A technical report reviewing the use of the 11-mm Gamma nail: interoperative femur fracture incidence.
Two years after the first large series on the Gamma nail, the authors analyze 119 surgical procedures for proximal femur fractures performed using the 11 mm Gamma nail. The study was performed by 24 surgeons (from six orthopedics departments) at different levels of learning, as in the previous study. The small-sized nail allows an easier surgical procedure and a manual introduction of the nail even in small femurs, as suggested by the previous experience. A careful operative technique and a 2 mm overreaming, which was almost always adopted, explains the decrease in interoperative and postoperative complications (evaluated in 88 cases), compared to the last case report published in 1991. No interoperative shaft fractures occurred in 119 nailings.
Boriani
S
S
1st Orthopedic Clinic, Inst Rizzoli, Bologna, Italy.
De Iure
F
F
Campanacci
L
L
Specchia
L
L
Bungaro
P
P
Regnoli
R
R
Triscari
C
C
Giacomelli
M
M
Dorigotti
P
P
Costa
P
P
Carretti
P
P
Carfagni
A
A
Giacomi
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000009:adverse effects*; D005069:Evaluation Studies as Topic; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D015994:Incidence; D007431:Intraoperative Complications / Q000453:epidemiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D011379:Prognosis; D011859:Radiography; D011795:Surveys and Questionnaires