FIXATION OF UNSTABLE PERITROCHANTERIC FRACTURES OF FEMUR USING GAMMA NAIL
arnaout, B., Al Zahhar, M., Esmat, E., El Gazzar, A. (2021). FIXATION OF UNSTABLE PERITROCHANTERIC FRACTURES OF FEMUR USING GAMMA NAIL. EKB Journal Management System, 38(special issue (Orthopedic Surgery)), 86-96. doi: 10.21608/bmfj.2021.15026.1023
basem arnaout; Mohammed Al Zahhar; Emad Esmat; Amr El Gazzar. "FIXATION OF UNSTABLE PERITROCHANTERIC FRACTURES OF FEMUR USING GAMMA NAIL". EKB Journal Management System, 38, special issue (Orthopedic Surgery), 2021, 86-96. doi: 10.21608/bmfj.2021.15026.1023
arnaout, B., Al Zahhar, M., Esmat, E., El Gazzar, A. (2021). 'FIXATION OF UNSTABLE PERITROCHANTERIC FRACTURES OF FEMUR USING GAMMA NAIL', EKB Journal Management System, 38(special issue (Orthopedic Surgery)), pp. 86-96. doi: 10.21608/bmfj.2021.15026.1023
arnaout, B., Al Zahhar, M., Esmat, E., El Gazzar, A. FIXATION OF UNSTABLE PERITROCHANTERIC FRACTURES OF FEMUR USING GAMMA NAIL. EKB Journal Management System, 2021; 38(special issue (Orthopedic Surgery)): 86-96. doi: 10.21608/bmfj.2021.15026.1023

FIXATION OF UNSTABLE PERITROCHANTERIC FRACTURES OF FEMUR USING GAMMA NAIL

Benha Medical Journal
Article 8, Volume 38, special issue (Orthopedic Surgery), September 2021, Page 86-96  XML PDF (723.51 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2021.15026.1023
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Authors
basem arnaout email 1; Mohammed Al Zahhar2; Emad Esmat3; Amr El Gazzar2
1specialist in orthopedic , Al Ahrar teaching hospital
2Orthopedic department , faculty of medicine , Banha University
3Orthopedic department, faculty of medicine , Banha University
Abstract
Introduction :
The early operative treatment of the peritrochanteric fractures is widely accepted practice and different sliding nail-plate systems, including Gamma Nails (GN) are used in the treatment. The GN was designed to treat unstable trochanteric fractures.
Aim:
The aim of this study was to discuss the results of treatment of unstable peritrtrochanteric fracture of femur in 30 patients treated by fixation by Gamma nail regarding its outcome .
Patients and methods :
The study was based on a total of 30 patients surgically treated for the unstable peritrochanteric femoral fracture in the period between August / 2014 till July /2017. All patients underwent gamma nail osteosynthesis. The average age of the patients was 67.2 years (range 40-81 years) with 13 male patients and 17 female patients. The average operative time was 71.8 min (range 45 -100 min). Clinical and radiographic assessments were performed during follow-up visits at 2 weeks , 6 weeks , 12 weeks and 6 months up to one year.

Results :
According to the final Harris hip score , results were excellent in 7 patients , good in 13 patients , fair in 5 patients and poor in 4 patients while one patient ends with deep infection and non union.
Conclusion :
This study suggests that the gamma nail is an excellent alternative in treatment of unstable peritrochanteric fracture as it gives advantage of closed technique, allows early mobilization and early weight-bearing. It involves lesser perioperative complications.
Keywords
peritrochanteric; Gamma; osteosynthesis
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