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[Primary treatment of unstable pertrochanteric femoral fractures using a head-neck prosthesis in elderly patients].
- Source :
-
Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 1994 Sep 03; Vol. 138 (36), pp. 1810-3. - Publication Year :
- 1994
-
Abstract
- Objective: Evaluation of the treatment of unstable pertrochanteric femoral fractures with a femoral head prosthesis in older patients.<br />Design: Descriptive.<br />Setting: University Hospital Nijmegen, the Netherlands.<br />Method: From January 1988 through December 1992, 15 patients with 15 unstable pertrochanteric femoral fractures were treated with a femoral head prosthesis and additional wiring of the trochanter. The group consisted of 11 women and 4 men with a mean age of 86 years. Two operations were secondary treatments after broken angled-plate fixation. The other 13 were primary treatments.<br />Results: A stable fixation allowing weight-bearing was achieved in all cases. The operations were accompanied by high morbidity and mortality rates: 4 patients died within 3 months after surgery. One dislocation of the prosthesis occurred. Twelve fractures consolidated, pseudarthrosis of the greater trochanter occurred twice. Five patients regained their preoperative walking ability.<br />Conclusion: Femoral head prosthesis with additional wiring is an alternative with few mechanical complications in the treatment of unstable pertrochanteric femoral fractures.
Details
- Language :
- Dutch; Flemish
- ISSN :
- 0028-2162
- Volume :
- 138
- Issue :
- 36
- Database :
- MEDLINE
- Journal :
- Nederlands tijdschrift voor geneeskunde
- Publication Type :
- Academic Journal
- Accession number :
- 7935908