Astvatsaturian A A, Kazandzhian S A, Oganesian O Z, Vartanian Sh G, Altunian N M
Vestn Khir Im I I Grek. 1981 May;126(5):104-7.
The experience with the treatment of 202 patients older than 60 with fractures of long tubular bones of lower extremities is generalized. The operative intervention was fulfilled in 83 patients (41,1%), conservative treatment was conducted in 119 patients (58,9%). The problems of treatment of concomitant diseases and prophylaxis of complications are analyzed. Extra-articular osteosynthesis with the application of orientators and directing wires was performed in fractures of the femoral neck, the nail being driven in without decortication in the subtrochanterial area. The methods of treatment allowed to find wider indications for operations and reduce lethality.
总结了202例60岁以上下肢长管状骨骨折患者的治疗经验。83例患者（41.1%）接受了手术干预，119例患者（58.9%）进行了保守治疗。分析了合并疾病的治疗问题及并发症的预防。股骨颈骨折采用导向器和导针进行关节外骨合成，在转子下区域不进行骨皮质剥脱就打入髓内钉。这些治疗方法扩大了手术适应症并降低了死亡率。
