Complications with the Gamma Nail and Long Gamma Nail, and Their Prevention

While the Gamma nail is a relatively new device, the long Gamma nail, a very efficacious device for the treatment of unstable intertrochanteric and subtrochanteric fractures, is now available. Since, during the early phases of its use, various complications were reported, the nail itself has been modified, and the surgical technique has been adapted accordingly. Most complications are preventable, and complication rates decrease with increased experience. Surgeons who are new to the procedure should be thoroughly familiar with the technique and with the means to prevent complications.