Abstract
The results for a series of 35 patients with complex proximal femoral fractures treated
with the long Gamma nail are presented. Fracture healing occurred in all surviving
patients, but there were four technical problems associated with the implant. Two
nails broke associated with delayed union of the fracture necessitating revision of
the implant, one fracture of femur at the site of distal locking occurred during surgery
and there was one later fracture at the tip of the nail. All but one failures of fixation
were revised with another Gamma nail and healed uneventfully. Overall the number of
fracture healing complications compares favourably to contemporary implants and improvements
in the design and strength of the nail may further improve results.
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Article info
Publication history
Accepted:
February 8,
2001
Identification
Copyright
© 2001 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.