Standards in der Versorgung proximaler Femurfrakturen

Epidemiology: There is a significant age-dependent increase in the incidence of proximal femur fractures. Young patients are often affected in cases of high energy trauma. Proximal femoral fractures are predominantly an injury of the elderly where the average age is approximately 80 years and 75 % are women. Therapy: The primary aim of treatment of elderly patients is the earliest possible mobilization with full weight bearing and in young patients preservation of the hip is the primary aim (e.g. osteosynthesis and valgisation osteotomy) even after long-term dislocation. Only few non-displaced and impacted fractures can be treated conservatively. Possibilities for osteosynthesis of the proximal femur are cannulated screw fixation, dynamic hip screw and intramedullary nailing (e.g. gamma nail and proximal femoral nail). Rehabilitation: After conservative and operative treatment of proximal femoral fractures the postoperative recovery and rehabilitation under full body weight is important and possible. Inpatient rehabilitation is meaningful to improve patient health and condition.