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  • Title: [Importance of proximal femoral fractures in elderly patients. Results of a prospective study of 61 patients].
    Author: Mann B, Richthammer M, Kleinschmidt S, Stremmel W.
    Journal: Aktuelle Traumatol; 1994 Apr; 24(2):52-5. PubMed ID: 8197901.
    Abstract:
    In a prospective study we found good results concerning postoperative complications (21%), perioperative lethality (3.2%) and lethality during hospital stay (6.5%) after implantation of dynamic hip screws (DHS) in patients with per- and subtrochanteric fractures of the femur. The ability to walk, as well as housing and social care postoperatively and follow-up for at least six months after dismissal demonstrates the importance of these fractures for the elderly. One of three patients needs professional care, 21% at home, 13% in nursing homes. Six months after operation the lethality is nearly 20%, i.e. three times higher than in hospital. These are the essential data for all techniques of osteosynthesis used in patients with these fractures, which could only be documented in prospective studies.
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