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Journal Abstract
 
Methods of operative treatment of proximal femur fractures

in elderly patients with osteoporosis

Jan Orłowski, Waldemar Rylski, Grzegorz Grys
Ortop Traumatol Rehabil 2002; 4(2):151-156
ICID: 16162
Article type: Original article
IC™ Value: 5.85
Abstract provided by Publisher
 
Introduction. Progressive osteoporosis as a cause of bone fractures is a serious clinical and social problem.
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.
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

ICID 16162
PMID 18034079 - click here to show this article in PubMed


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