Outcome of Unstable Pertrochanteric Fractures in High-Risk Geriatric Treated with External Fixators

Background: To review the outcome of high-risk geriatrics with unstable pertrochanteric fractures treated external fixator. Methods: Eighteen consecutive patients were operated fixator by using closed reduction technique. AO type, accompanying diseases, operating time, transfused blood units, duration hospitalization, complications, healing time and mortality recorded. Patients followed clinically radiologically for two years at least. The Harris Hip Score was used to document hip function each regular follow-up. Results: Fifteen average age 71.5 available final evaluation. mean 41.1 min union achieved in all cases an 16 weeks. one, three, six, twelve twenty-four months postoperatively 42.07 ± 8.55; 55.07 11.62; 70.07 10.32; 86.27 9.06 89.27 8.81 respectively. Complications included undergoing loss some motion knee four them had experience revision surgery because stiffness, ten pin-tract infections, seven deep venous thrombosis, migration screws limb shortening Conclusions: use geriatric provided a satisfactory long term efficacy, but short functional results quite unsatisfactory owing high complication rate. Therefore, advantages disadvantages should be fully weighed when fixators, which especially suitable those who could not tolerate prolonged operative open surgery.