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  • Title: [Management of unstable fractures of the coxal femur. Selection of the appropriate osteosynthesis procedure in elderly patients].
    Author: Plötz W, Rechl H, Träger J, Burgkart R, Hipp E.
    Journal: Fortschr Med; 1994 May 30; 112(15):218-20. PubMed ID: 8050766.
    Abstract:
    Advantages and disadvantages of various fixation procedures for use in fractures of the femoral neck--blade-plate with temporary fixation by means of Kirschner wire insertion or dynamic hip screws--and hemi- or total allo-arthroplasty are described. The large number of fixation procedures for pertrochanteric fractures reflects the difficulty in achieving mobility and loading stability. On account of the possible intra- and postoperative complications, the highly propagated gamma nailing has proved problematic. Overall, the individual situation of the patient must be taken into account when choosing the appropriate fixation procedure.
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