title: [Results of management of pertrochanteric comminuted fractures in the elderly with a tumor shaft endoprostheses].
abstract: Pertrochanteric fractures are typical injuries of elderly people, that can be treated with osteosynthesis in most cases. From 1984 to 1991 we performed 105 implantations of tumor-endoprosthesis in elderly patients with comminuted pertrochanteric fractures with simultaneous coxarthrosis or osteoporosis. The mean age of these patients was 82.7 years. 81.9% of the patients had concomitant systemic diseases (coronary heart disease, hypertension, diabetes etc.), 51.4% showed several risk factors. General postoperative complications were diagnosed in 63.8% of all cases, mostly nosocomial urinary tract infections, pressure sores and cardiovascular disorders. In 14.3% of the patients local (surgical) complications occurred. 83.3% of the patients were able to walk when they left the hospital, the in-hospital mortality was 13.3% (30-day-mortality 12.4%). Although primary osteosynthesis of pertrochanteric fractures with dynamic hip screw or gamma-nail show a smaller risk, implantation of a tumor-endoprosthesis can be an alternative in patients with severe osteoporosis, coxarthrosis or after instable osteosynthesis.
authors.affiliation: Abteilung für Chirurgie, Marien-Hospital Düsseldorf.
authors.forename: W
authors.initials: W
authors.lastname: Schwenk
authors.forename: M
authors.initials: M
authors.lastname: Eyssel
authors.forename: A
authors.initials: A
authors.lastname: Badke
authors.forename: W
authors.initials: W
authors.lastname: Stock
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004185:Disability Evaluation; D005260:Female; D005598:Fractures, Spontaneous / Q000401:mortality / Q000601:surgery; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D015207:Osteoarthritis, Hip / Q000401:mortality / Q000601:surgery; D010024:Osteoporosis / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D011474:Prosthesis Design; D012189:Retrospective Studies; D012307:Risk Factors; D015996:Survival Rate
vernacular_title: Ergebnisse der Behandlung pertrochantärer Trümmerfrakturen alter Menschen durch Tumorschaftendoprothesen.