Patients with proximal femur fractures in emergency hospital

Abstract

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.