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[Indication for prosthesis in pertrochanteric fractures]

R Ganz

    Helvetica Chirurgica Acta
    |December 1, 1978
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    This summary is machine-generated.

    Trochanteric fractures often require total hip replacement, especially with existing hip osteoarthritis. For simpler fractures in older patients, hip replacement may be preferred over internal fixation.

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    Area of Science:

    • Orthopedic surgery
    • Traumatology

    Background:

    • Trochanteric fractures are common hip injuries.
    • Osteoarthritis of the hip joint can complicate fracture management.

    Purpose of the Study:

    • To outline treatment strategies for trochanteric fractures.
    • To discuss the role of total hip replacement in managing these fractures, particularly with concomitant osteoarthrosis.

    Main Methods:

    • Review of treatment options for trochanteric fractures.
    • Analysis of indications for total hip replacement versus internal fixation.

    Main Results:

    • Total hip replacement is indicated for trochanteric fractures with hip joint osteoarthrosis.
    • Internal fixation is standard for trochanteric fractures in normal hips.
    • Hip replacement may be considered for simple fractures in elderly patients.

    Conclusions:

    • Treatment choice depends on fracture severity and joint condition.
    • Total hip replacement effectively addresses both fracture and degenerative joint disease.
    • Surgical time and complexity should be comparable to standard internal fixation methods.