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Abstract
We report a prospective, randomized, controlled trial, comparing the results of treatment
with a dynamic hip screw (DHS) and a gamma nail in 95 consecutive patients with peri-trochanteric
fractures of the femur. The DHS was used in 48 patients, the gamma nail in 47. Clinical
and radiological outcomes were similar, but the gamma nail was associated with a higher
incidence of complications, in particular fracture of the femur below the implant
in eight cases. This is consistent with previous reports, and we do not recommend
the gamma nail for the treatment of peri-trochanteric femoral fractures.
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References
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Article info
Publication history
Accepted:
June 20,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.