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Methods to avoid gamma nail complications

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Abstract

Femoral neck fractures are progressively increasing, due to higher survival rates, particularly among the female population. The gamma nail was created to treat intertrochanteric fracture types 31-A1, 31-A2 and 31-A3 and in some cases basicervical fractures of type 31-B2-1. Complications can be classified as intraoperative and postoperative. The intraoperative might be related to the nail’s introduction site, lag and distal locking screw positions. Postoperative complications depend mostly on an incorrect surgical technique, which can lead to an inaccurate nail position and consequent implant failure. We rarely observe failures caused by severe bone osteoporosis.

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Authors and Affiliations

  1. Unità Operativa di Ortopedia, Traumatologia e Chirurgia del Rachide, Ospedale Maggiore C.A. Pizzardi, Largo Negrisoli 2, 40133, Bologna, Italy

    Raffaele Pascarella, Giuseppe Cucca, Alessandra Maresca, Matteo Commessatti, Giovanni Bracci & Stefano Boriani

  2. Istituti Ortopedici Rizzoli, Chirurgia Ortopedico-Traumatologica, Bologna, Italy

    Enrico Gozzi

Authors
  1. Raffaele Pascarella
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  2. Giuseppe Cucca
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  3. Alessandra Maresca
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  4. Matteo Commessatti
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  5. Giovanni Bracci
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  6. Stefano Boriani
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  7. Enrico Gozzi
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Correspondence to Raffaele Pascarella.

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Pascarella, R., Cucca, G., Maresca, A. et al. Methods to avoid gamma nail complications. Chir Organi Mov 91, 133–139 (2008). https://doi.org/10.1007/s12306-007-0030-3

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  • DOI: https://doi.org/10.1007/s12306-007-0030-3

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