THE GAMMA NAIL FOR PERITROCHANTRIC FRACTURES: A STUDY OF 32 CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 27
Abstract
The Gamma Nail was designed to treat unstable intertrochantric and subtrochantric fractures of the femur. Unstable peritrochantric fractures of the femur are very common. Thirty two such cases are treated using the Gamma nail under image intensifier. In all cases except one, the long gamma nail is used. Importance is given to accurate reduction and static locking of the nail. In this prospective study we observed satisfactory union with little loss of position, even in comminuted fractures. Operati complications were nil. Anterior thigh pain was seen only in a case where short nail was used. Nonunion after compression hip screw fixation was also successfully treated with a long gamma nail. We strongly recommend this procedure in all unstable peritrochantric fractures.
Authors and Affiliations
Nava Krishna Prasad, Athmaram M
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