title: [Advantage of load-bearing osteosynthesis of pertrochanteric fractures in geriatric traumatology].
abstract: The problems experienced by most patients with trochanteric fractures are caused by their advanced age, particularly multimorbidity and osteoporosis, and due to this early postoperative functional treatment is only possible with full weight-bearing ability. To avoid perforation of the femoral head by overstress and collapse of the weak cancellous bone, any stabilizing device should be designed with an H-beamed blade, providing a large load-bearing surface. In our experience the 130 degrees-Double-T-blade-Plate is an effective implant for the treatment of pertrochanteric fractures, offering high stability, a large load-bearing surface, comparable complications with those known in other devices, easy and fast implantation, and low costs.
authors.affiliation: Unfallchirurgische Klinik, Klinik am Eichert, Göppingen.
authors.forename: K
authors.initials: K
authors.lastname: Schwämmle
authors.forename: G
authors.initials: G
authors.lastname: Kelsch
authors.forename: C
authors.initials: C
authors.lastname: Ulrich
mesh_terms: D000368:Aged; D001860:Bone Plates; D001863:Bone Screws; D004434:Early Ambulation; D004867:Equipment Design; D004868:Equipment Failure; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006620:Hip Fractures / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D016474:Weight-Bearing / Q000502:physiology*
vernacular_title: Stellenwert einer belastungsstabilen Osteosynthese pertrochanterer Frakturen in der Gerontotraumatologie.