Does surgical treatment using the Intramedullary Hip Screw or the Gamma Nail improve bone union in patients with femoral subtrochanteric fractures?
Surgical treatment of femoral subtrochanteric fractures using the Intramedullary Hip Screw or Gamma Nail is effective for achieving bone union and allows early weight bearing.
Nineteen cases with femoral subtrochanteric fractures were treated surgically using the Intramedullary Hip Screw or the Gamma Nail.In one cases a femoral shaft fracture occurred, requiring interlocking intramedullary nailing. All cases except one achieved bone union.This method is useful for treatment of femoral subtrochanteric fractures allowing early weight bearing.
Ikuta et al. (1997) studied this question.