Treatment ways after the fracture of upper part of femur in the aspect of early patient's function

Proximal femoral fractures occur most often in people over 60 (mainly women), that is, people whose physical fitness is already somehow limited. That is why proper choice of therapeutic management (conservative therapy or surgical procedure) is so crucial. As conservative therapy is connected with long-term hypokinesis, management of surgical procedure seems to be justified – it mobilises the patient early. We analysed 24 cases of patients with fracture of proximal part of femur treated in 4 four different ways. The first two groups comprised patients with fracture of the neck of the femur. Some of them were treated by implantation of endoprosthesis (group I), others by functional therapy (group II). The next two groups comprised patients with trochanteric fracture. Some of these patients were treated using DHS system (group III) and others with the aid of tractor (group IV). Analysis of the above groups concerns movement and functional possibilities of the patients from the beginning of rehabilitation process to the second week of its realisation.