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Gaceta Médica Boliviana

versión impresa ISSN 1012-2966versión On-line ISSN 2227-3662


RUILOVA SANCHEZ, Julio Cesar  y  PEREDO LAZARTE, Andres. Autologous Femoral Calcar Graft as a Buttress for Arthroplasty in Lateral hip Fractures. Gac Med Bol [online]. 2022, vol.45, n.1, pp.36-40. ISSN 1012-2966.

Hip fractures represent an important cause of morbimortality in the adult population, more than 50% correspond to lateral fractures, anc these include unstable fractures that are difficult to manage.


to analyze the clinical and radiological results of patients treatec with partial hip arthroplasty for transtrochanteric fractures, using autologous femoral calcar graft.


prospective study with a quantitative approach. The sample consisted of 11 patients with transtrochanteric hip fracture, who underwent arthroplasty using a femoral calcar graft, with a follow-up of 4 to 6 months, at the Hospital Obrero N°2 of Cochabamba. Clinical and radiological characteristics were analyzed and a description of the surgical technique was made.


the average age of the study population was 83.4 years with 63.6% female (7 patients) and 36.4% male (4 patients). According to the AO classification for lateral hip fractures, type 31A2.2 was the main one with 45.5%. More than 50% of the patients had good stability according to the Gruen zones. More than 60% evolved between good and excellent, according to the Harris scale, with an average of 83.65 (range from 67.1 to 90.8) at the third month and an average of 84.74 at the sixth month.


we believe that the treatment of lateral hip fractures using this technique can be an alternative for the management of patients with unstable fractures, with a high probability of osteosynthesis failure and mainly when the patient and relatives agree with the procedure.

Palabras clave : hip replacement arthroplasty; hip fractures; bone transplantation.

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