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Survival and quality of recovery of patients with pertrochanteric fractures of the femur.

The authors have reviewed two consecutive groups of 100 patients with pertrochanteric fractures of the femur. The first were treated conservatively and the second surgically. The subsequent results were subjected to statistical analysis. There was a statistically significant difference between the mortality rates in relation to treatment in the two groups but not in relation to age. A history of previous pathological disorders was found to exert a negative influence only in the conservatively treated cases. Fifty four per cent of the cases treated conservatively and 70 per cent of those treated by operation were able to lead completely independent lives. This was unfavourably affected by the age and preoperative pathological state of the patients only in the cases treated conservatively.