[Trochanteric and subtrochanteric fractures]

Chirurg. 2018 Oct;89(10):837-848. doi: 10.1007/s00104-018-0714-2.
[Article in German]

Abstract

Proximal femoral fractures are one of the most common fractures, particularly in older people. The most common cause is a falling event due to dizziness and gait insecurity. In most cases prompt surgical treatment is necessary to achieve early mobilization and to reduce the risk of mortality. The aim is a stable osteosynthesis and patient-centered care. A great variety of implants are available for this purpose. Furthermore, perioperative management is important to prevent further problematic events, such as delirium, reoccurrence of falling events and to diagnose and adequately treat a pre-existing osteoporosis.

Keywords: Aged; Extramedullary plates; Intramedullary nailing; Osteosynthesis; Proximal femoral fractures.

MeSH terms

  • Accidental Falls
  • Aged
  • Aged, 80 and over
  • Bone Nails
  • Femoral Fractures* / surgery
  • Fracture Fixation, Internal
  • Fracture Fixation, Intramedullary*
  • Hip Fractures* / surgery
  • Humans