title: [Management of unstable fractures of the coxal femur. Selection of the appropriate osteosynthesis procedure in elderly patients].
abstract: Advantages and disadvantages of various fixation procedures for use in fractures of the femoral neck--blade-plate with temporary fixation by means of Kirschner wire insertion or dynamic hip screws--and hemi- or total allo-arthroplasty are described. The large number of fixation procedures for pertrochanteric fractures reflects the difficulty in achieving mobility and loading stability. On account of the possible intra- and postoperative complications, the highly propagated gamma nailing has proved problematic. Overall, the individual situation of the patient must be taken into account when choosing the appropriate fixation procedure.
authors.affiliation: Orthopädische Klinik und Poliklinik, Klinikum rechts der Isar, Technischen Universität München.
authors.forename: W
authors.initials: W
authors.lastname: Plötz
authors.forename: H
authors.initials: H
authors.lastname: Rechl
authors.forename: J
authors.initials: J
authors.lastname: Träger
authors.forename: R
authors.initials: R
authors.lastname: Burgkart
authors.forename: E
authors.initials: E
authors.lastname: Hipp
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005265:Femoral Neck Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male
vernacular_title: Versorgung instabiler Frakturen am koxalen Femurende. Auswahl des geeigneten osteosyntheseverfahrens beim alten Menschen.