{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T23:08:06Z","timestamp":1777158486561,"version":"3.51.4"},"reference-count":48,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Proximale Femurfrakturen sind h\u00e4ufige und gleichsam komplexe Verletzungen, die einer zeitnahen Versorgung bed\u00fcrfen. Ziel der operativen Therapie ist stets die rasche Wiederherstellung einer schmerzfreien und belastungsstabilen Extremit\u00e4t. Betroffen sind meist \u00e4ltere, multimorbide Patienten mit einer hohen postoperativen Komplikations- und Mortalit\u00e4tsrate. Bei gleichzeitig steigender Inzidenz besteht eine hohe medizinische und volkswirtschaftliche Relevanz der Thematik. In dieser Arbeit soll anhand der aktuellen Literatur die Reposition und Implantatwahl bei der Osteosynthese von proximalen Femurfrakturen in Abh\u00e4ngigkeit von der Frakturmorphologie untersucht werden. Zur Standardversorgung geh\u00f6ren neben der Schraubenosteosynthese (SO) die Versorgung mit einer Dynamischen H\u00fcftschraube (DHS) und die intramedull\u00e4re Nagelosteosynthese (IN). Des Weiteren wird der Einfluss der Implantatpositionierung, Frakturreposition und additiver Ma\u00dfnahmen wie einer Zementaugmentation auf das\n      Ergebnis bewertet und diskutiert. Vorrangig f\u00fcr die Vermeidung von Komplikationen sind eine sorgsame Frakturreposition und die regelhafte Implantatpositionierung.<\/jats:p>","DOI":"10.1055\/a-1904-8551","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T23:42:12Z","timestamp":1664322132000},"page":"135-142","source":"Crossref","is-referenced-by-count":1,"title":["Osteosynthese bei proximalen Femurfrakturen \u2013 Wie entscheidend sind Reposition und die Wahl des Implantats?"],"prefix":"10.1055","volume":"162","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9368-2033","authenticated-orcid":false,"given":"Martin","family":"Gathen","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinikum Bonn Chirurgisches Zentrum, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christof","family":"Burger","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinikum Bonn Chirurgisches Zentrum, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adnan","family":"Kasapovic","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinikum Bonn Chirurgisches Zentrum, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koroush","family":"Kabir","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Universit\u00e4tsklinikum Bonn Chirurgisches Zentrum, Bonn, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,27]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1186\/s12913-015-0697-3","article-title":"Total hospital stay for hip fracture: measuring the variations due to pre-fracture residence, rehabilitation, complications and comorbidities","volume":"15","author":"AW Ireland","year":"2015","journal-title":"BMC Health Serv Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"1914","DOI":"10.1016\/j.arth.2018.01.046","article-title":"Do Mortality and Complication Rates Differ Between Periprosthetic and Native Hip Fractures?","volume":"33","author":"BD Haughom","year":"2018","journal-title":"J Arthroplasty"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"703","DOI":"10.1016\/j.injury.2014.10.051","article-title":"Hip fractures are risky business: an analysis of the NSQIP data","volume":"46","author":"V Sathiyakumar","year":"2015","journal-title":"Injury"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"S79","DOI":"10.1016\/j.otsr.2019.02.027","article-title":"Early mechanical complications following fixation of proximal femur fractures: From prevention to treatment","volume":"106(1S)","author":"M Ehlinger","year":"2020","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1007\/s00113-020-00923-2","article-title":"Osteosynthetic treatment of proximal femoral fractures: the timing of treatment is delayed in cases of pre-existing anticoagulation : Results of the data of external inpatient quality assurance from North Rhine-Westphalia with 24,786 cases within the framework of using secondary data","volume":"124","author":"JG Korbmacher","year":"2021","journal-title":"Unfallchirurg"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1302\/0301-620X.99B1.BJJ-2016-0134.R1","article-title":"Implant options for the treatment of intertrochanteric fractures of the hip: rationale, evidence, and recommendations","volume":"99-B","author":"AR Socci","year":"2017","journal-title":"Bone Joint J"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"700","DOI":"10.2106\/JBJS.G.00517","article-title":"Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice. 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