A Comparison of U-blade Gamma3 and Gamma3 Nails Used for the Treatment of Intertrochanteric Fractures

Hip & Pelvis
Hyung-Gon RyuJae-Sung Seo

Abstract

To compare outcomes (i.e., clinical and radiological findings, postoperative complication) in the fixation of intertrochanteric fractures with U-blade Gamma3 and Gamma3 nails. A review of 162 patients (both male and female) treated for intertrochanteric fractures between December 2012 and December 2018 was conducted. All patients were older than 65 years of age and treated with U-blade Gamma3 (n=90) or Gamma3 (n=72) nails. Evaluations included: (i) screw-head position, (ii) fracture-reduction status, (iii) time to union, (iv) cases of cut-out, (v) tip-apex distance, and (vi) lag screw sliding distance. Differences in pre- and postoperative ambulatory ability was also investigated. There were no significant differences in baseline demographics between the two groups. While the lag-screw sliding distance was significantly shorter in U-blade Gamma3 nail group (4.7 mm vs. 3.6 mm; P=0.025), the mean time to union was similar between the groups (P=0.053). Three and six cases of cut-out were noted in the U-blade Gamma3 and Gamma3 nail groups, respectively (P=0.18), however no other postoperative complications were noted in either group. Lastly, there was no difference between the change from pre- to postoperative activity level betwee...Continue Reading

References

Jul 1, 1995·The Journal of Bone and Joint Surgery. American Volume·M R BaumgaertnerJ M Keggi
Jun 24, 2004·Journal of Orthopaedic Trauma·Mark B SommersMichael Bottlang
Oct 13, 2006·International Orthopaedics·Yih-Shiunn LeeChien-Rae Huang
May 3, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Jorge Rubio-AvilaMohit Bhandari

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