Use of the long gamma nail in fractures of the persubtrochanteric region. Retrospective study

F. Marqués López, X. Pelfort López, M. Ramírez Valencia, O. García Casas, J. C. Monllau García, J. Ballester Soleda

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A retrospective study was made of patients with fracture of the subtrochanteric area, treated with the Gamma long nail between 1992 and 1998. A review was made of 31 patients, 14 men and 17 women, mean age 73 years; 26 patients had fractures, 4 had complications of earlier treatments, and one was a prophylactic procedure for a lytic lesion of tumoral origin. According to the AO fracture classification and Singh osteoporosis index, there were 7 cases of 31A2 fracture, 14 cases of 31A3, 3 cases of 32A1, 14 cases of 31A1, and 2 cases of 32B1. Blood loss, mechanical complications, and the functional result were evaluated. The mean follow-up of the 26 fractures was 13 months. Mechanical complications appeared in 19.3% of patients, but only 6.4% had clinical repercussions. Blood transfusion was required in 43.7%. Fracture consolidation was achieved in every case within a mean time of 3 months. All patients recovered their previous walking status. Intrahospital mortality was 6% and the 3-month mortality was 12.9%. In view of the percentage of successful consolidations, functional recovery, and number of complications, the long Gamma nail was suitable for treating subtrochanteric fractures.
Idioma originalEnglish
Pàgines (de-a)211-215
RevistaRevista de Ortopedia y Traumatologia
Estat de la publicacióPublicada - 1 de gen. 2001


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