[Differentiated therapy of proximal femoral fractures].
The operative therapy of 95 proximal femur fractures is reported, which were treated in the Kreiskrankenhaus St. Ingbert/Saar in the time from January 1st 1990 to June 30th 1991. Femoral neck fractures mainly were treated operatively by endoprosthetic replacement with hemiarthroplasty or hip total endoprosthesis. For per- to subtrochanteric femur fractures the use of the dynamic hip screw (DHS) was the treatment of choice, partly with screwing up the trochanter minor, cerclage of the trochanter major and/or with stabilization by bone cement in addition. Despite of a very high average age of the patients and a high rate of mostly severe basic illness for 80% of the fractures a sufficient stability was achieved to allow full weight bearing. 76.8% of the patients could be discharged directly from the surgical treatment. The therapeutic procedure is compared with the recommendations found in the literature. Different conceptions are discussed.
Mischo
J
J
Chirurgische Abteilung, Kreiskrankenhauses St. Ingbert/Saar.
Frobin-Klein
H
H
Lindemann
M
M
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality / Q000601:surgery*; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D015996:Survival Rate
Die differenzierte Therapie proximaler Femurfrakturen.