Hackenbruch W
Fortschr Med. 1978 Jan 26;96(4):177-84.
Pertrochanteric and femoral neck fractures are common in elderly patients. These fractures are mostly caused by domestic accidents. Femoral head necrosis and non-union are severe complications. Even if these fractures are not typical skiing-fractures, 101 fractures of the proximal femor were found to be caused by a skiing-accident. The age of the patients averaged 41 years, only one third were female. More than half of all patients participated in a control examination about one year after the accident. All fractures were operated according to the principles of the ASIF. The results showed twice an infection, in 3% dystrophia of the bone and in 3% mild osteoarthritis. There were no necroses of the femoral head, no non-union and no breaking of the implanted material. In 90% the results were good or excellent from the point of view of the patient as well as the orthopedic surgeon.
转子间骨折和股骨颈骨折在老年患者中很常见。这些骨折大多由家庭意外导致。股骨头坏死和骨不连是严重的并发症。即便这些骨折并非典型的滑雪骨折，但仍发现有101例股骨近端骨折是由滑雪事故引起的。患者平均年龄为41岁，女性仅占三分之一。超过半数的患者在事故发生约一年后接受了对照检查。所有骨折均按照AO内固定协会（ASIF）的原则进行手术。结果显示有两例感染，3%出现骨萎缩，3%出现轻度骨关节炎。未发生股骨头坏死、骨不连以及植入材料断裂的情况。从患者和骨科医生的角度来看，90%的治疗结果为良好或优秀。
