[Surgical treatment of trochanteric fractures of the femur in middle-aged and elderly patients using a bunch of metal rods].
The authors describe their experience in the treatment of 55 patients with trochanteric fractures of the femur operated with a bundle of elastic rods (after Ender). Their mean age was 80 (61-98) years. The control group comprised 83 patients who had received conservative treatment and 53 patients who had been treated surgically with a three-blade nail with diaphyseal plate. The method is characterized by low traumatism and is accompanied by little blood loss, that is why no hemotransfusion was made in most cases. The danger of infection at the fracture site is minimal as it in not exposed. A sufficiently stable fixation of the fragments allows to make an early activation of the weakened patients, which is necessary for the prevention of hypostatic complications. The operation is simple and easy; it may be successfully mastered by broad sections of the doctors; an electro-optical++ transducer is required in the operating room.
Okhotskiĭ
V P
VP
Suvalian
A G
AG
Malygina
M A
MA
D000367:Age Factors; D000368:Aged; D001858:Bone Nails; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008875:Middle Aged
Operativnoe lechenie verte'lnykh perelomov bedrennoĭ kosti u bo'lnykh pozhilogo i starcheskogo vozrasta puchkom metal- licheskikh sterzhneĭ.