Trochanteric fractures – operative technique

Česká verzia

Authors: J. Bartoníček ¹; K. Kostlivý ²; R. Pethö ²
Authors place of work: Klinika traumatologie pohybového aparátu 1. LF UK a ÚVN Praha Oddělení ortopedie a traumatologie ÚVN Praha, Prof. MUDr. J. Bartoníček, DrSc. ¹; Chirurgická klinika 1. LF UK a TN Praha-Krč, přednosta: Doc. MUDr. J. Šimša, Ph. D. ²
Published in the journal: Rozhl. Chir., 2013, roč. 92, č. 10, s. 595-606.
Category: Various Specialization

Práce je určena k postgraduálnímu vzdělávání lékařů.

Summary

The current offer of implants in combination with preoperative analysis of the fracture, selection of an optimal implant and proper operative technique provides us with the possibility of a successful treatment of almost all trochanteric fractures.

One of the main causes of a high number of complications is lack of the surgeonęs experience. Trochanteric fractures are very often operated on by young surgeons who do not have sufficient experience, skills and knowledge of this issue. In the absence of an experienced senior assistant during operation they may grossly violate the basic principles which may result in the subsequent failure of internal fixation.

If we respect biomechanical principles, select an optimal implant and a proper operative technique, we may treat successfully almost all trochanteric fractures.

Key words:
trochanteric fractures – operative techniques – principles

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