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:
- Functional results
- Duration of operation - length of hospital stay
- Blood loss
- Mechanical complication, morbidity and mortality
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.