title: Management of gamma nail breakage with bipolar hemi-arthroplasty.
abstract: Gamma nail breakage is an uncommon occurrence that often arises from fatigue failure of the implant, with a reported incidence ranging from 0.2 to 5.7 percent. We report a 73-year-old woman with a three-part intertrochanteric fracture and who presented two years postoperatively with gamma nail failure secondary to fracture non-union. This patient underwent a revision long-stem bipolar hemi-arthroplasty and has been followed-up for 24 months, with good functional and radiological results.
authors.affiliation: Adult Reconstructive Surgery & Complex Trauma, Dept of Orthopaedic Surgery, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore.
authors.forename: J L H
authors.initials: JL
authors.lastname: Wee
authors.forename: S S
authors.initials: SS
authors.lastname: Sathappan
authors.forename: M S W
authors.initials: MS
authors.lastname: Yeo
authors.forename: Y P
authors.initials: YP
authors.lastname: Low
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001858:Bone Nails; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation