Randomized prospective study on the influence distal block and Gamma 3 nail on the treatment of intertrochanteric fractures of femur

Autor: J.L. Rodrigo-Pérez, M.M. Morales-Suárez, M. López-Vega, E.R. Gil-Monzó, J. López-Valenciano, J. Peralta-Nieto, R.H. Salanova-Paris
Rok vydání: 2015
Předmět:
Zdroj: Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 59:26-35
ISSN: 1988-8856
DOI: 10.1016/j.recote.2014.11.001
Popis: Objective The purpose of this study is to assess the need to lock the Gamma 3 nail (Stryker, Mahwah, New Jersey, USA) distally for intertrochanteric fractures of femur 31-A1 and 31-A2 of the AO. Materials and methods Details were recorded on a sample of 177 patients with intertrochanteric femoral fractures treated in our hospital by a standard Gamma nail between June 2011 and January 2013. A prospective study was conducted by randomizing patients by year of birth, even numbers with, or odd numbers without, and distal locking, forming two groups of 90 and 87 fractures, respectively. Results The patients treated with a distal locking nail had an increased incidence of medical complications, a lower incidence of biomechanical complications, and an increase in the fracture collapse compared with the control group, with statistical significance ( P P Conclusions Based on the results found in this work, the use of distal locking screw in the Gamma 3 nails should be restricted to unstable trochanteric fractures after reduction where additional stability to the intramedullary nail is required, and may decrease the risk of complications from use.
Databáze: OpenAIRE
Externí odkaz: