Patients with proximal femur fractures in emergency hospital
- Authors: Okhotskiy V.P.1, Sergeev S.V.1, Maligina M.A.1, Pirushkin V.P.1
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Affiliations:
- Moscow Institute of Emergency Medicine. N.V. Sklifosovsky
- Issue: Vol 2, No 1-2 (1995)
- Pages: 3-7
- Section: Original study articles
- URL: https://journals.rcsi.science/0869-8678/article/view/99558
- DOI: https://doi.org/10.17816/vto99558
- ID: 99558
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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.
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##article.viewOnOriginalSite##About the authors
V. P. Okhotskiy
Moscow Institute of Emergency Medicine. N.V. Sklifosovsky
Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow
S. V. Sergeev
Moscow Institute of Emergency Medicine. N.V. Sklifosovsky
Email: info@eco-vector.com
Russian Federation, Moscow
M. A. Maligina
Moscow Institute of Emergency Medicine. N.V. Sklifosovsky
Email: info@eco-vector.com
Russian Federation, Moscow
V. P. Pirushkin
Moscow Institute of Emergency Medicine. N.V. Sklifosovsky
Email: info@eco-vector.com
Russian Federation, Moscow