[Differentiated procedure in fractures of the coxal femur end in adults].

After own clinical observations a choice of surgical treatment in coxofemoral fractures is pointed out: Femoral neck fractures of stage Garden I will be stabilized by lag screws. For the rest of subcapital fractures we use lag screws or Smith-Peterson nailing for stabilization; only old patients without the possibility of mobilisation without weight-bearing after operation are treated by endoprosthesis of the hip. In Garden-IV-fractures and fracture-type Pauwels III indication for endoprosthesis is conditioned in most elderly patients. In basocervical and pertrochanteric fractures of younger patients a dynamic hip screw will be performed; in older patients we use elastic nails described by Simon-Weidner and Ender with good success. For stabilization of subtrochanteric fractures different operations dependent on type of fracture, bone-structure and general condition are used: elastic nails with or without wire-loops, interlocking nailing, Y-nail, dynamic hip screw, angled plate and compound internal fixation.