7 | RECOMMENTATION OF THE ORTHOPAEDIC ASSOCIATION OF FRANCE (SOFCOT) 2016
The purpose of this study was to determine whether there is room for hip replacement surgery in the treatment of extra-capsular proximal femur fractures in elderly patients [3].
To answer this question, the following criteria were analyzed for both techniques:
All these data do not make it possible to determine whether the treatment of per-trochanteric fractures by hip replacement would have an advantage over bone fixation treatment.
Nevertheless, as in the international recommendations, bone fixation remains recommended in the treatment of extra-capsular fractures of the proximal end of the femur. In cases where it cannot be considered, hip replacement will be performed.
The reasons for the indication of hip replacement (comorbidity, state of the joint, etc.) should be mentioned in the patient’s medical file.