Results of the multicentric Italian experience on the Gamma(TM) nail: A report on 648 cases

S. Boriani, G. Bettelli, H. Zmerly, L. Specchia, P. Bungaro, G. Montanari, A. Capelli, P. Canella, R. Regnoli, R. Rispoli, L. Trabucchi, D. Simonini, F. Bonicoli, M. D'Imporzano, M. Rava, S. Ghera, M. Giacomelli, P. Dorigotti, E. Ragazzi

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Abstract

In a multicentric study, the data of 628 trochanteric fractures, two non- unions, and 18 pathologic or impending fractures treated by Gamma nail in 13 Italian traumatology services were collected and analyzed. In 70% of the patients weight bearing was allowed in the first postoperative week and 78% of the controlled patients returned to their pretrauma walking ability. Complications included intraoperative (1.4%) and postoperative (1.2%) shaft fractures, 'cut out' of the lag screw (2.6%), and nail failure (0.5%). There were no cases of infection. An analysis of complications showed that most of them were due to technical mistakes. The safest procedure is 2 mm diaphyseal overreaming, introduction of the nail without hammering, and distal locking; the lag screw should be placed in the lower part of the head of the femur.

Original languageEnglish
Pages (from-to)1307-1314
Number of pages8
JournalOrthopedics
Volume14
Issue number12
Publication statusPublished - 1991

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Boriani, S., Bettelli, G., Zmerly, H., Specchia, L., Bungaro, P., Montanari, G., Capelli, A., Canella, P., Regnoli, R., Rispoli, R., Trabucchi, L., Simonini, D., Bonicoli, F., D'Imporzano, M., Rava, M., Ghera, S., Giacomelli, M., Dorigotti, P., & Ragazzi, E. (1991). Results of the multicentric Italian experience on the Gamma(TM) nail: A report on 648 cases. Orthopedics, 14(12), 1307-1314.