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[Femoral neck fracture in the elderly--differential procedure]
A Ekkernkamp1, P A Ostermann, G Muhr
1Chirurgische Universitätsklinik und Poliklinik, BG-Kliniken Bergmannsheil, Bochum.
Zentralblatt Fur Chirurgie
|January 1, 1995
Abstract:
Recent investigations and new devices allow specific regimens in the management of dislocated femoral neck fractures. Very old, immobile patients with a bad prognosis should be treated with a femoral head prosthesis. Patients with either arthritis, osteopenia, dysplasia or rheumatoid arthritis should receive a total hip prosthesis. The remaining population (age > 65 years) with dislocated femoral neck fractures and intact acetabulum should be managed with a bipolar hemialloarthroplasty. The protrusion rate is not significant.