Operative Treatment with Gamma 3 Nail in Femur Intertrochanteric Fracture

Abstract

Purpose: To evaluate clinical and radiological results of surgical treatment of femur intertrochantenric fracture using Gamma 3 nail. Materials and Methods: With clinical study, 22 patients who were treated surgically by Gamma 3 nail were retrospectively evaluated. By postoperative radiograph and last follow up radiograph we measured Tip-apex distance, Cleveland index, Neck-shaft angle change Lag screw slippage and Union time. And By medical record review, the clinical results were evaluated with the operation time, intraperative estimated blood loss, amount of transfusion, change of mobility and complication. Results: The mean change of femur neck shaft angle was 5.18 degrees. The mean lag screw sliding was 5.43 mm. The mean bone union time was 11.8 weeks. From all of these examples shows bone union. The mean operative time was 41 min, blood loss was 161 ml and the transfusion amount was 0.3 pint. In Ceder et al mobility score, it showed 0.2 point decreased and in Jensen social function score, it showed 0.6 point increased. Comparing the results before and after operation, the results were satisfactory. Conclusion: Using the Gamma 3 nail, the treatment of fermur intertrochanteric fractures showed good results both radiologically and clinically.

Changes in Tip-Apex Distance by Position and Film Distance Measured by Picture Archiving and Communication System (PACS)

“…Advantages of intramedullary nailing include biomechanical superiority and structural stability enabling immediate postoperative rehabilitation regardless of the fracture type 4 5 6) . Previous studies have reported favorable clinical and radiographic outcomes for proximal femoral nail antirotation (PFNA; Synthes, Oberdorf, Switzerland) with a helical blade and a single-screw-system (Gamma 3 Locking Nail System; Stryker, Schoenkirchen, Germany) 8 9 10) .…”