Gamma nailing of pertrochanteric and subtrochanteric fractures: clinical results of a series of 63 consecutive cases.

Abstract

To analyze the use of the gamma nail in the treatment of pertrochanteric fractures. Prospective. University. Sixty-three fractures in sixty-three patients treated with gamma nails. Forty-five of the sixty-three patients (71 percent) were followed until the end of treatment, for an average follow-up period of 7.2 months. Of the remaining eighteen, eleven died and seven were lost to follow-up. Reduction was classified as good in thirty-eight cases, acceptable in nineteen, and unsatisfactory in six. The findings from this series indicate that, compared with other methods, the gamma nail enables the surgeon to treat more types of hip fractures with a less invasive technique and achieve equal or better results.