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[Pertrochanteric fractures]

K M Stürmer¹, K Dresing

¹Klinik für Unfall-, Plastische- u. Wiederherstellungschirurgie, Universität Göttingen.

Zentralblatt Fur Chirurgie

|January 1, 1995

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See all related articles

Pertrochanteric fractures are common hip injuries, particularly in older women. Optimal surgical timing and implant choice, like the Dynamic Hip Screw (DHS), are crucial for good outcomes.

Area of Science:

Orthopedic surgery
Traumatology
Geriatric medicine

Context:

Pertrochanteric fractures disproportionately affect women, often with poorer bone quality (Singh-index).
Forces at the hip joint can exceed 4.5 times body weight, influencing fracture patterns.
The classification follows the AO-ASIF Group's proposal.

Purpose:

To review current management strategies for pertrochanteric fractures.
To compare the efficacy and complication rates of different surgical implants.
To evaluate functional outcomes and mortality associated with these fractures.

Summary:

Optimal surgical intervention occurs within 6-24 hours, preferably with spinal anesthesia.
The Dynamic Hip Screw (DHS) is the most common implant in Germany (60%), while intramedullary nails are used in 15.5%.

Related Experiment Videos

Total hip arthroplasty shows good long-term results, though used in only 10% of cases. Complications include ICU stays (20%), non-surgical issues (21%), and mortality (8%).

Impact:

Despite complications, 78% of patients achieve partial or full weight-bearing post-surgery.
Standardized scoring systems are essential for comparing treatment modalities.
A follow-up study revealed a 10-15% reduction in functional status 2.7 years post-injury.