title: Reversed gamma-nail: preliminary results of a new intramedullary implant.
abstract: Preliminary results of treatment with the reversed gamma-nail, an experimental intramedullary device for fixation of supracondylar fractures, are presented. The reversed gamma-nail was used 11 times; six in primary supracondylar fracture treatment, five in revision surgery of a supracondylar non-union or pseudarthrosis. Three consolidated fractures and six complications were noticed at a mean follow-up of 9 months. General results were moderate but slightly better in primary fracture treatment. The reversed gamma-nail has a limited indication; primary treatment of a supracondylar extra-articular fracture in elderly patients is probably the best one. The osteosynthesis method and implant deserve further development.
authors.affiliation: Department of Traumatology, Westeinde Hospital, The Hague, The Netherlands.
authors.forename: W
authors.initials: W
authors.lastname: Kuis
authors.forename: V A
authors.initials: VA
authors.lastname: de Ridder
mesh_terms: D000368:Aged; D001858:Bone Nails / Q000009:adverse effects; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D005598:Fractures, Spontaneous / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000601:surgery*; D006811:Humerus / Q000601:surgery; D008297:Male; D012189:Retrospective Studies