{"DOI":"10.25016/2541-7487-2021-0-3-68-76","abstract":"Relevance. An in-house Protocol for proximal femoral fracture management was developed at Vsevolozhsk Clinical Interdistrict Hospital of Leningrad Region.Intention To demonstrate possible practical application of preliminary federal clinical guidelines at Level 1 trauma center in Leningrad Region including comparative analysis of its efficacy when treating intertrochanteric femoral fractures.Methodology. Post-surgery outcomes were retrospectively assessed in 86 patients of Vsevolozhsk Clinical Interdistrict Hospital (Group 1, per Protocol) and 28 patients of Tosno Clinical Interdistrict Hospital (Group 2, w/o Protocol) with intertrochanteric femoral fractures (31A by Arbeitsgemeinschaft f\u00fcr Osteosynthesefragen classification and S72.1 by ICD-10).Results and Discussion. There were no significant differences in patients' age, methods of anesthesia and osteosynthesis between the groups. Group 1 demonstrated statistically significant decrease in preoperative bed-days, time to sitting up in bed after surgery, ambulation with walkers and duration of hospitalization. Group 1 patients needed less assistance from other health-care professionals, less intensive therapy and blood transfusions.Conclusion. Adoption of in-house protocols, optimization of supply and staffing as well as involvement\u00a0of multidisciplinary teams will improve management of proximal femoral fractures.","author":[{"family":"Maiorov","given":"B. A."},{"family":"Tulchinskii","given":"A. E."},{"family":"Belenkii","given":"I. G."},{"family":"Sergeev","given":"G. D."},{"family":"Barsukova","given":"I. M."},{"family":"Endovitskiy","given":"I. A."}],"id":"unknown","issued":{"date-parts":[[2021,9,10]]},"page-first":"68","publisher":"NRCERM EMERCOM of Russia","title":"Management of intertrochanteric femoral fractures at Level 1 trauma center in Leningrad Region","type":"article-journal"}