Implanted related complications and mortality after gamma nail fsor unstable trochanteric fractures: (a report of 450 consecutive cases)

Abstract

Trochanteric fractures represent 60% of proximal femur fractures.1 They remain one of the major causes of mortality, morbidity and loss of function among the elderly. It poses a major health concern with incidence increasing with aging global population.2,3 Various methods of reduction have been developed over the years for the management of these fractures. Bone quality and cervical screw placement have been the main talking points of internal fixation. Despite its numerous advantages: notably enhanced stability of construct, cervical compression and mini-invasive approach, few reports exist in literature on the use of the Gamma nail and its relatively higher rate of complications especially diaphyseal fracture and cephalic screw cutout.4–6 The purpose of this study is to assess per and postoperative complication rates in our series and to identify its causes in order enhance Gamma nailing technique in our department. Methods