Traitement conservateure des fractures du col du femur a trait vertical de l'adulte a propos de 153 cas

ABSTRACT

The authors return 153 fractures of collar pauwels III, the middle age of patients is 47 years. The angle of Pauwels is of 62 [°]. The fracture Garden IV represents 30% of the set. The material of osteosynthesis is DHS 54 cases 37 cases parallel visage 56 cases the reduction was judged insufficient in 26% of cases. The association between trochanterian osteotomic and valgisation was achieved at 15 patients. The results was analysed with a middle receding 3 years, one raised a global rate of pseudarthrosis on 23.5% and 25% of necrosis of the femoral head, this last arises to 47% in case of arthromy when to the rates of pseudarthrosis, he increases in case of montage by screw [40%] and in case of insufficient reduction [55%], however, this rate fall when one associates an intertrochanterien osteotomy of valgisation [7%]