[Surgical treatment of proximal femoral fracture].
In Denmark, 11,000 patients with proximal femoral fractures are admitted to hospital each year, using 2.2% of the national hospitalisation capacity. The patients are generally old and have a high degree of co-morbidities. In Denmark, the 30-day mortality rate is 10%, and on an international level, reoperation rates of 10-20% are reported. This article reports on current treatment stategies, classifications and surgical techniques and presents possible guidelines. The use of specialized centres and accelerated clinical programmes in Denmark is recommended.
Palm
Henrik
H
H:S Hvidovre Hospital, Hvidovre Hoftefrakturgruppe, Ortopaedkirurgisk Afdeling. hpalm@dadlnet.dk
Krasheninnikoff
Michael
M
Jacobsen
Steffen
S
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D001863:Bone Screws; D015897:Comorbidity; D003718:Denmark / Q000453:epidemiology; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods; D006620:Hip Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000401:mortality; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011859:Radiography; D012086:Reoperation