The authors report their experience of the systematic use of a monobloc pin-plate in fractures of the trochanteric region in the elderly. The review of a series of 100 cases with a mortality of 16% demonstrates that this technique ensures excellent results compared with other published series. The biomechanical reliability of the monobloc pin-plate allows immediate weight-bearing in all patients. The technical simplicity and the better preoperative preparation of elderly patients allows an improvement in the postoperative course and consequently in patient survival. This operative technique can be proposed routinely with no restrictions.
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