The long gamma nail: indications and results.

The authors report their experience concerning the use of the long gamma nail in 18 cases with the following indications: double fractures of the proximal end and the diaphysis of the femur; subtrochanteric fractures and of the diaphysis with severe lesion of the medial cortical bone; subtrochanteric pathologic fractures. All of the fractures except one consolidated within 6 months and weight-bearing was allowed early. Breakage of the means of synthesis was the only major complication observed. The long gamma nail has proven to be an irreplaceable method for the treatment of associated fractures of the proximal end and of the femoral diaphysis.