Fracturas proximales de fémur. Osteosíntesis con tornillo-placa deslizante versus clavo gamma
- M. A. PLASENCIA ARRIBA
- M.ª J. JUANICOTENA ITURRALDE
- F. JATIVA SILVESTRE
ISSN: 0304-5056
Year of publication: 1995
Volume: 30
Issue: 177
Pages: 142-146
Type: Article
More publications in: Revista española de cirugía osteoarticular
Abstract
We report a prospective study of ninety fractures of proximal femur treated by either the GAMMA nail or the dynamic hip screw (DHS). We found no difference in operating time, blood loss or stay in the hospital. However, the GAMMA nail group had a earlier full weight-bearing, but there was no significant difference in hip function at final review. There was failure of proximal fixation in four cases with the DHS. More intra-operative complications were recorded in the GAMMA nail group, mainly a high incidence of femoral shaft fracture which we relate in part to the design of the implant. We only recommend the use of the GAMMA nail for unstable intertrochanteric fractures of the proximal femur.