TREATMENT OF UNSTABLE FRACTURES OF THE PROXIMAL FEMUR USING THE DYNAMIC CONDYLAR SCREW - ARE THERE ADVANTAGES IN GERONTOTRAUMATOLOGY

Till now instable fractures of the upper end of the femur were treated by using the 95-degrees fixed angle blade in gerontotraumatology, too. As an alternative treatment within 16 month we used the dynamic condylar screw (DCS) in 87 cases of patients elder than 65 years. The results were compared to 81 patients, who had been treated by implantation of 95-degrees fixed angle blades. As to gerontotraumatology it was interesting, that there were no DCS-specific complications, which demanded operativ revision. Advantages of the DCS are easy insertion, firm fixation, increased strength and resistance to stress failure, short times of operation and hospitalisation. The most important disadvantage - as to gerontotraumatology - however is the not existing primarily load capacity.