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Profilaksa DVT kod velikih ortopedskih operacija - Depol ...

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20 - 22 September 2012, Opatija, Croatia<br />

THE TREATMENT OF PROXIMAL FEMORAL FRACTURES IN<br />

COUNTY HOSPITAL DUBROVNIK IN PERIOD APRIL 2011-APRIL<br />

2012.<br />

Marijo Bekić, Institute of Surgery, Division of Traumatology, County Hospital Dubrovnik, Dubrovnik,<br />

Croatia<br />

Jakiša Lojpur, Institute of Surgery, Division of Traumatology, County Hospital Dubrovnik, Dubrovnik,<br />

Croatia<br />

Nikša Kojić, Institute of Surgery, Division of Traumatology, County Hospital Dubrovnik, Dubrovnik,<br />

Croatia<br />

Marko Margaritoni, Institute of Surgery, Division of Plastic and Reconstructive Surgery, County Hospital<br />

Dubrovnik, Dubrovnik, Croatia<br />

Fractures of the proximal femur are associated with a greater number of deaths and disabilities and higher medical<br />

expenses than all the other osteoporotic fractures together and therefore represents a great social and economic<br />

problem.<br />

We reported a 65 consecutive patients admitted into the Institute of Surgery, Division of Traumatology, County<br />

Hospital Dubrovnik, Croatia, treated with a different type of implants depending on type of fracture of proximal<br />

femoral region.<br />

Fifteen men and 50 women aged 68 to 92 underwent fixation using an Dinamic Hip Screw (DHS), Short Gamma<br />

Nail, Locking Compression Plate and Partial Endoprothesis (PEP).<br />

All patients with unstable trochanteric femoral fractures were treated operatively using the Gamma Nail. Postoperatively<br />

patients were mobilised early without weight bearing.<br />

A Gamma Nail is useful for the treatment of trochanteric femoral fracture offering an early patient verticalisation<br />

and discharge from Hospital.<br />

Oral<br />

47

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