[Double plate compound osteosynthesis. A procedure for primary stress-stable management of problem injuries of the subtrochanteric to supracondylar femoral area].

Full loading capacity cannot be achieved with standard implants in reversed trochanteric, subtrochanteric and supracondylar femur fractures. A full loading capacity is essential for elderly patients because a load free mobilisation is not possible and in pathological and impending pathological fractures because of the short life expectancy of these patients. On the basis of a proposal by Ganz we developed a double plate compound osteosynthesis (DPCO) with very high loading capacity for all these types of fractures. The technique is presented.