Interest of Surgical Treatment of Per-Trochanteric Fractures by Gamma Nail: About 100 Cases

Abstract

Gamma nail closed osteosynthesis has surpassed several methods previously used in the treatment of fractures in the trochanteric region.
 The objective of the research was to carry out an epidemiological study and to assess the evolutionary profile of patients with per-trochanteric fracture treated with gamma nail.
 Materials and methods. In this retrospective study, we report the experience of the Traumatology-Orthopedics Service II of the Military Teaching Hospital Mohamed V-Rabat, in the treatment of per-trochanteric fractures by gamma nail in 100 cases, collected between January 2011 and March 2016.
 Results. The average age of our patients was 68 years, with a male predominance of 67%. The most reported etiology (92% of cases) was simple drop. Stable fractures were the most common (81%), with a predominance of simple per-trochanteric fractures. The average response time was 24 hours, the average duration of the surgical procedure was 45 minutes. The rate of infectious complications was 1%; the rate of mechanical complications was 1%. The functional results were excellent and good in 95% of cases. The average consolidation time was 8 weeks.
 Conclusions. Trochanteric fracture is a delayed emergency which is seen primarily in the elderly. The gamma nail represents one of the latest improvements in implants for the treatment of these fractures. We report a series of 100 cases of trochanteric fractures treated surgically by gamma nail. The functional results were very encouraging compared to those reported in the literature.

Dual Plate Fixation of Distal Femoral Fracture

“…The average age is 45.6 years, In our study, about two-thirds were males (66.7%). In the former study (6) it was observed that men have been affected in 76.48% of cases. But Singh et al (7) showed a female predominance which goes from 63.6% to 87.3%.…”

“…In our study, the mean age of the studied patients was 46 ±10 years; this young age could be explained by the high rate of road accidents which mainly concerns the youngest subjects. In 2019 (6) some scientists studied the epidemiological, anatomopathological, diagnostic, therapeutic and progressive aspects of patients with distal femur fracture. The average age is 45.6 years, In our study, about two-thirds were males (66.7%).…”