[Comparison of the quality of life before and after surgical management of pertrochanteric femoral fractures in elderly patients].

A reduction in perioperative mortality can be observed when the operative treatment of intertrochanteric femur fractures in the elderly is performed within a 6-h time limit, or after stabilisation of the patient within a 24-h frame. To insure optimal progress, a stable open reduction and internal fixation (ORIF) with a DHS or other implant, or a prosthetic replacement is needed to achieve early ambulation. The ability to walk and early ambulation are essential for a quick hospital discharge and reintegration into social life. The quality of life decreases due to the injury [Mayo Hip Score (2 M), and Traumatic Hip Rating Scale [4], 84.4% of pretrauma function, Functional Status Score [1], 68.2%]. About half of the injured (65% of the patients examined in our study) were able to return to their homes. This depends on the patient's age, independence before the accident and concomitant diseases.