Лечение Больных Пожилого И Старческого Возраста С Вертельными Переломами Проксимального Отдела Бедренной Кости

In the work the analysis of methods of treatment of trochanterian fractures of the femur in 128 patients of elderly and old age who underwent the course of medical treatment in the clinic of acute trauma during the period from 1989 to 2010 is carried out. Results of treatment of patients by conservative (41) and surgical methods (external 26 and transosseous osteosynthesis 61) are evaluated. Absence of any prospect of the conservative treatment resulting in the progression of hypodynamic complications and consequently in 80 % of cases to formation of unacceptable results is proved. The indications for minimally invasive transosseous osteosynthesis, which is more preferable for elderly patients with the burdened somatic state are determined. For «safer» patients the application of immersed designs (DHS) caused the greater percentage (88,3%) of good results with optimal conditions of the life quality.