Long gamma nail in the treatment of subtrochanteric fractures

Archives of Orthopaedic and Trauma Surgery
Olivier BorensRaffaele Garofalo

Abstract

The purpose of our study was to retrospectively evaluate the clinical and radiological results of subtrochanteric fractures treated with a long gamma nail (LGN). The LGN has been the implant of choice at our level-1 trauma center since 1992. Over a period of 7 years, we have treated 90 consecutive patients with subtrochanteric fractures. In order to evaluate the clinical and radiological outcomes, we reviewed the clinical and radiographic charts of these patients followed for a mean time of 2 years (range 13-36 months). We found no intra- or perioperative complications nor early or late infection. Clinical and radiological union was achieved at a mean of 4.3 months in all of the patients (range 3-9 months); in 24 cases (30%) the distal locking bolts were retrieved in order to enhance callus formation and remodeling as a planned secondary surgery. Three patients (3.3%) needed unplanned secondary surgery for problems related to the nailing technique. Two mechanical failures with breakage of the nail were encountered due to proximal varus malalignment, of which one was treated with exchange nailing and grafting and the other one by removal of the broken hardware, blade-plating, and bone grafting. One fracture below a short LGN was...Continue Reading

Citations

Mar 28, 2013·Case Reports in Medicine·Takahiro NiikuraMasahiro Kurosaka
Apr 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Stefan Hajdu, Vilmos Vécsei
Jun 9, 2016·Revista Brasileira De Ortopedia·Paulo Roberto Barbosa de Toledo Lourenço, Robinson Esteves Santos Pires
Aug 2, 2005·Injury·K SehatT J S Chesser
Mar 24, 2012·The Journal of Trauma and Acute Care Surgery·Orry Erez, Paul J Dougherty
Feb 28, 2008·The Journal of Trauma·Kongkhet RiansuwanOhannes Nercessian
Dec 2, 2010·Clinics in Orthopedic Surgery·Ivan D MicicIn-Ho Jeon
Nov 30, 2005·Journal of Orthopaedic Trauma·Robert F OstrumRobert Marburger
Mar 11, 2015·Journal of Orthopaedic Trauma·Richard S YoonFrank A Liporace
Dec 9, 2010·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·S EberleP Augat
Sep 19, 2019·International Orthopaedics·Srinivas Kasha, Ranjith Kumar Yalamanchili

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