Complications and technical problems with the gamma nail

被引:53
作者
Albareda, J [1 ]
Laderiga, A [1 ]
Palanca, D [1 ]
Paniagua, L [1 ]
Seral, F [1 ]
机构
[1] UNIV HOSP,SCH MED,DEPT TRAUMATOL & ORTHOPAED SURG,ZARAGOZA,SPAIN
关键词
D O I
10.1007/s002640050026
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A retrospective review of complications with the gamma nail has been carried our in 152 patients with stable and unstable pertrochanteric fractures. Operative complications occurred in 10 patients. Screws penetrated the fe moral neck in 3, immediate varus was associated with a short screw in 2, diaphyseal fractures occurred at the site of the distal screws in 3 and comminuted femoral fractures in 2. Fifteen patients (10,5%) died in hospital. At follow lip, pseudarthrosis was present in 2 cases and fractures of the femoral shaft in 4. The incidence of complications could be reduced by using of shorter Mails, less valgus angulation and by not introducing distal screws unless essential.
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页码:47 / 50
页数:4
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