[Primary double pinning of the neck of the femur (author's transl)].

From a total of 351 fractures of the neck of the femur, 125 were of mid-cervical form, and from these 107 were dominated by type III after Pauwels. We have used double pinning as an optimal method of treatment for this fracture during the past 10 years. In 12% of the cases this method leads to pseudarthrosis, and in 10% to necrosis of the head of the femur. The double pinning technique is an especially optimal and less onerous method for patients at an advanced age, allowing a complete stabilisation of the fracture while concurrently correcting errors of rotation. We recommend the alloplastic restitution of the hip joint in the form of a total endoprothesis (TEP) as a secondary measure, only in rare cases as a primary operative method.