[Hip Zespol fixator in osteosynthesis for trochanteric fracture]

Over 250 proximal femur fractures (ones) have been treated in Department with hip Zespol fixator since 1987. There were 159 trochanteric (44 stable and 114 unstable) fractures in this group. Mean patient age at operation was 71 years. Thirty-four patients died before bony union had been achieved. One hundred-thirteen cases have been reviewed. In 101 patients the fracture healed without complications, in 12 cases reoperation was required due to fixator failure. The study confirms the need for anatomic reduction, proper surgical technique and most of all weight bearing restriction till radiographically confirmed union.