[Importance of proximal femoral fractures in elderly patients. Results of a prospective study of 61 patients].
In a prospective study we found good results concerning postoperative complications (21%), perioperative lethality (3.2%) and lethality during hospital stay (6.5%) after implantation of dynamic hip screws (DHS) in patients with per- and subtrochanteric fractures of the femur. The ability to walk, as well as housing and social care postoperatively and follow-up for at least six months after dismissal demonstrates the importance of these fractures for the elderly. One of three patients needs professional care, 21% at home, 13% in nursing homes. Six months after operation the lethality is nearly 20%, i.e. three times higher than in hospital. These are the essential data for all techniques of osteosynthesis used in patients with these fractures, which could only be documented in prospective studies.
Mann
B
B
Chirurgische Klinik, Ev. Krankenhaus Bethesda, Duisburg.
Richthammer
M
M
Kleinschmidt
S
S
Stremmel
W
W
D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality*; D011446:Prospective Studies; D015996:Survival Rate
Die Bedeutung proximaler Femurfrakturen für den alten Menschen. Ergebnisse einer prospektiven Studie an 61 Patienten.