Open AccessPatients with proximal femur fractures in emergency hospital
Author(s) -
V. P. Okhotskiy,
С. В. Сергеев,
M. A. Maligina,
V. P. Pirushkin
Publication year - 1995
Publication title -
vestnik travmatologii i ortopedii imeni n.n. priorova
Language(s) - English
Resource type - Journals
eISSN - 2658-6738
pISSN - 0869-8678
DOI - 10.17816/vto99558
Subject(s) - medicine , femur , osteosynthesis , surgery , fixation (population genetics) , rehabilitation , physical therapy , population , environmental health
The treatment efficiency in elderly and senile patients with proximal femur fractures directly depends on timely hospitalization and the performance of primary osteosynthesis during the first 3 days after trauma. One hundred thirty patients with femoral neck fractures were operated on using three-paddles nails including diaphyseal plate (95), angular plates and dynamic compressive screw with diaphyseal strap (25), Seppo fixative (10). Postoperative lethality was 3,08%. Good long term functional result was achieved in 80% of cases. The trochanteric and subtrochanteric fractures (182) were operated on using elastic curved nails (90), Bakicharov fixatives (32), three-paddles nails with diaphyseal straps and dynamic compressive screws (40), Kuncher joint-pins (15), Sivash screw-pins (5). Postoperative lethality was 7,14%. Positive long term results were observed in 85% of cases. The emergent primary osteosynthesis in elderly and senile patients with proximal femur fractures is the life-saving procedure aimed at the prevention of hypostatic complications, restoration of limb function and social rehabilitation.