Key result
Gamma nail and proximal femoral nail both achieved high union rates for unstable intertrochanteric fractures, with significant differences in intraoperative blood loss and time to union.
Why the study?
Does Gamma nail improve functional and radiological results compared to Proximal femoral nail in patients with unstable intertrochanteric fractures?
Cohort (n=30)
Does Gamma nail improve functional and radiological results compared to Proximal femoral nail in patients with unstable intertrochanteric fractures?
Both Gamma nail and Proximal femoral nail are trusted implants for the surgical management of unstable trochanteric fractures, though they differ in intraoperative blood loss and time of union.
Both nails support use in unstable intertrochanteric fractures despite blood-loss and union-time differences; leaves optimal selection open pending randomized trials.
Background: Proximal femoral fractures have been on the rise with the increase in life expectancy and osteoporosis in the elderly population and road traffic accidents among the younger counterparts. Aim of the Work: To evaluate and compare the outcome f using Gamma nail and Proximal femoral nail in internal fixation of unstable intertrochanteric fractures regarding preoperative parameters, intraoperative variables, postoperative complications. Patient and Methodology: A prospective study on 30 cases suffering from unstable intertrochanteric fractures managed using either Gamma Nail or Proximal femoral nail to assess the functional and radiological results. Results: There was a significant difference found between the two groups regarding intraoperative blood loss (ml). There was no significant difference found between the two groups regarding DVT, Infection, Implant failure, and non-union. There was a significant difference found between the two groups regarding the Time of union (months). Conclusion: Our study showed that both gamma nail and proximal femoral nail are trusted implants for the surgical management of unstable trochanteric fractures in patients with a high rate of union but with differences in the time of union, less intraoperative blood loss, and fewer postoperative complications rate.
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Mohamed et al. (2021) conducted a cohort in Unstable intertrochanteric fractures (n=30). Gamma nail vs. Proximal femoral nail was evaluated on Functional and radiological results (including intraoperative blood loss, complications, and time of union). Gamma nail and proximal femoral nail both achieved high union rates for unstable intertrochanteric fractures, with significant differences in intraoperative blood loss and time to union.
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