Treatment of osteoporotic pertrochanteric fractures with use of elastic Ender nails in aged people.
BACKGROUND
Proximal femur fractures are often the first symptom of osteoporosis in old people. Proximal femur fractures in the sequence of minimal trauma are as the rule multifragmental and covers peritrochanteric part. We reviewed effectiveness of Ender technique in aged people with coexisting ostoporosis.<br />


METHODS
In 1995-2001 114 patients with osteoporotic peritrochanteric fractures were treated with Ender technique. In our group of patients before operation coexisted in 27 diabetes mellitus, in 52 arteriosclerosis and in 29 patient in different degree senile dementia. We evaluated 76 patient after 6, 12, 18 weeks and 12 months post operatively. We examined range of hip motion and way of walking, on x-rays we evaluated the healing of fracture and shaft-neck angel. <br />


RESULTS
Clinical and radiological evaluation of named group showed a very good result in 45 (60%), a good result in 20 (28%) and a poor results in 11 (12%) of operated patients. The fracture healing occurred in all named group in 84% of patient in 10-24 weeks (mean 17 weeks).<br />


CONCLUSIONS
Elastic Ender nailing is a technique of choice in the treatment of aged people with osteoporosis and passed medical history. The best result of operative treatment were achieved in patient operated in <br /> 1 day after trauma, with high physical and mental dexterity before trauma.
Kedzierski
Michał
M
Katedra i Klinika Ortopedii i Traumatologii PAM, Szczecin.
Król
Roman
R