Abstract
Subtrochanteric fractures constitute a difficult problem for the trauma surgeon. The
long Gamma nail (LGN) represents an efficient technique in the management of these
fractures. A retrospective analysis of 51 LGN with an average follow up of 16 weeks
is presented. The average age of the patients was 72 years and the mean time to union
was 11 weeks. The incidence of peroperative, early local and late local complications
was 8, 8 and 4%, respectively or 20% in total. The thirty-day mortality was 8%. Our
results in the use of the LGN have been good. Its introduction provides the trauma
surgeon with a tool for allowing earlier mobilisation, decreasing operative time,
surgical trauma, blood loss and wound problems. The LGN is a device by which most
complex fractures in the proximal femur can be managed with a single implant.
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Article info
Publication history
Accepted:
May 3,
2000
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.