Il cut-out prossimale nelle fratture pertrocanteriche di femore

The worldwide incidence of fractures of the proximal femur is increasing in parallel with the average age of the population. Pertrochanteric fractures account for about 45% of all fractures of the proximal femur.This fracture is associated with significant co-morbidity and mortality in the elderly population: about 20% of elderly patients with fracture of the proximal femur undergoes exitus to 12 months after the traumatic event.The increased incidence of this type of fracture in the elderly is related to concomitant diseases: osteoporosis,malnutrition, reduced physical activity, decreased visual acuity, neurological deficits, altered reflexes, balance disorder, and asthenia.Osteoporosis has a predominant role which explains the greater frequency of these fractures in elderly women.The study included 16 cases of Cut-out (5 males and 11 females) out of a total of 630 patients with pertrochanteric fracture treated in the Orthopaedic Clinic of Trieste from January 2003 to December 2011.The mean follow-up after the revision surgery was 18 months. It was established that it is extremely important to have a good positioning of themethod of synthesis with a "Tip-ApexDistance" (TAD) of less than 25mm.