The 31A 3-3 fracture: an unstable problem


The increasing incidence of pertrochanteric and subtrochanteric femur fractures makes their treatment ever more challenging both medically and socioeconomically. The increasing life expectancy in our population brings with it a host of factors that complicate our treatment of proximal femur fractures in elderly people. In addition to a variety of medical conditions, these patients many times have a diminished physical and mental reserve. In order to prevent potentially fatal complications, early mobilization and weight bearing are critical determinants of our treatment. Owing to discerning inability of elderly people fractures of the lower extremity causes a longer phase of immobilisation, if the fracture is not treated in a full weight bearing, stable manner. Thus the risk of complication such as thrombosis, embolism, pneumonia or decubital ulcera increases and the physical decline will be accelerated.


Femur Fracture Full Weight Bearing Proximal Femur Fracture Femur Replacement Proximal Femur Nail 
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Copyright information

© Steinkopff Verlag 2008

Authors and Affiliations

  • M. Rapp
    • 1
  1. 1.Clinic of Orthopaedic Surgery, Traumatology and Reconstructive Surgery Marienhospital StuttgartAcademic Hospital of the University of Tübingen, GermanyStuttgart

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