Aim: The aim of the study is to present our experience in the treatment of intertrochanteric fractures in high-risk elderly patients, using regional anaesthesia, and assess the method.

Material and methods: During the last 3 years, we treated 39 patients (15 men, 24 women) mean age 89.7 yrs, range 71–100 yrs, using external fixation. Three at least of the following diseases co-existed: coronary disease, hypertension, neurological disease, respiratory disease, diabetes melitus, obesity. Mean time of the procedure was 20 minutes.

Results: 1) All fractures were united. 2) Pin-track infection in 9 paients.3) Four patients died during their hospitalization from pathological reasons.

Conclusions: The use of external fixation in high-risk elderly patients, is a secure and reliable method of treatment. It lasts a short time with no blood loss, provides a stable osteosynthesis, and permits early mobilization and rehabilitation.

A drawback of the method is the pin-track infection.