Methods to avoid gamma nail complications.
Femoral neck fractures are progressively increasing, due to higher survival rates, particularly among the female population. The gamma nail was created to treat intertrochanteric fracture types 31-A1, 31-A2 and 31-A3 and in some cases basicervical fractures of type 31-B2-1. Complications can be classified as intraoperative and postoperative. The intraoperative might be related to the nail's introduction site, lag and distal locking screw positions. Postoperative complications depend mostly on an incorrect surgical technique, which can lead to an inaccurate nail position and consequent implant failure. We rarely observe failures caused by severe bone osteoporosis.
Pascarella
Raffaele
R
Unità Operativa di Ortopedia, Traumatologia e Chirurgia del Rachide, Ospedale Maggiore C.A. Pizzardi, Largo Negrisoli 2, Bologna, Italy. raffaele.pascarella@libero.it
Cucca
Giuseppe
G
Maresca
Alessandra
A
Commessatti
Matteo
M
Bracci
Giovanni
G
Boriani
Stefano
S
Gozzi
Enrico
E
D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails / Q000009:adverse effects*; D005260:Female; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control