The results of a multicenter Italian study on the use of the Gamma nail for the treatment of pertrochanteric and subtrochanteric fractures: a review of 1181 cases.

S. Boriani, F. De Iure, G. Bettelli, L. Specchia, P. Bungaro, G. Montanari, A. Capelli, P. Canella, R. Regnoli, C. Triscari

Research output: Contribution to journalArticlepeer-review

Abstract

A total of 1147 pertrochanteric and subtrochanteric fractures, 10 delays in consolidation and non-union, 24 pathologic fractures and osteolysis with the risk of fracture, treated with a gamma nail in 17 Italian departments of traumatology, were collected. In 70% of the patients weight-bearing was allowed during the first week postsurgery; 77% of the patients followed-up recovered the same ability to walk that had preceded trauma. Complications included intraoperative (1.8%) and postoperative (1.1%) diaphyseal fractures, cephalic screw cut out (2.2%), and breakage of the nail (0.4%). There were two cases of infection (0.3%). Most of the complications were related to errors in technique. The safest procedure is constituted by the choice of a nail with a thinner caliber, 2 mm diaphyseal over-reaming, insertion of the nail without the use of a hammer, and distal locking; the cephalic screw must always be inserted in the lower portion of the femoral head.

Original languageEnglish
Pages (from-to)193-203
Number of pages11
JournalLa Chirurgia degli organi di movimento
Volume79
Issue number2
Publication statusPublished - Apr 1994

ASJC Scopus subject areas

  • Medicine(all)

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