[Load-stable osteosyntheses in pertrochanteric fractures of the femur (author's transl)]

Abstract

The authors report on the treatment of unstable pertrochanteric femoral fractures by means of 130 degrees angular-plate osteosynthesis using an additional traction plate against the proximal lateral femur. Patients operated by this method were able to expose the operated leg to load from the second postoperative day onwards. Practically full burdening capacity was achieved (with the help of crutch sticks) after 5.4 days. All patients were subjected to follow-up examinations 6 weeks and 3 months postoperatively. Breaking of the osteosynthesis occurred in 1 patient. In all other cases, no delayed healing of osseous fractures or breakage of material were seen. Hence, the authors conclude on the basis of their clinical observations that stability to load can be achieved by this method even in unstable pertrochanteric fractures.