R van Doorn1, J W Stapert. 1. Department of Surgery, Tweesteden Hospital, Tilburg, The Netherlands.
Abstract
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.
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.
Authors: C M Ansari Moein; H J Ten Duis; P L Oey; G A P de Kort; W van der Meulen; Chr van der Werken Journal: Eur J Trauma Emerg Surg Date: 2011-03-19 Impact factor: 3.693