The Long Gamma Nail in the Treatment of 329 Subtrochanteric Fractures with Major Extension into the Femoral Shaft

Objective: To study the outcome of treating extensive proximal femoral fractures with the long Gamma nail. Design: Retrospective study, with a minimum follow-up of a year. Setting: 24 hospitals throughout The Netherlands. Subjects: 329 patients with primary proximal femoral fractures. Main outcome m...

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Published in:The European journal of surgery 2000, Vol.166 (3), p.240-246
Main Authors: van Doorn, Ron, Stapert, Jouwert W. J. L.
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description Objective: To study the outcome of treating extensive proximal femoral fractures with the long Gamma nail. Design: Retrospective study, with a minimum follow-up of a year. Setting: 24 hospitals throughout The Netherlands. Subjects: 329 patients with primary proximal femoral fractures. Main outcome measures: Functional results and complications. Results: 19 patients died in hospital and 6 were lost to follow-up. Of the remaining 304 who were fully documented, 241 (80%) became fully mobile, 59 (19%) moderately mobile, and 4 remained bedridden. 264 patients had no pain, 38 had moderate pain and used oral painkillers, and 2 had severe pain that was difficult to treat. Major technical complications occurred in 17 patients: alignment and locking gave rise to most problems, 4 patients developed deep infections, and 7 patients needed additional measures before the fracture was solid. Conclusions: The long Gamma nail in the treatment of extensive proximal femoral fractures gave good functional results with acceptable rates of complications and union problems.
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J. L.</creator><creatorcontrib>van Doorn, Ron ; Stapert, Jouwert W. J. L.</creatorcontrib><description>Objective: To study the outcome of treating extensive proximal femoral fractures with the long Gamma nail. Design: Retrospective study, with a minimum follow-up of a year. Setting: 24 hospitals throughout The Netherlands. Subjects: 329 patients with primary proximal femoral fractures. Main outcome measures: Functional results and complications. Results: 19 patients died in hospital and 6 were lost to follow-up. Of the remaining 304 who were fully documented, 241 (80%) became fully mobile, 59 (19%) moderately mobile, and 4 remained bedridden. 264 patients had no pain, 38 had moderate pain and used oral painkillers, and 2 had severe pain that was difficult to treat. Major technical complications occurred in 17 patients: alignment and locking gave rise to most problems, 4 patients developed deep infections, and 7 patients needed additional measures before the fracture was solid. Conclusions: The long Gamma nail in the treatment of extensive proximal femoral fractures gave good functional results with acceptable rates of complications and union problems.</description><identifier>ISSN: 1102-4151</identifier><identifier>EISSN: 1741-9271</identifier><identifier>DOI: 10.3109/110241500750009357</identifier><language>eng</language><publisher>Informa UK Ltd</publisher><ispartof>The European journal of surgery, 2000, Vol.166 (3), p.240-246</ispartof><rights>2000 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids></links><search><creatorcontrib>van Doorn, Ron</creatorcontrib><creatorcontrib>Stapert, Jouwert W. J. 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title The Long Gamma Nail in the Treatment of 329 Subtrochanteric Fractures with Major Extension into the Femoral Shaft
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