Orthopädie und Unfallchirurgie up2date 2019; 14(02): 120-126
DOI: 10.1055/a-0602-6125
SOP / Arbeitsablauf
Georg Thieme Verlag KG Stuttgart · New York

SOP Proximale Femurfraktur

Michael J. Raschke
,
Jens Everding
Further Information

Publication History

Publication Date:
25 March 2019 (online)

Einleitung

Frakturen des proximalen Femurs umfassen die Femurkopffrakturen, Schenkelhalsfrakturen und die Frakturen der trochantären sowie subtrochantären Region. In Deutschland zeigt sich eine altersabhängige, exponentiell ansteigende Inzidenz dieser Frakturen von 0,06% bei den 60- bis 64-Jährigen, bis hin zu 1,32% im Alter von 85 Jahren oder höher [7].

 
  • Literatur

  • 1 Bonnaire F, Lein T, Bula P. Trochanteric femoral fractures: anatomy, biomechanics and choice of implants. Unfallchirurg 2011; 114: 491-500
  • 2 Bonnaire FA, Weber AT. The influence of haemarthrosis on the development of femoral head necrosis following intracapsular femoral neck fractures. Injury 2002; 33 Suppl 3: C33-C40
  • 3 Droll KP, Broekhuyse H, OʼBrien P. Fracture of the femoral head. J Am Acad Orthop Surg 2007; 15: 716-727
  • 4 Frerichmann U, Raschke MJ, Stockle U. et al. Proximal femoral fractures in the elderly. Data from health insurance providers on more than 23 million insured persons–part 2. Unfallchirurg 2007; 110: 610-616
  • 5 Icks A, Haastert B, Wildner M. et al. Trend of hip fracture incidence in Germany 1995–2004: a population-based study. Osteoporos Int 2008; 19: 1139-1145
  • 6 Liem IS, Kammerlander C, Raas C. et al. Is there a difference in timing and cause of death after fractures in the elderly?. Clin Orthop Relat Res 2013; 471: 2846-2851
  • 7 Lohmann R, Frerichmann U, Stockle U. et al. Proximal femoral fractures in the elderly. Analysis of data from health insurance providers on more than 23 million insured persons – part 1. Unfallchirurg 2007; 110: 603-609
  • 8 Papakostidis C, Panagiotopoulos A, Piccioli A. et al. Timing of internal fixation of femoral neck fractures. A systematic review and meta-analysis of the final outcome. Injury 2015; 46: 459-466
  • 9 Parker MJ, Dynan Y. Is Pauwels classification still valid?. Injury 1998; 29: 521-523
  • 10 Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syst Rev 2010; (09) CD000093
  • 11 Petersen MB, Jorgensen HL, Hansen K. et al. Factors affecting postoperative mortality of patients with displaced femoral neck fracture. Injury 2006; 37: 705-711
  • 12 Smektala R, Grams A, Pientka L. et al. Guidelines or state civil codes in the management of femoral neck fracture? An analysis of the reality of care provision in North Rhine-Westphalia. Dtsch Arztebl Int 2008; 105: 295-302
  • 13 Smektala R, Klaus H, Paech S. Trochanteric femur fractures – analysis of external quality assurance within a comprehensive survey. Z Arztl Fortbild Qualitatssich 2005; 99: 537-545
  • 14 Stannard JP, Harris HW, Volgas DA. et al. Functional outcome of patients with femoral head fractures associated with hip dislocations. Clin Orthop Relat Res 2000; 377: 44-56
  • 15 Stöckle U, Lucke M, Haas NP. Zertifizierte medizinische Fortbildung: Der Oberschenkelhalsbruch. Dtsch Arztebl 2005; 102: A-3426/B-2894/C-2710
  • 16 Taha ME, Audige L, Siegel G. et al. Factors predicting secondary displacement after non-operative treatment of undisplaced femoral neck fractures. Arch Orthop Trauma Surg 2015; 135: 243-249