[Treatment of unstable intertrochanteric fractures of the femur by valgus osteosynthesis: biomechanical considerations, experimental studies and clinical applications].
Unstable intertrochanteric fractures of the femur in aged patients require a primarily full weight-bearing stabilization because of the high vital risk due to immobilization. It was shown by experimental findings that valgus osteosynthesis with 160 degrees angled plate fixation and more or less medial displacement of the shaft fragment is rigid enough for full weight-bearing mobilization. With this procedure we achieved good clinical results. The very low lethality of only 10% in 30 patients with an average age of 78,6 years seem to make valgus osteosynthesis in the treatment of unstable intertrochanteric fractures the method of choice in aged patients.
D000368:Aged; D005264:Femoral Fractures / Q000628:therapy*; D005593:Fracture Fixation, Internal; D005596:Fractures, Closed; D006801:Humans
Behandlung instabiler pertrochantärer Femurfrakturen mit der Valgisationsosteosynthese: Biomechanische Uberlegungen, experimentelle Untersuchungen und klinische Anwendung.