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A randomized study of the compression hip screw and gamma nail in 426 fractures

Ahrengart, L; Tornkvist, H; Fornander, P; Thorngren, Karl-Göran LU ; Pasanen, L; Wahlstrom, P; Honkonen, S and Lindgren, U (2002) In Clinical Orthopaedics and Related Research p.209-222
Abstract
A prospective, randomized study comparing the compression hip screw with the Gamma nail in the treatment of 426 intertrochanteric fractures is reported. The median patient age was 80 years, and 71 % were women The compression hip screw operation took less time except in Evans Type 5 fractures. Blood loss generally was less in the compression hip screw group except in patients with Type 5 fractures. The most frequent surgical problem for patients in the Gamma group was problems with distal locking. Cephalic position of the femoral head screw and cut-out were seen more often in the Gamma nail group. The Gamma nail more frequently preserved the fracture position obtained perioperatively. Whether there was distal locking of the Gamma nail in... (More)
A prospective, randomized study comparing the compression hip screw with the Gamma nail in the treatment of 426 intertrochanteric fractures is reported. The median patient age was 80 years, and 71 % were women The compression hip screw operation took less time except in Evans Type 5 fractures. Blood loss generally was less in the compression hip screw group except in patients with Type 5 fractures. The most frequent surgical problem for patients in the Gamma group was problems with distal locking. Cephalic position of the femoral head screw and cut-out were seen more often in the Gamma nail group. The Gamma nail more frequently preserved the fracture position obtained perioperatively. Whether there was distal locking of the Gamma nail in unstable fractures did not seem to affect the healing rate. Additional fissures or fractures in the proximal femur occurred during five Gamma nail operations and two compression hip screw operations. Postoperative walking ability did not differ between the groups. At 6 months 88% of the fractures were healed. In less comminuted fractures, the compression hip screw method is the preferred method of treatment whereas the Gamma nail is an alternative treatment for more comminuted Evans Type 5 fractures. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Clinical Orthopaedics and Related Research
issue
401
pages
209 - 222
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000177430500024
  • scopus:0036331275
ISSN
0009-921X
language
English
LU publication?
yes
id
3abc8bf6-5d54-4aec-946e-da598463cc09 (old id 331758)
alternative location
http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Retrieve&db=PubMed&list_uids=12151898&dopt=Citation
date added to LUP
2007-08-02 10:37:22
date last changed
2017-12-10 03:44:20
@article{3abc8bf6-5d54-4aec-946e-da598463cc09,
  abstract     = {A prospective, randomized study comparing the compression hip screw with the Gamma nail in the treatment of 426 intertrochanteric fractures is reported. The median patient age was 80 years, and 71 % were women The compression hip screw operation took less time except in Evans Type 5 fractures. Blood loss generally was less in the compression hip screw group except in patients with Type 5 fractures. The most frequent surgical problem for patients in the Gamma group was problems with distal locking. Cephalic position of the femoral head screw and cut-out were seen more often in the Gamma nail group. The Gamma nail more frequently preserved the fracture position obtained perioperatively. Whether there was distal locking of the Gamma nail in unstable fractures did not seem to affect the healing rate. Additional fissures or fractures in the proximal femur occurred during five Gamma nail operations and two compression hip screw operations. Postoperative walking ability did not differ between the groups. At 6 months 88% of the fractures were healed. In less comminuted fractures, the compression hip screw method is the preferred method of treatment whereas the Gamma nail is an alternative treatment for more comminuted Evans Type 5 fractures.},
  author       = {Ahrengart, L and Tornkvist, H and Fornander, P and Thorngren, Karl-Göran and Pasanen, L and Wahlstrom, P and Honkonen, S and Lindgren, U},
  issn         = {0009-921X},
  language     = {eng},
  number       = {401},
  pages        = {209--222},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Clinical Orthopaedics and Related Research},
  title        = {A randomized study of the compression hip screw and gamma nail in 426 fractures},
  year         = {2002},
}