Abstract
Aim: The aim of the study is to present our experience in the treatment of intertrochanteric fractures in high-risk elderly patients, using regional anaesthesia, and assess the method.
Material and methods: During the last 3 years, we treated 39 patients (15 men, 24 women) mean age 89.7 yrs, range 71–100 yrs, using external fixation. Three at least of the following diseases co-existed: coronary disease, hypertension, neurological disease, respiratory disease, diabetes melitus, obesity. Mean time of the procedure was 20 minutes.
Results: 1) All fractures were united. 2) Pin-track infection in 9 paients.3) Four patients died during their hospitalization from pathological reasons.
Conclusions: The use of external fixation in high-risk elderly patients, is a secure and reliable method of treatment. It lasts a short time with no blood loss, provides a stable osteosynthesis, and permits early mobilization and rehabilitation.
A drawback of the method is the pin-track infection.
The abstracts were prepared by Eleni Koutsoukou. Correspondence should be addressed to him at the Hellenic Association of Orthopaedic Surgery and Traumatology (HAOST), 20, A. Fleming str, 15123 Marousi, Athens, Greece.
