Comparison of internal fixation with Gamma3 Long nails and INTERTAN nails in the treatment of Seinsheimer type V subtrochanteric femoral fractures in elderly patients

Abstract

The aim of this study was to clinically compare the therapeutic effects of internal fixation using a third-generation Gamma Long Nail (TGLN) with that of INTERTAN in the treatment of Seinsheimer Type V subtrochanteric femoral fractures in elderly patients. The therapeutic effect of internal fixation with TGLN, compared with that with INTERTAN, was retrospectively analyzed in elderly patients diagnosed with Seinsheimer Type V subtrochanteric fracture. Twenty-five cases were divided into 2 groups based on the fixation devices: the TGLN group (13 cases; 5 men and 8 women) and the INTERTAN group (12 cases; 5 men and 7 women). Patients were followed up postoperatively, and their clinical history, intraoperative blood loss, fracture healing, Harris Hip Scores, and postoperative complications were recorded and compared. Patients in the TGLN group had shorter operation time and less intraoperative blood loss, compared with those in the INTERTAN group ( P < .05). There were no significant between-group differences in postoperative complications, fracture healing time and Harris Hip Scores during the follow-up ( P > .05).

Gamma 3 Long Nail for Complex Sub-Trochanteric Fractures: A Ten-Year Retrospective Study

“…Particularly, we obtained fracture consolidation in 255 of 261 patients, of which 199 (76.2%) within four months. These data are in line with reported by other authors [9][10][11] that showed a mean bone healing time of four months (range 3 -9 months), attesting the difficulty in the healing of these difficult fractures.…”

“…Even if a certain number of complications have been reported in our series in regarding with the past, this implant has proven a significant reduction of rate of local complications and healing of the fracture site [9][10][11]. Particularly, we can observe a drastic reduction of intraoperative additional fractures in comparison with the first series [4,13,18].…”

Benefit of lag screw placement by a single- or two-screw nailing system in elderly patients with AO/OTA 31-A2 trochanteric fractures

“…The results of the present study showed significantly less blood loss in the Gamma3 group than in the INTERTAN group, confirming the findings of previous studies. 35,38 Generally, as the operation time increases, the amount of intraoperative bleeding increases. The statistical analysis of the two groups revealed no significant difference in the fracture healing time, consistent with the findings by Su et al 36 No significant difference in complications was observed between the two groups during follow-up.…”