Complications of Femoral Peritrochanteric Fractures Treated with the Gamma Nail
Journal of the Korean Fracture Society
;
: 85-90, 2009.
Article
in Korean
| WPRIM
| ID: wpr-122886
ABSTRACT
PURPOSE:
We analyzed the complications of femoral peritrochanteric fractures treated with the Gamma nail to reduce its complications. MATERIALS ANDMETHODS:
We evaluated the complications among the 96 patients who were treated with the Gamma nail from January 2000 to May 2005. Mean follow-up period was 17.8 months and mean age was 75.2 years. We analysed the relationship between the complication and the fracture pattern, postoperative reduction status, position of the lag screw, bone density, displacement and tip-apex index (TAD).RESULTS:
The complications were presented in 12 cases (12.5%). Cut-out of lag screw were in 5 cases, varus deformity with short lag screw in 2 cases, metal breakage of distal screw in 1 case, breakage of drill bit intraoperatively in 1 case, superficial infection in 2 cases and deep infection in 1 case. 5 cases (4.2%) were required reoperation. All of the cut-out of lag screw showed increased TAD (tip apex distance) above 25 mm.CONCLUSION:
To reduce the complications of the Gamma nail, we need exact surgical technique, good positioning of the lag screw and choice of appropriate length for the lag screw.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reoperation
/
Congenital Abnormalities
/
Bone Screws
/
Follow-Up Studies
/
Isothiocyanates
/
Mandrillus
/
Displacement, Psychological
/
Nails
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Fracture Society
Year:
2009
Type:
Article
Similar
MEDLINE
...
LILACS
LIS