The analysis of the results of the surgical treatment of trans- and intertrochanteric fractures in the femoral bone of elderly and senile patients
DOI:
https://doi.org/10.15674/0030-59872009349-52Keywords:
fractures, femur, osteosynthesis, elderly patientsAbstract
Results of the surgical treatment of 62 patients with trans- and intertrochanteric femoral fractures, who underwent osteosynthesis of fractures in the trochanteric area with angular plates, EN8 fixing device or intraosseal blocking nails, were analysed. The patients (35 women and 27 men) were randomized into 3 groups depending on the way of their fracture fixing. The mean age of the patients was 74, ranging from 60 to 97. The received results essentially do not differ from those obtained by foreign researchers: 61 % of complications, the survival rate during the first year following fracture up to 77 %. The results of the treatment of trans- and intertrochanteric fractures of the femoral bone depend upon the supporting ability of the extremity and the patient’s activity during the early postoperative period and after his discharge from the hospital.
References
- Анкин Л.М. Практическая травматология. Европейские стандарты диагностики и лечения / Л.М. Анкин, М.Л. Анкин. — М.: Книга-плюс, 2002. — 480 с.
- Ендопротезування кульшового суглоба у хворих похилого віку при переломах проксимального відділу стегнової кістки. / Г.В. Гайко, Л.П. Кукурудза, В.П. Торчинський [та ін.] // Тотальне і ревізійне ендопротезування великих суглобів: мат. наук.-практ. конф. з міжнар. участю. — Київ–Львів, 2003. — С. 1–15.
- Герцен Г.І. Травматологія літнього віку / Г.І. Герцен, А.І. Проник, М.П. Остапчук, Амір Малкаві. — Київ: «Сталь», 2003. — 170 с.
- Травматология и ортопедия. Руководство для врачей в 3 томах. Т. 2. / Под ред. Ю.Г. Шапошникова. — М.: Медицина, 1997. — 592 с.
- Поворознюк В.В. Глюкокортикоїд-індуковагшй остеопороз. / В.В. Поворознюк, Є.М. Нейко, І.Ю. Головач. — Київ: «ТМК», 2000. — 208 с.
- Treatment of Reverse Oblique and Transverse Intertrochanteric Fractures with Use of an Intramedullary Nail or a 95° Screw-Plate. / C. Sadowski, A. Lubbeke, M. Saudan, N. Riand, R. Stern , P. Hoffmeyer // Journal of Bone and Joint Surgery America. — 2002. — 84A. — P. 372–381.
- Haidukewych G. J. Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures / G.J. Haidukewych, D.J. Berry — J. Bone and Joint Surgery America. — 2003. — 85-A(5). — P. 899–904.
- A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip. / N.J. Little, V. Verma, C. Fernando, D. [et al.] // J. Bone and Joint Surgery — British Volume. — 2008. — Vol. 90-B. — Issue 8. — P. 1073–1078.
- The standard Gammanail or the Medoff sliding plate for unstable trochanteric and subtrochanteric fractures. A RANDOMISED, CONTROLLED TRIAL / R. Miedel, S. Ponzer, H. Tornkvist [et al]. // J. Bone and Joint Surgery — British Volume. — 2005. — Vol. 87-B. — Issue 1. — P. 68–75.
- White B.L. Rate of mortality for elderly patients after fracture of the hip in the 1980’s / B.L. White, W.D. Fisher, C.A. Laurin // J. Bone and Joint Surgery. — 1987. — 69A. — P.241–248.
- Chan. Cemented Hemiarthroplasties for Elderly Patients With Intertrochanteric Fractures / Chan, K. Casey, Gill, S. Gurley // Clin. Or top. & Rel. Res. — 2000. — P. 206–215.
- Mortality and mobility after hip fracture in Japan. / M. Tsuboi, Y. Hasegawa, S. Suzuki, H. Wingstrand, K.-G. Thorngren] // J. Bone and Joint Surgery America. — 2007. — 89B. — P. 461–466.
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