Methods of operative treatment of proximal femur fractures in elderly patients with osteoporosis.
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.
Orłowski
Jan
J
Klinika Chirurgii Urazowej Narzadu Ruchu, CMKP, Warszawa; Samodzielny Publiczny Szpital Kliniczny im. Prof. Adama Grucy, Otwock.
Rylski
Waldemar
W
Grys
Grzegorz
G