[Treatment procedure with the middle-aged and elderly having fractures of the long tubular bones of the lower extremities].

The experience with the treatment of 202 patients older than 60 with fractures of long tubular bones of lower extremities is generalized. The operative intervention was fulfilled in 83 patients (41,1%), conservative treatment was conducted in 119 patients (58,9%). The problems of treatment of concomitant diseases and prophylaxis of complications are analyzed. Extra-articular osteosynthesis with the application of orientators and directing wires was performed in fractures of the femoral neck, the nail being driven in without decortication in the subtrochanterial area. The methods of treatment allowed to find wider indications for operations and reduce lethality.