Treatment of subtrochanteric fractures. A comparison of the Gamma nail and the dynamic hip screw: short-term outcome in 58 patients.

International Orthopaedics
I SaarenpääP Jalovaara

Abstract

The aim of this non-randomised prospective study was to evaluate the short-term outcome of Gamma nail and dynamic hip screw (DHS) fixation in the treatment of subtrochanteric hip fractures due to low-energy trauma in the elderly. All of the 1,624 femoral hip fractures in 1,511 patients of the Oulu Hospital, aged over 49 years, were prospectively registered from 1991-1999 using special forms. Seventy-three (4.5%) of the fractures were subtrochanteric. After exclusions, 58 patients constituted the final study group. Of these, 43 were treated with Gamma nails and 15 with DHS. Background factors before the fracture, complications, reoperations and functional parameters at 4 months were recorded using standardised forms. Intraoperative and hospital data were collected from patient records. The Seinsheimer fracture types IIIA, IIC and V were the most common fracture patterns when the Seinsheimer classification system was used, and Fielding II and AO 31A3.3, respectively, were the most common types in the Fielding and AO classification system. There were four (9%) intraoperative complications in the Gamma nail group as compared to none in the DHS group. On the other hand, postoperative complications were more common in the DHS group (...Continue Reading

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Citations

Oct 23, 2013·International Orthopaedics·Laurent AudigéMarc Andreas Müller
Dec 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Nirav H AminDouglas L Cerynik
Nov 28, 2008·Injury·V S NikolaouP V Giannoudis
Apr 15, 2015·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ahmet ImerciMurat Yeşil
May 13, 2015·Der Unfallchirurg·G H Sandmann, P Biberthaler
Apr 7, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·F Loubignac, J-F Chabas
Feb 11, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Riccardo Maria LanzettiMichele Bisaccia
Mar 24, 2012·The Journal of Trauma and Acute Care Surgery·Orry Erez, Paul J Dougherty
May 5, 2010·The Journal of Bone and Joint Surgery. American Volume·Mary L ForteRobert L Kane
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 6, 2018·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·C BahrsP Hemmann
Feb 8, 2019·Archives of Orthopaedic and Trauma Surgery·Dietmar KrappingerRichard A Lindtner
Feb 17, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Zaki ArshadDaud T S Chou
Jun 18, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Won Chul ShinNam Hoon Moon

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