROM AUTHOR]