The article deals with experience in the treatment of 45 elderly and senile patients with acetabular fractures of the femur by means of transosseous osteosynthesis. Besides treatment by G. A. Ilizarov's method, a special device elaborated in the Department of Transosseous Synthesis, the Central Institute of Traumatology and Orthopedics, was applied in 29 patients. With this, the design and the method of osteosynthesis are described. The method suggested by the authors for osteosynthesis of acetabular fractures of the femur by means of external transosseous osteosynthesis combines two factors which are important in traumatological practice: stable fixation of the fragments and mild character of the trauma inflicted by the operative intervention, which is significant in the treatment of feeble elderly and senile patients.

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