The goal of this study is to analyze the surgical management of proximal humerus fractures in medial age patients (50–65 years of age).

From 2003–2008 were treated 49 patients, 14 male and 35 female with mean age of 61 years. All patients had a proximal humerus fracture classified by the AO Universal Classification. The fractures were treated with either open reduction internal fixation (ORIF-21 patients) or with shoulder hemiarthroplasty (HSA-28 patients) under general anesthesia.

Among the patients that were treated with ORIF or HSA we did not observe statistical significant differences in the days of hospital stay, the change of pre and postoperative hemoglobin, the need of blood transfusion and the acute postoperative complications. On the contrary there were statistical significant differences in the level of acute postoperative pain, the clinical results and the range of shoulder movements after a period of 3,6 and 12 months (constant score).

ORIF seems to have better clinical results for younger medial age patients in comparison with HSA that seems to have poorer results. On the contrary HSA seems to have better clinical results for older medial age patients.

The presentation of results of this comparative study on the various methods of treatment for Transtrochanteric fractures.

From 2006 to 2008 we treated 272 Transtrochanteric fractures, in 75 with DHS, 116 with G3-nail (STRIKER) and 91 with F-nail (ARITI) where antjrotation screw was applied in the 37 (type F) while in the remained 54 was not applied (type G). We compared the duration of surgery, the need for transfusion, the post surgical difference of Hb, the starting day for weight bearing on the fractured limp, the days of hospitalisation and the complications between the different methods.

The patients were separated in 4 groups regarding the method of treatment (A: DHS, B: G3-nail, C: F-nail type F and D: F-nail type G). They did not differ statistically significant regarding age, sex as well as the time of the surgery from the admission. There were no difference in the duration of surgery, the need for transfusion and changes in Hb and the days of hospitalisation. Difference not statistically significant existed in the starting day for weight bearing on the fractured limp (A:3.1, B:2.5, C:2.9, D:3.0). Regarding complications D group had an incident of broken peripheral screw and C group one of broken nail after fall of the patient.

No method of treatment seams to be superior regarding incidents during hospitalisation. More data are expected to compare these methods on the issues of rehabilitation, complications and mortality

Is to analyze the preliminary results of surgical treatment of hip fractures in regard to the time of the intervention from the admission.

In our department we treated 383 hip fractures, 272 Transtrochanteric and 111 IC-NOF fractures, from August 2006 to August 2008. The patients were split in 2 groups regarding the day of the surgery from the admission. In the group A were included patients with immediate surgical treatment (in the 1st 24 hours) and in group B patients who had there surgery after the 1st 24-hours. We evaluated the difference in Hb between the admission and the 1st post surgical day, the need for transfusion, the duration of hospitalisation and the complications.

The two groups did not differ statistically considering demographic details. Also there were no differences in regard of the change of Hb and the need for blood transfusion. There was statistically significant difference in the duration of hospitalization (A: 6.5-B: 10.3) as well as and in complications. Post surgical OPS 15 in group A and 56 in group B, urine infection 1 in A and 16 in B, respiratory infection 1 in A and 11 in B. The A group had 1 case with cardiac arrest and 1 AMI. Finally the B group had 5 cases with arrhythmia, 1 with PE and 3 with CA. Conclusions: It appears that the immediate surgical intervention of patients with hip fracture has positive effect in the duration of hospitalization, morbidity and mortality