Operative or conservative treatment for trochanteric fractures of the femur. A randomised epidemiological trial in elderly patients

Author:

Hornby R1,Evans JG1,Vardon V1

Affiliation:

1. Department of Orthopaedics, Royal Victoria Infirmary, Newcastle upon Tyne.

Abstract

All elderly patients with extracapsular hip fractures seen in hospitals in Newcastle upon Tyne over a 12-month period were studied and followed up for six months. At one of the hospitals, patients were randomised to treatment by AO dynamic hip-screw or by traction. Complications specific to the two treatments were low, and general complications, six-month mortality and prevalence of pain, leg swelling and unhealed sores, showed no difference between the two modes of treatment. Operative treatment gave better anatomical results and a shorter hospital stay, but significantly more of the patients treated by traction showed loss of independence six months after injury.

Publisher

British Editorial Society of Bone & Joint Surgery

Subject

Orthopedics and Sports Medicine,Surgery

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