Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

Giessauf, C.; Glehr, Mathias; Bernhardt, Gerwin A.; Seibert, F. J.; Karl, Gruber; Sadoghi, Patrick; Leithner, Andreas; Gruber, Gerald

doi:10.1186/1471-2474-13-214

Cited by 24 publications

(19 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Our work also showed high average age groups for neck and pertrochanteric fractures which are commonly seen in the elderly age groups globally. [17,18] The elderly are more prone to these fractures following low energy forces mainly because of diminishing bone density from osteoporosis. [19] Preventive measures by early diagnosis with bone mineral density testing, dual-energy X-ray absorptiometry, and bone metabolism studies and treatment of osteoporosis with calcium, Vitamin D supplements and biphosphonates are encouraged.…”

Section: Discussionmentioning

confidence: 99%

Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre

Anyaehie¹,

Ejimofor

Akpuaka³

et al. 2015

Niger J Clin Pract

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre

Anyaehie¹,

Ejimofor

Akpuaka³

et al. 2015

Niger J Clin Pract

View full text Add to dashboard Cite

show abstract

“…Orthopedics and Traumatology Department of Anatomical, Histological, Legal, Medical and Locomotive System Sciences, Rome "La Sapienza", a sample of 209 non-consecutive patients was selected. The patients included in the study were the ones for whom it was possible to have complete information from medical records and X-rays, and to whom it was possible to administer the Harris Hip Score [13][14] and SF12 [15] questionnaires. The criteria of exclusion were: the presence of pathological fractures, poly-traumatized patients, patients with previous lateral femoral fracture, patients with a pre-fracture impairment of their ambulatory ability, associated pathologies (infections, Paget Syndrome, etc.)…”

Section: Methodsmentioning

confidence: 99%

Choice of three different intramedullary nails in the treatment of trochanteric fractures: Outcome, analysis and consideration in midterm

Persiani

Ranaldi

Gurzì

et al. 2019

Injury

View full text Add to dashboard Cite

The purpose of this study is to compare the results obtained using three different systems of osteosynthesis, developed for the surgical treatment of fractures of the trochanteric region of the femur, based on the principle intramedullary nailing: the Gamma nail, the Affixus nail and the ZNN nail. This is a retrospective study: 72 trochanteric fractures treated with the Gamma nail, 68 treated with the Affixus nail and 69 treated with the ZNN nail, between the years 2012 and 2014, with the prerequisite of a minimum follow-up of 18 months. The fractures were classified according to the AO system; the most commonly reported subtype was the A2 fracture. Clinical and radiographic examinations were performed, both at hospital admission and post-operatively, at 1, 3, 6, 12 and 18 months. Of the 209 patients, 171 were women and 38 were men. The average age was 83.12 years old. All three systems guaranteed an early mobilization and ambulation in most of the patients. There were no significant differences in the use of the three nails in terms of recovery of previous functional capacity, or in terms of the time required for the fracture to heal. There were no advantages encountered with the use of one intramedullary nail over another and, in particular, when observing the complications and patient outcome, there were no statistically significant differences detected.

show abstract

“…The treatment of these fractures must be aimed to early assisted walking restoration, to reduction of hospitalization time and of morbidity of the patient. Factors associated with a better outcome are an early treatment, an anatomical reduction of fragments, a stable osteosynthesis, an early mobilization, and a full weight bearing and walking [21,22]. Following these principles, we carried out a randomized prospective study and we compared functional and radiological outcomes and complication rate in patients treated with two different proximal femoral nail for a pertrochanteric fracture.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary nailing for pertrochanteric fractures of proximal femur: a consecutive series of 323 patients treated with two devices

et al. 2019

View full text Add to dashboard Cite

Introduction: Pertrochanteric fractures (PFs) frequently affect the lower limb of osteoporotic patients and represent an important cause of morbidity and mortality in the elderly. In this prospective randomized controlled trial, we have compared functional and radiological results and complications of patients affected by PFs treated with two intramedullary proximal femoral nails. Materials: We enrolled 323 subjects with PFs, classified according to AO/OTA system as 31.A1 (pertrochanteric simple) and 31.A2 (pertrochanteric multifragmentary). Patients were divided into two groups according to the osteosynthesis devices: group A, Elos-Intrauma® nail (155 cases) and group B, Gamma 3-Stryker® nail (168 cases). Pre-operatively, the baseline characteristics of each patient (gender, age, weight and BMI) were collected. Intraoperative blood loss, subjective pain by visual analogue scale (VAS), esthetic satisfaction, functional scores of the hip by Harris Hip Score (HHS), and Western Ontario and McMaster Universities Arthritis Index (WOMAC) were noted. The post-operative degree of fracture reduction was assessed. Each patient had a minimum follow-up of 12 months. Results: The study group was composed of 106 male and 217 female with an average age of 85.4 (range, 65-90, standard deviation (SD) 5.95) years. No statistical differences about sex and age distribution were noted between the two groups. Group A reported lower intraoperative blood loss, 45 ml vs 51 ml, respectively (p < 0.001). There was not any statistical difference about operative time. Group A had a better reduction of fracture (p = 0.0347). The greatest difference was detectable comparing subgroups 31.A2 (p = 0.032). There were no statistical differences about complication frequency and the overall rate was 25% (80 cases). Finally, there was no difference in terms of VAS, HHS, and WOMAC score between the two groups on each follow-up. Patients of group A showed a higher subjective satisfaction index at 1 post-operative year, 7.42 (SD 1.19) vs 6.45 (SD 1.35) of group B (p < 0.001). Conclusion: Elos® nail is a reliable device on a short-term follow-up and represents an alternative choice to the Gamma 3® nail, a well-known and appreciated system for over 25 years.

show abstract

Quality of life after pertrochanteric femoral fractures treated with a gamma nail: a single center study of 62 patients

Cited by 24 publications

References 29 publications

Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre

Pattern of femoral fractures and associated injuries in a Nigerian tertiary trauma centre

Choice of three different intramedullary nails in the treatment of trochanteric fractures: Outcome, analysis and consideration in midterm

Intramedullary nailing for pertrochanteric fractures of proximal femur: a consecutive series of 323 patients treated with two devices

Contact Info

Product

Resources

About