[Role of neck-head arthroplasty in the treatment of per-trochanteric fractures after the age of 70. Apropos of 140 cases].
The authors compare the results obtained in two series of trochanteric fractures in patients aged more than 70 years. In the first series, the fractures in 64 patients were all treated by nail-plate fixation. In the second series, fractures in 76 patients were treated either by nail-plate fixation (39 cases) or insertion of a prosthesis (37 cases). Prostheses were inserted in unstable fractures. It is concluded that, in all main respects, the results in unstable fractures were better after prostheses than after fixation. This finding is thought to be due to the greater speed of the operation and the possibility of early weight bearing.
D000368:Aged; D001858:Bone Nails / Q000009:adverse effects; D001860:Bone Plates / Q000009:adverse effects; D001863:Bone Screws / Q000009:adverse effects; D005264:Femoral Fractures / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006801:Humans; D007595:Joint Prosthesis / Q000009:adverse effects; D011183:Postoperative Complications / Q000401:mortality
Place de l'arthroplastie cervico-céphalique dans le traitement des fractures per-trochantériennes après 70 ans. A propos de 140 observations.