EVALUATION THE TREATMENT OF SUBTROCHANTERIC FEMORAL FRACTURES BY GAMMA NAIL

Abstract

Background : Fractures of the proximal femur are a big challenge in traumatology. Rapid strides in implant and
instrumentations in quest of ideal fixation of subtrochanteric femoral fractures have made various options
available. The present study aims to evaluate the treatment of subtrochanteric femoral fractures by Gamma nail.
This study was aimed to evaluate the results of treatment of subtrochanteric femoral fractures using proximal
femoral nail. Patients and methods: This prospective study conducted at orthopedic department, Zagazig
university hospital, from November 2020 to July 2021, includes 24 patients, complaining of closed
subtrochanteric fractures treated with proximal femoral nail (Gamma Intramedullary nail) The age was ranged
from 23 to 87 years (with mean 54.21 years), 13 of them were males and 11 females. Road traffic accident
(RTA) represent the most common mechanism of injury in 10 patients (41.7%) while fall down represent 9
patients) (37.5%) and fall from height 5 patients (20.8%).
Results: there was statistically significant difference in HHS among patients with different age groups,
mechanism of injury and presence of D.M as associated condition. Statistically there were significant correlation
between type of reduction and diabetes mellitus with Harris hip score.
Conclusion: This study concluded that the Gamma nail is a preferred choice in treatment of subtrochanteric
fractures as it has many advantages as allows for early functional exercise and full weight-bearing of the affected
limb, short the duration of operation, high rotation stability, small wounds and minimize blood loss along with
risk of infection