par Casteleyn, Pierre Paul;Melon, C.;Opdecam, Pierre 
Référence Acta orthopaedica Belgica (Ed. bilingue), 43, 6, page (693-701)
Publication Publié, 1977
Référence Acta orthopaedica Belgica (Ed. bilingue), 43, 6, page (693-701)
Publication Publié, 1977
Article révisé par les pairs
| Résumé : | Intracapsular femoral neck fractures in elderly patients can be routinely treated by a cemented femoral prosthesis (mean age of the studied series was 76.6 yr). The per- and postoperative mortality of this procedure (4.5%) is low compared to osteosynthesis. Long term follow-up does not reveal many failures. After 3 yr, functional results were at least quoted good in 60% of the cases (quotation following Merle d'Aubigne). The hazards of infection and prosthetic loosening are rare. Most frequent complications are postoperative displacements of the osteotomized trochanter major (6 to 9% depending on the used fixation technics), and periarticular ossifications. The unavoidable acetabular arthrosis does not seem to influence much the functional results, and remains tolerable in regard of the age range of the patients. |
