Surgical Treatment of the Trochanteric Fractures by Using the External and Internal Fixation Methods

Trochanteric fractures usually occur in older patients, who are more than 65 years old, with greater loss of the skeletal mass. Conservative methods of treatment are accompanied by the greater percentage of death cases; moreover, they do not render valid anatomical and functional results. Surgical treatment by using the dynamic implant presents a method of choice in the fixation of the trochanteric fractures. This paper surveys the treatmentresults of the 110 patients, 61 of whom have throcanteric fractures, and have been operatively treated by the dynamic method of the internal fixation, whereas the remainder 49 patients have been treated by the method of the external fixation. Dynamical implants enable both dynamisation and compression of the fracture in the axial of the neck as well as the diaphysis of the femur, which lessens the occurring possibility of the mechanical complications, and, at the same time, enables the effective healing of the fracture, early activation and mobility of the patients who were operated. In patients infected by various diseases, for whom the surgical trauma presents a life treat, the external fixation has to be a method of choice.