[Comparing results of the treatment of fractures and osteotomies in the trochanteric femoral region with the osteosynthesis of Zespol method].

There were analysed 141 osteosyntheses of proximal femoral metaphysis with the Zespol method using the standard simple plates. Data of the group of 65 fractures of the proximal femoral metaphysis and 76 osteotomies of the trochanteric region were compared. The observation period is 1.5 to 9 years for the group of fractures and 2 to 10 years for the group of osteotomies. The age of the traumatic patients varied from 27 to 97 (average 65.8) and was considerably higher than of the osteotomy group (26 to 81, average 48.5). Deaths (16) occurred only in the traumatic group. Direct connection with trauma, traumatic or postoperative complications occurred in 11 patients with the average age of 86. Loosening of screws appeared in 6 traumatic patients, which was not the obstacle in achieving bone union. Osteotomies in 8 patients were followed by destruction or looseness of the osteosynthesis, which could be improved by the same method. In both groups the aim of osteosynthesis of bone fragments is achieved with the Zespol method: bone union of bone fragments after operation with the help of the basic equipment. The method secures good stabilisation of bone fragments, although it does not relieves from the duty of good adaptation of fragments and it does not protect from destruction, however, repeated application of the method is possible.