[Fractures of the trochanter region in elderly patients. A new solution (author's transl)]

A new solution to the problem of fractures of the trochanter region in elderly patients is based on an original anatomophysiological concept. A specific approach to the cervico-diaphyseal region has been developed which simplifies the introduction of a prosthesis supported by the diaphysis, by employing a sub-trochantirian osteotomy. The trochanter major is conserved, reset, and fixed solidly to the wing of the prosthesis by a large bolt, enabling regular rapid consolidation of the osteotomy and immediate stability, with the possibility of walking after several days and thus avoiding usual complications of prolonged decubitus. Results are comparable in every respect with those obtained using prostheses with cervical supports.