Clinical Application of Gamma-Locking nail in the Treatment of Pertrochanteric Fracture

Sun, Ho Young; Kim, Won Yoo; Jo, Seong Il; Lee, Jeong Woung; Jin, Byeng Lok

doi:10.4055/jkoa.1992.27.5.1310

Cited by 1 publication

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“…The Gamma nail has been used since 1989 for fractures around the trochanter. The overall results have been satisfactory and many intraoperative complications have been due to mismatch of the standard nail to the Oriental femur [13,14,15,19]. The modified Gamma Asia-Pacific Locking nail was developed following a series of anthropometric studies of Chinese femora conducted by Leung [14].…”

Section: Discussionmentioning

confidence: 99%

Treatment of intertrochanteric fracture with the Gamma AP locking nail or by a compression hip screw - a randomised prospective trial

Park

Kang

Kim

et al. 1998

International Orthopaedics

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The Gamma AP (Asia-Pacific) locking nail (GAPN) is a modification of the standard Gamma locking nail made especially for use in Oriental patients. We made a randomised prospective comparison of the compression hip screw (CHS) and the Gamma AP locking nail for the internal fixation of 60 intertrochanteric fractures of the hip in elderly patients by comparing perioperative details and analysing the radiographic and clinical results. The operation time for the GAPN group was shorter than for the CHS group and the intraoperative blood loss was lower. The Gamma AP nail enabled earlier mobilisation. We found no significant difference in the time to union and the length of sliding of the lag screw between the two groups. The decrease in the neck shaft angle in the Gamma nail group was significantly smaller than in the CHS patients. There were no significant mechanical complications, such as fracture of the femoral shaft or failure of fixation in the Gamma nail group. On the basis of our observations we conclude that the Gamma AP locking nail is more efficient than the CHS in the treatment of intertrochanteric fractures in geriatric patients.

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Section: Discussionmentioning

confidence: 99%