Gamma nail versus Prixomal femur Locked plate in treatment of intertrochanteric femur fractures: one year follow-up, final radiological and clinical outcomes | ||
| Aswan University Medical Journal | ||
| Article 4, Volume 5, Issue 1, March 2025, Pages 32-39 PDF (979.82 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/aumj.2024.329235.1148 | ||
| Authors | ||
| Hesham Elrefae; ِAhmed nasser zaki* ; Morsy Mohamed Basiony; Ebeed Yasin | ||
| Department of Orthopedic and Traumatology, Faculty of Medicine, Aswan University | ||
| Abstract | ||
| Background Intertrochanteric femur fractures require early mobilization and stable fixation. Commonest methods of fixation are gamma nail and proximal femur locked plate. The aim of the work: to compare the clinical and radiological outcomes of the two fixations methods in one year follow-up Subjects and methods: Two groups of fifty patients with intertrochanteric femur fractures were assigned to participate in this prospective study. 25 patients fixed with proximal femur locked plate for groub A and 25 patient fixed gamma nail for group B . Functional outcomes is determined by Harris Hip Score at the final follow-up . Recorded data such as Weight bearing time, mobility Score, union time and complication such as infection, nonunion malunion used to assess the final outcome Results In a gamma nail, the time to full weight bearing is (4.16±0.37) months, in a PFLP group (5.64±0.49) months. Postoperative infection is seen in 36% of the PFLP group, compared to 8% in the GN group which is statistically significant. In PFLP 44% show varus malunion compared to 24% in gamma nail. Conclusion: the Gamma Nail appears to have advantages in terms of mobility outcomes, early full weight bearing, less postoperative infection and less malunion. | ||
| Keywords | ||
| gamma nail; trochanteric femur fractures; proximal femur locked plate | ||
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