Though compression hip screw system has many advantages over the other fixation devices in the treatment of hip fractures, surgeons were frequently encountered by the intraoperative and postoperative complications leading to poor result.

In reviewing out series of hip fractures treated with this device, between January 1983 and December 1988, serious complications developed in 5 cases, Additionally, three cases who were referred to our hospital during the same period were included in this study.

The authors analyzed these 8cases, and found that the complications could have been prevented in using compression hip screw system for the treatment of hip fractures.

The purpose of this paper is to re-emphasize the importance of 1) strict application of indication, 2) familiarity with surgical technique and handing instruments, 3) radiologic examination during surgery, 4) good postoperative care.