Coxartrosis resueltas quirúrgicamente: experiencia local en un hospital de segundo nivel

Abstract

Background: osteoarthritis (OA) is the most common of chronic rheumatic diseases. There are many forms can produce osteoarthritis such as excessive overload on the normal joint, normal loading in an anatomically malformed joint, and normal loading in conjunction with metabolic diseases.
Objective: study the prevalence of coxarthrosis in patients of the traumatology and orthopedic department of the IESS Hospital in the city of Ambato, who required surgical treatment.
Subjects and methods: we analyzed a universe of 1969 patients who underwent surgery between 2014 (985 patients) and 2015 (984 patients) at the Trauma and Orthopedic Service of the IESS Hospital in the city of Ambato, in addition to inclusion criteria Age (25 to 98 years) and sex (male and female).
Results: 1969 surgeries were performed from January 2014 to December 2015, coxarthrosis grade 3-4 (n= 65), femoral fractures (n = 19), others (n = 8). Of the groups for coxopathies, 65 cases were diagnosed with coxarthrosis grade 3-4, which warranted a hip prosthesis placement. In 2014, it was determined that the patients with the highest prevalence of being diagnosed with coxarthrosis were male patients (n = 20/39; p = 0.51) in relation to the female sex (n = 19/39; p = 0.49), an increase in prevalence was noticed in 2015, since it was found to be higher in females (n = 14/26, p = 0.54) than males (n = 12/26; P = 0.46).

Conclusion: coxarthrosis is a problem of major prevalence among patients at the IESS Ambato hospital, the older it is, the more severe it is and surgical intervention is necessary, in addition women after 60 years suffer from more severe coxarthrosis.