title: [Treatment of elderly femoral intertrochanteric fractures with long Gamma nail].
abstract: OBJECTIVE
  To explore the treatment outcomes of elderly femoral intertrochanteric fractures with long Gamma nail.
  
  
  METHODS
  A total of 86 elderly femoral intertrochanteric fractures were treated with long Gamma nail. There were 30 males and 56 females with an average age of (65-93) 78.5 years. According to the AO classification, there were type 31A1 (n = 19), 31A2 (n = 61) and 31A3 (n = 6). Hip function was evaluated according to the Harris score.
  
  
  RESULTS
  Among them, 59 patients received a mean follow-up period of 18.5 (12-28) months. The mean operative duration was 63 (41-85) min and mean time of bone union 10.6 (8-14) weeks. The time of partial weight-bearing was 3-10 days and that of full weight bearing 10 (6-14) weeks. The Harris score was used to evaluate the postoperative hip function at 6-12 months. The treatment outcomes were excellent (n = 17), good (n = 26), fair (n = 7) and poor (n = 6). And the ratio of excellent and good was 89.6%. No wound infection, hip pain or nail breakage occurred.
  
  
  CONCLUSIONS
  Use of long Gamma nail may avoid the postoperative occurrence of femoral refracture and reduce other complications. And partial weight-loading walk is safe.
authors.affiliation: Department of Orthopedic Trauma, Third Hospital, Hebei Medical University, Shijiazhuang 050051, China. Email: lizhi_zhyx@126.com.
authors.forename: Zhi
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Orthopedic Trauma, Third Hospital, Hebei Medical University, Shijiazhuang 050051, China.
authors.forename: Yi
authors.initials: Y
authors.lastname: Liang
authors.affiliation: Department of Orthopedic Trauma, Third Hospital, Hebei Medical University, Shijiazhuang 050051, China.
authors.forename: Changping
authors.initials: C
authors.lastname: Zhao
authors.affiliation: Department of Orthopedic Trauma, Third Hospital, Hebei Medical University, Shijiazhuang 050051, China.
authors.forename: Haotian
authors.initials: H
authors.lastname: Wu
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D005260:Female; D005269:Femur; D005594:Fracture Fixation, Intramedullary; D006620:Hip Fractures; D006801:Humans; D008297:Male; D010149:Postoperative Pain; D011184:Postoperative Period; D016896:Treatment Outcome; D014946:Wound Infection