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Fortschr Med. 1994 May 30;112(15):218-20.

[Management of unstable fractures of the coxal femur. Selection of the appropriate osteosynthesis procedure in elderly patients].

[Article in German]

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Orthopädische Klinik und Poliklinik, Klinikum rechts der Isar, Technischen Universität München.


Advantages and disadvantages of various fixation procedures for use in fractures of the femoral neck--blade-plate with temporary fixation by means of Kirschner wire insertion or dynamic hip screws--and hemi- or total allo-arthroplasty are described. The large number of fixation procedures for pertrochanteric fractures reflects the difficulty in achieving mobility and loading stability. On account of the possible intra- and postoperative complications, the highly propagated gamma nailing has proved problematic. Overall, the individual situation of the patient must be taken into account when choosing the appropriate fixation procedure.

[Indexed for MEDLINE]

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