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Reverse oblique intertrochanteric femoral fractures treated with the gamma nail

International Orthopaedics volume 29, pages 164–167 (2005)Cite this article

Abstract

We studied 47 reverse oblique intertrochanteric femoral fractures that were treated with gamma nails between 1992 and 2000. Fracture reduction was satisfactory in 38 patients (81%), the hip screw position was correct in 42 (89%) and there were no peri-operative complications. However, in three patients the nail displaced, resulting in non-union in one and protrusion into the acetabulum in another. A logistical regression analysis of our series showed that an incorrect position of the hip screw in the femoral head was the only predictor for complications. Thus, we consider that the gamma nail is a good option for the treatment of these complex fractures.

Résumé

Nous avons étudié 47 fractures fémorales intertrochantériennes obliques qui ont été traitées avec un clou Gamma entre 1992 et 2000. Il n’y avait pas de complication périopératoire. La réduction de la fracture était satisfaisante dans 38 cas et la place de la vis était correcte dans 42 cas. Dans trois cas il y a eu une mobilisation du clou qui a conduit une fois à une pseudarthrose et une fois à une protrusion dans le cotyle. Une analyse par régression à montré, comme seul élément prédictif de complication, le mauvais positionnement de la vis dans la tête. Le Clou Gamma est une bonne option pour le traitement de ces fractures complexes.

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Affiliations

  1. Department of Orthopaedics, Hospital San Agustin, Camino Heros s/n, Avilés, Spain

    D. Hernández-Vaquero, D. Pérez-Hernández, A. Suárez-Vázquez, J. García-García & M. A. García-Sandoval

  2. School of Medicine, University of Oviedo, Julian Claveria, 6, Oviedo, Spain

    D. Hernández-Vaquero

  3. Apartado de Correos 341, 33400, Avilés, Asturias, Spain

    D. Hernández-Vaquero

Authors
  1. D. Hernández-Vaquero
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  2. D. Pérez-Hernández
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  3. A. Suárez-Vázquez
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  4. J. García-García
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  5. M. A. García-Sandoval
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Correspondence to D. Hernández-Vaquero.

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Hernández-Vaquero, D., Pérez-Hernández, D., Suárez-Vázquez, A. et al. Reverse oblique intertrochanteric femoral fractures treated with the gamma nail. International Orthopaedics (SICOT) 29, 164–167 (2005). https://doi.org/10.1007/s00264-005-0648-4

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  • DOI: https://doi.org/10.1007/s00264-005-0648-4

Keywords

  • Femoral Head
  • Intramedullary Nail
  • Intertrochanteric Fracture
  • Gamma Nail
  • Dynamic Condylar Screw