title: Methods of operative treatment of proximal femur fractures in elderly patients with osteoporosis.
abstract: Introduction. Progressive osteoporosis as a cause of bone fractures is a serious clinical and social problem.<br /> Material and methods. We studied 465 elderly patients treated surgically for fractures of the proximal femur. 3rd and 4th-degree fractures of the femoral neck according to the Garden scale were operated by Austin-Moore hemiarthroplasty or total hip replacement. In unstable peritrochanteric fractures, intramedullary Gamma nail osteosynthesis was applied in 69 patients, which allows for early mobilization and full weight-bearing. This method minimizes possible complications and mortality. <br /> Results. There were no fatal complications during post-surgery hospitalization. Two patients over 80 years of age suffered decubitus ulcers. Re-osteosynthesis was not required after intramedullary Gamma nail osteosynthesis. In long-term follow-up we observed two failures after union of femoral neck fracture in younger patients.
authors.affiliation: Klinika Chirurgii Urazowej Narzadu Ruchu, CMKP, Warszawa; Samodzielny Publiczny Szpital Kliniczny im. Prof. Adama Grucy, Otwock.
authors.forename: Jan
authors.initials: J
authors.lastname: Orłowski
authors.forename: Waldemar
authors.initials: W
authors.lastname: Rylski
authors.forename: Grzegorz
authors.initials: G
authors.lastname: Grys