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Instabile per- /subtrochantere Femurfraktur

Ein ungewöhnlicher Verlauf mit ungewöhnlichen Problemstellungen

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Orthopädisch-traumatologische Knacknüsse
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Die pertrochantere und per-/subtrochantere Femurfraktur ist eine typische Verletzung des über 70-jährigen Menschen. Neben den oft vorhandenen multiplen Begleiterkrankungen stellt die fast immer vorherrschende schlechte Knochenqualität dieser Patienten das zentrale Problem bei der Versorgung dieser folgenschweren Verletzung dar. In der Folge droht die Entgleisung der mühsam kompensierten Grunderkrankungen, verbunden mit dem Verlust der bereits prätraumatisch reduzierten Mobilität sowie der Selbständigkeit des Patienten und einer hohen Mortalität.

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Literatur

  1. Parker MJ, Handoll HH (2005) Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syt Rev. Oct 19

    Google Scholar 

  2. Kafer M, Palm M, Zwank L, Cakir B, Puhl W, Kafer W (2005) What influence doe the implant have on the perioperative morbidity following internal fixation of proximal femur fracture? Z Orthop Ihre Grenzgeb. 143(1):64–71

    Article  CAS  PubMed  Google Scholar 

  3. Evans EM (1949) The treatment of trochanteric fractures of the femur. JBJS Br. 31:190–203

    Google Scholar 

  4. Schipper IB, Marti RK, van der Werken Chr (2004) Unstable trochanteric femoral fractures: extramedullary or intramedullary fixation Review of literature. Injury 35, 142–151

    Article  CAS  PubMed  Google Scholar 

  5. Nuber S, Schönweiss T, Rüter A (2003) Stabilisierung von instabilen trochantären Mehrfragmentfrakturen. Unfallchirurg 106:39–47

    Article  CAS  PubMed  Google Scholar 

  6. Miedel R, Ponzer S, Törnkvist H, Söderqvist A, Tidermark J (2005) The standard Gamma nail or the Medoff sliding plate for unstable trochanteric and subtrochanteric fractures. JBJS (Br) 87-B:68–75

    Google Scholar 

  7. Schumpelick W, Jantzen PM (1955) A new principle in the operative treatment of trochanteric fractures of the femur. JBJS Am Jul;37-A(4):693–8

    CAS  Google Scholar 

  8. Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM (1995) The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. JBJS Am July; 77:1058–1064

    CAS  Google Scholar 

  9. Hohendorff B, Meyer P, Menezes D, Meier L, Elke R (2005) Treatment results and complications after PFN osteosynthesis. Der Unfallchirurg Nov;108(11):938, 940, 941–6

    Article  CAS  PubMed  Google Scholar 

  10. Werner-Tutschku W, Lajtai G, Schmiedhuber G, Lang T, Pirkl C, Orthner E (2002) Intra-und perioperative Komplikationen bei der Stabilisierung von per-und subtrochantären Femurfrakturen mittels PFN. Der Unfallchirurg; Dezember 2002; Band 105, Nummer 10;881–885

    Article  CAS  PubMed  Google Scholar 

  11. Gautier E, Ganz K, Krügel N, Gill T, Ganz R (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. JBJS Br July, Vol.82-B, 67983

    Google Scholar 

  12. Gerber A, Pisan M, Zurakowski D, Isler B (2003) Ganz reinforcement ring for reconstruction of acetabular defects in revision total hip arthroplasty. JBJS (Am) Dec; 85-A(12):2358–64

    Google Scholar 

  13. Siebenrock KA, Trochsler M, Sadri H, Ganz R (2001) Hooked roof cup in revision of difficult loose hip prosthesis cups. Results after a minimum of 10 years. Orthopäde; 2001 May; 30(5):273–9

    Article  CAS  PubMed  Google Scholar 

  14. Kerboull M, Hamadouche M, Kerboull L (2000) The Kerboull acetabular reinforcement device in major acetabular reconstructions. CORR 376, 155–168

    Article  Google Scholar 

  15. Hsieh PH, Chang YH, Chen SH, Shih CH (2006) Staged arthroplasty as salvage procedure for deep hip infection following intertrochanteric fracture. Int Orthop. May; 4

    Google Scholar 

  16. Hofmann AA, Goldberg TH, Tanner AM, Cook TM (2005) Ten-year experience using an articulating antibiotic cement hip spacer for the treatment of chronically infected total hip. J Arthroplasty; 2005 Oct; 20(7):874–9

    Article  PubMed  Google Scholar 

  17. Evans RP (2004) Successful treatment of total hip and knee infection with articulating antibiotic components: a modified treatment methode. CORR Oct; (427):37–46

    Article  Google Scholar 

  18. Henry AK (1945) Extensile Exposure

    Google Scholar 

  19. Ganz R, Gill TJ, Gautier E, Ganz K, Krugel N, Berlemann U (2001) Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. JBJS (Br) Nov; 83(8):1119–24

    CAS  Google Scholar 

  20. Siebenrock KA, Gautier E, Ziran BH, Ganz R (1998) Trochanteric flip osteotomy for cranial extension and muscle protection in acetabular fracture fixation using a Kocher-Langenbeck approach. J Orthop Trauma Aug;12(6):387–91

    Article  CAS  PubMed  Google Scholar 

  21. Moein CM, Verhofstad MH, Bleys RL, van der Werken C (2005) Soft tissue injury related to choice of entry point in antegrade femoral nailing: piriform fossa or greater trochanter tip. Injury Nov;36(11):1337–42

    Article  PubMed  Google Scholar 

  22. Ricci WM, Devinney S, Haidukewych G, Herscovici D, Sanders R (2005) Trochanteric nail insertion for the treatment of femoral shaft fractures. J Orthop Trauma Sep;19(8):511–7

    Article  PubMed  Google Scholar 

  23. Gausepohl T, Pennig D, Koebke J, Harnoss S. (2002) Antegrade femoral nailing: an anatomical determination of the correct entry point. Injury Oct 33(8):701–5

    Article  CAS  PubMed  Google Scholar 

  24. Moein CM, Verhofstad MH, Bleys RL, van der Werken C (2005) Soft tissue injury related to choice of entry point in antegrade femoral nailing: piriform fossa or greater trochanter tip. Injury Nov 36(11):1337–42

    Article  PubMed  Google Scholar 

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Waldherr, P., Nötzli, H. (2007). Instabile per- /subtrochantere Femurfraktur. In: Orthopädisch-traumatologische Knacknüsse. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71480-4_46

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  • DOI: https://doi.org/10.1007/978-3-540-71480-4_46

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-71479-8

  • Online ISBN: 978-3-540-71480-4

  • eBook Packages: Medicine (German Language)

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