Proximal Femur Fractures - How Decisive are Reduction and the Chosen Implant?

Z Orthop Unfall

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn Chirurgisches Zentrum, Bonn, Deutschland.

Published: April 2024

AI Article Synopsis

  • Proximal femoral fractures are common, complex injuries that primarily affect elderly patients and require immediate and effective treatment to reduce postoperative complications and mortality rates.
  • Various surgical techniques and implant options, like cannulated screws and cephalomedullary nails, are evaluated based on the specific type of fracture.
  • Proper alignment of the fracture and accurate implant placement are crucial to ensure a successful recovery and minimize risks.

Article Abstract

Proximal femoral fractures are frequent and complex injuries requiring prompt and targeted care. Numerous treatment strategies have been described, some of which have been assessed and clinically implemented clinically. The aim of surgical is always the restoration of a pain-free and stable extremity. Mostly elderly patients are affected and treatment is associated with high postoperative complications and mortality rates. With increasing numbers of patients, the topic is of great medical and economic relevance. In this work, the choice of implants for the osteosynthesis of proximal femoral fractures - as depending on the fracture type - will be examined, as based on a review of current literature. Standard care includes cannulated screws, sliding hips screws and cephalomedullary nails. In addition, the influence of implant positioning, fracture reduction and additional measures such as cement augmentation are evaluated and discussed. Careful fracture reduction and the quality of implant positioning are paramount in order to avoid complications.

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Source
http://dx.doi.org/10.1055/a-1904-8551DOI Listing

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