Treatment standards for proximal femoral fractures in the elderly

Journal: Osteologie
ISSN: 1019-1291


Issue: Issues of 2014 (Vol. 23): Issue 1 2014 (1-72)
Pages: 22-28

Treatment standards for proximal femoral fractures in the elderly

C. Bliemel (1), D.-A. Eschbach (1), L. Oberkircher (1), U. C. Liener (2), S. Ruchholtz (1), B. Buecking (1)

(1) Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Marburg, Marburg; (2) Klinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Stuttgart


Osteoporosis, Osteosynthesis, surgical treatment, Prosthesis, Hip fracture, Proximal femoral fracture, pertrochanteric fracture


The relevance of proximal femoral fractures results from its high incidence and its mainly old and multi-morbid patient collective. Correct fracture classification is essential for a successful surgical treatment. Dependent on the fracture classification today different primary stable implants (prosthesis and osteosyntheses) are available, allowing postoperative full weight bearing of the patient. By this means a significant reduction of secondary complications related to immobilization, and therefore of mortality during inpatient stay, was achieved. The current task in care of patients with proximal femoral fractures lies in the reintegration of patients through an interdisciplinary organization of a smooth, geriatric oriented aftercare. Additionally underlying osteoporosis has to be treated. In this context a good cooperation between hospitals, geriatric aftercare and physicians in private practice is essential.

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