Operative Stabilisierung von per- und subtrochantären Oberschenkelfrakturen mit dem Gammanagel

Sailer, R; Ulmer, Hanno; Hrubesch, R.; Fink, Christian; Hoser, Christian; Rangger, C.

doi:10.1007/s001040051230

Cited by 7 publications

(2 citation statements)

References 13 publications

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“…Several studies have indicated median hospitalization periods of 12 to 37 days for Gamma nail implantation [ 19 - 21 ]. In our study, length-of-stay (LOS) ranged from 3 to 70 days for TGN and from 4 to 105 days for G3N.…”

Section: Discussionmentioning

confidence: 99%

Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases

Schupfner¹,

Käsmann²,

Wagner³

et al. 2016

TOORTHJ

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Introduction:The aim of this study was to clinically evaluate two generations of intramedullary gamma-nail used in the treatment of 31-A femur fractures.Materials and Methods:In two consecutive series, 117 trochanteric gamma nails (TGN) and 100 Gamma3 nails (G3N) were implanted for the treatment of inter- and subtrochanteric fractures between 2009 and 2011. Clinical and radiological follow-up examinations were assessed. An analysis of surgical time, hemoglobin drop and complications were performed.Results:Average surgical time, fluoroscopy time, haemoglobin drop and length-of-stay (LOS) were similar in both groups. No significant differences were found in surgery-related complications like wound hematomas (p=0,59), abscesses (p=0,38), wound infections (p=0,69) and Cut-outs (p=0,69) between the two groups. The cumulative surgery-related complication rate was higher in the TGN group compared to the G3N group (13,68% vs. 8%) but this did not reach statistical significance (p=0,2).Conclusion:Our findings suggest that both TGN and G3N allow adequate treatment of trochanteric fractures with an acceptable complication rate.

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Section: Discussionmentioning

confidence: 99%

Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases

Schupfner¹,

Käsmann²,

Wagner³

et al. 2016

TOORTHJ

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“…oder den Gleitnagel (53-56 min.) [1,3,5,8,17,22]. Dieser Umstand ist wahrscheinlich dadurch bedingt, dass in unserer Klinik die Anwendung beider Implantate aufgrund eines großen Patientenguts zum Routineeingriff geworden sind.…”

Section: Diskussionunclassified

Stabilisierung von instabilen trochant�ren Mehrfragmentfrakturen

Nuber

Schönweiss

Rüter³

2003

Der Unfallchirurg

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The dynamic hip screw (DHS) with trochanteric stabilisation plate (TSP) as the extramedullary power transmission system and the proximal femur nail (PFN) as the means of intramedullary stabilisation are both standard in the treatment of unstable trochanteric femoral fractures in the case of old people. A total of 129 patients (average age: 81,5 years) with 31 A2.2 and A2.3 as well as per-/subtrochanteric femoral fractures were treated by means of osteosynthesis with DHS and TSP (n=64) or with PFN (n=65),and the results plotted in a retro-/prospective study. At low complication rates, the radiological operation results are equally good. 6 revisions were necessary in the case of the DHS with TSP and 4 in the case of PFN. A significantly shorter operation time (44.3 vs. 57.3 min) and a considerably shorter in-patient stay (18.6 vs. 21.3 days) were common with PFN. The application of full-weightbearing immediately after the operation was possible for 97% of the PFN patients and 88% of the DHS patients. In a follow-up 6 months after the operation, the PFN patients displayed a significantly lower pain intensity in the operated leg at the same score for ambulation and the same subjective degree of satisfaction. Unstable pertrochanteric and per-/subtrochanteric femoral comminuted fractures can be treated just as well with PFN as with DHS and TSP. Our study results,however, lead us to recommend treatment with PFN.

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Per- und subtrochantere Femurfrakturen

Reimertz¹,

Pichl²,

Peine

et al. 2011

Tscherne Unfallchirurgie

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Operative Stabilisierung von per- und subtrochantären Oberschenkelfrakturen mit dem Gammanagel

Abstract: With the Gamma nail stable osteosynthesis of per- and subtrochanteric femur fractures is obtained independently of the fracture classification. Patients can be mobilized immediately. Technical errors must be avoided.

Cited by 7 publications

References 13 publications

Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases

Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases

Stabilisierung von instabilen trochant�ren Mehrfragmentfrakturen

Per- und subtrochantere Femurfrakturen

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