The Treatment of Trochanteric Fractures of the Femur in Old Age

概要

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In our clinic we have treated thirty-five patients over the age of sixty-five for trochanteric fracture of the femur since 1975. Eight of them were males and twenty-seven females with the average age of seventy-five and seventy-eight, respectively. Fracture was classified into stable and unstable as described by Evans. Except for one stable fracture thirty-four of them were treated operatively.Of the twenty-four fractures, treated by three cancellous screw fixation, fifteen were of the stable type and nine of the unstable type. Sixty percents of them were able to walk using crutches postoperatively, however coxa vara developed in five cases. Non-union did not occur in any of them. The remaining ten cases, most of which were unstable fractures, were treated by compression hip screw, plate and Ender nail techniques. Eighty percents of these showed good results.
西日本整形・災害外科学会の論文