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Stellenwert einer belastungsstabilen Osteosynthese pertrochanterer Frakturen in der Gerontotraumatologie

  • K. Schwämmle
  • G. Kelsch
  • C. Ulrich
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

The Value of Static-Load Osteosynthesis of Pertrochanteric Fractures in Gerontotraumatology

Summary

The problems experienced by most patients with trochanteric fractures are caused by their advanced age, particularly multimorbidity and osteoporosis, and due to this early postoperative functional treatment is only possible with full weight-bearing ability. To avoid perforation of the femoral head by overstress and collapse of the weak cancellous bone, any stabilizing device should be designed with an H-beamed blade, providing a large load-bearing surface. In our experience the 130°-Double-T-blade-Plate is an effective implant for the treatment of pertrochanteric fractures, offering high stability, a large load-bearing surface, comparable complications with those known in other devices, easy and fast implantation, and low costs.

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Literatur

  1. 1.
    Kreusch-Brinker R (1992) Vergleichende biomechanische Untersuchungen zur Dauerschwingfestigkeit trochanterer Femurosteotomien. Habilitation FU BerlinGoogle Scholar
  2. 2.
    Teubner E, Tümmers J (1983) Die belastungsstabile Osteosynthese instabiler per- und subtrochante-rer Oberschenkelfrakturen mit der 130°-Doppel-T-Platte. Zentralblatt für Chirurgie 108:1597–1608PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • K. Schwämmle
    • 1
  • G. Kelsch
    • 1
  • C. Ulrich
    • 1
  1. 1.Unfallchirurgische KlinikKlinik am EichertGöppingenDeutschland

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