title: [Management of femoral neck fracture with an intermediate (dual head) prosthesis in geriatric surgery].
abstract: Between 1980 and 1989 in 195 elderly patients with fractures of the femoral neck a duo-cup endoprosthesis was inserted. The average age was 78 years, most of them were high risk patients with sometimes more than 2 preexisting diseases. The hospital mortality after hip replacement was 9.7%, specific complications like protrusio acetabuli and shaft fractures were not observed. In 2 cases immediate postoperative luxation required reintervention. The incidence of infection was significantly reduced to 2.4% after antibiotic therapy. When discharged from hospital, 86% had a good functional result. We regard hemiarthroplasty with duo-cup endoprosthesis as an acceptable alternative to total hip replacement in elderly patients with fractures of the femoral neck.
authors.affiliation: Abteilung für Allgemein- und Unfallchirurgie, Heinrich-Heine-Universität Düsseldorf.
authors.forename: A G
authors.initials: AG
authors.lastname: Kaschner
authors.forename: J
authors.initials: J
authors.lastname: Raunest
authors.forename: E
authors.initials: E
authors.lastname: Derra
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D011474:Prosthesis Design; D011475:Prosthesis Failure
vernacular_title: Die Versorgung der Schenkelhalsfraktur mit einer Intermediär- (Duo-Kopf-) Prothese in der Alterschirurgie.