Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of Russia2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics52210.21823/2311-2905-2010-0-2-27-31THE USE OF THE PROXIMAL FEMORAL NAIL IN THE TREATMENT OF PROXIMAL FEMUR FRACTURES IN THE OLD PATIENTSBorovkovV. N.fake@neicon.ruKhrupalovA. A.fake@neicon.ruSorokinG. V.GSorokin72@rambler.ru1708201016227311811201618112016Copyright © 2010,2010<span>The analysis of results of surgical treatment of 157 patients with proximal femur fractures was presented. In all cases the osteosynthesis using fixator PFN was performed in clinic of traumatology amd orthopedics of Moscow Municipal Hospital N 71 from 2005 till 2009. The authors concluded: proximal femur nail is mini-invasive and mini-traumatic fixator that is essential at treatment of elderly and old patients.</span>fracturesosteosynthesissurgical treatmentproximal femurnailпереломыостеосинтезоперативное лечениепроксимальный отдел бедренной кости[1. Каплан А.В. Переломы шейки и вертелов бедренной кости/А.В. Каплан, В.А. Чернявский//Труды I Всесоюзного съезда травматологов-ортопедов. -М., 1965. -С. 118-121.][2. Кулаков В. Испытание возрастом/В. Кулаков, В. Сметанник//Медицинские новости. -1997. -№ 2. -С. 6.][3. Лазебник Л.Б. Остеопороз/Л.Б. Лазебник, С.Б. Маличенко. -М, 1997. -63 с.][4. Лирцман В.М. Сравнительная оценка и современные взгляды на лечение вертельных переломов бедренной кости у пожилых и старых людей/В.М. Лирцман, В.В. Михайленко, В.П. Лукин//Ортопед. травматол. -1990. -№ 2. -С. 42-45.][5. Лирцман В.М. Переломы бедренной кости у лиц пожилого и старческого возраста: дис.... докт. мед. наук/Лирцман В.М. -М., 1972. -568 с.][6. Bonnevelle P. Use of the long gamma nail in metastatic fractures and impending osteolysis: a multicenter experience/P. Bonnevelle [et al.]//Osteo Trauma Care. -2005. -Vol. 13. -P. 50-56.][7. Borens O. Long gamma nail in the treatment of subtrochanteric fractures/O. Borens[etal.]//Arch. Orthop. Trauma Surg. -2004. -Vol. 124, N7. -P. 443-447.][8. Buhl K. The long gamma nail -indications, technique and results/K. Buhl, Y.D. du Bois, W. Lamade, P.J. Meeder//Chirurg. -2000. -Vol. 71, N9. -P. 1107-1114.][9. Dubrana F. Long gamma nail for the treatment of subtrochanteric fracture of the femur/F. Dubrana [et al.]//Rev. Chir. Orthop. -2002. -Vol. 88, N 3. -P. 264-270.][10. Hotz Т.К. Minimal invasive treatment of proximal femur fractures with the long gamma nail: indication, technique, results/Т.К. Hotz, R. Zellweger, K.P. Kach//J. Trauma. -1999. -Vol. 47, N 5. -P. 942-945.][11. Kleerekoper M. Nutritional, endocrine and demographic aspects ofosteoporosis/M. Kleerekoper, K. Tolia, A. Parfitt//Orthop. Clin. North. Amer. -1981. -Vol. 12. -P. 574-578.][12. Melton L.J. Perspective: How many women have osteoporosis?/L.J. Melton [et al.]//J. Bone Min. Res. -1992. -Vol. 7. -P. 1005-1010.][13. Nuber S. Stabilisation of unstable trochanteric femoral fractures // S. Nuber, T. Schonweiss, A. Ruter // Unfallchirurg. - 2003. - Bd. 106, H. 1. - S. 39-47.][14. Ruff M.E. Treatment of subtrochanteric fractures with a sliding screw-plate device/M.E. Ruff, L.M. Lubbers//J. Trauma. -1986. -Vol. 26. -P. 75-80.][15. Schick C.H. Possibilities for early ambulation and long-term outcome of treatment of trochanteric fractures with the dynamic hip screw and gamma nail/C.H. Schick, R. Wolfel, M. Walther, F.F. Henning//Langenbecks Arch. Chir. -1996. -Vol 113, Suppl. Kongressbd. -P. 991-993.]