Fractures of the upper end of the femur are treated by the authors since August 1993 by the method of a dynamic gliding screws. This method is considered sparing and economical. The operation is implemented as urgent with a screen of antibiotics and anticoagulants in order to reduce postoperative complications. As a matter of routine intensive early rehabilitation is ensured and early return of the patient to his normal environment. Between August 1, 1993 and August 31, 1998 at the authors clinic 259 osteosyntheses were made using a dynamic gliding screw. There were 10 reoperations. In three instances the reason was incorrect surgical technique, in seven instances unsuitable indication of osteosynthesis in an arthrotic joint with impaired nurture in a severely dislocated fracture of the subcapital type. Reoperation was implemented twice by the original technique, eight times by replacement of the hip joint [4, 6]. For successful treatment of patients with fractures of the upper end of the femur it is essential that the department should have an X-ray amplifier, instruments for a dynamic gliding screw, a gamma and reconstruction nail and a hip joint replacement. A successful outcome of stable osteosynthe- sis is possible only in collaboration with other departments by correction of concurrent diseases, efficient systematic rehabilitation and subsequent resocialization to the original stereotype of life.

        Key words: dynamic gliding screw – femur – osteosynthesis