title: [Selection of a rational method of surgical treatment of patients with proximal femoral fractures].
abstract: In the military hospital of traumatology and orthopaedics, Military Medical Academy from 2007 to 2009, was operated on 88 patients with fractures of the proximal femur, whose average age was 77.4 +/- 3.8 years. Selection of the optimal surgical procedure was performed according to the type of fracture of the proximal femur and bone quality (presence or absence of osteoporosis and its degree of severity). In addition, when choosing a surgical treatment to take into account patients' age, time elapsed since injury, general condition, the presence and severity of manifestations related diseases, as well as the patient's request for quality of life. Excellent functional results in this clinical group were obtained in 19.4% patients, good--in 16.1% patients, satisfactory--in 25.8% cases and 38.7% victims were regarded as unsatisfactory.
authors.forename: V M
authors.initials: VM
authors.lastname: Shapovalov
authors.forename: V V
authors.initials: VV
authors.lastname: Khominets
authors.forename: S V
authors.initials: SV
authors.lastname: Mikhaĭlov
authors.forename: D A
authors.initials: DA
authors.lastname: Shakun
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005592:Fracture Fixation / Q000379:methods*; D005593:Fracture Fixation, Internal / Q000379:methods; D006801:Humans; D009984:Orthopedic Fixation Devices; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D015599:Trauma Severity Indices; D016896:Treatment Outcome