<abstract xmlns="http://www.w3.org/1999/xhtml"><p>The purpose of the current study was to present the authors’ experiences with the long intramedullary Gamma nail in the treatment of patients with complex femoral fractures. Th is retrospective study included 48 patients with complex femoral fractures. All patients had received fracture fixation treatments with long intramedullary Gamma nails from January 2007 to December 2015. The complex fractures of all patients were classified into 3 types, according to the anatomical locations of the fractures. Type I included combined fractures of the shaft and the proximal femur. Type II included segmental fractures. Type III included combined fractures of the shaft and distal femur. According to the Harris Hip Score, 85.4% of our patients had excellent and very good functional outcomes of the operative procedure. Complications occurred in 7 (14.58%) patients. The most common complications occurred in patients with combined fractures of the shaft and distal femur (50%). Based on the findings of this study, we conclude that the clinical and radiological results after the treatment of complex femoral fractures with the long intramedullary Gamma nail show good outcomes, with a high rate of bone union and minimal soft tissue damage. Experience with this procedure is important to prevent and minimise technical complications.</p></abstract>

The purpose of the current study was to present the authors’ experiences with the long intramedullary Gamma nail in the treatment of patients with complex femoral fractures. Th is retrospective study included 48 patients with complex femoral fractures. All patients had received fracture fixation treatments with long intramedullary Gamma nails from January 2007 to December 2015. The complex fractures of all patients were classified into 3 types, according to the anatomical locations of the fractures. Type I included combined fractures of the shaft and the proximal femur. Type II included segmental fractures. Type III included combined fractures of the shaft and distal femur. According to the Harris Hip Score, 85.4% of our patients had excellent and very good functional outcomes of the operative procedure. Complications occurred in 7 (14.58%) patients. The most common complications occurred in patients with combined fractures of the shaft and distal femur (50%). Based on the findings of this study, we conclude that the clinical and radiological results after the treatment of complex femoral fractures with the long intramedullary Gamma nail show good outcomes, with a high rate of bone union and minimal soft tissue damage. Experience with this procedure is important to prevent and minimise technical complications.

Treatment of Complex Femoral Fractures with the Long Intramedullary Gamma Nail

Faculty of Medical Sciences, Department of Pharmacy

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

TRETMAN KOMPLEKSNIH PRELOMA BUTNE KOSTI DUGIM INTRAMEDULARNIM GAMA KLINOM

The purpose of the current study was to present the authors’ experiences with the long intramedullary Gamma nail in the treatment of patients with complex...

Harris Hip Score (HHS)	Excellent and very good	41 (85.4%)
	Good	4 (8.3%)
	Poor	3 (6.3%)

The presence of complications	Without complications	41 (85.42%)
	Infection	1 (2.08%)
	Non-union	2 (4.17%)
	Mal-union	2 (4.17%)
	Lag screw cut-out	2 (4.17%)
	Broken nail	1 (2.08%)

Classification of fracture	Number (percentage)
Type I	30 (62.5%)
Type II	12 (25%)
Type III	6 (12.5%)

Classification of fracture	Number of patients
Type I	2 (6.67%)
Type II	2 (16.67%)
Type III	3 (50%)

Treatment of Complex Femoral Fractures with the Long Intramedullary Gamma Nail

Article Category: Original Scientific Article

Data publikacji: 31 gru 2019

Zakres stron: 337 - 341

Otrzymano: 31 sie 2017

Przyjęty: 07 wrz 2017

DOI: https://doi.org/10.2478/sjecr-2018-0038

Słowa kluczowe
long intramedullary Gamma nail, complex femoral fractures, Harris Hip Score

© 2019 Aleksandar Juskovic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Functional outcome of the operative procedure

Clinical characteristics of the study population

Connection between the type of fracture and frequency of complications

Treatment of Complex Femoral Fractures with the Long Intramedullary Gamma Nail

Article Category: Original Scientific Article

Data publikacji: 31 gru 2019

Zakres stron: 337 - 341

Otrzymano: 31 sie 2017

Przyjęty: 07 wrz 2017

DOI: https://doi.org/10.2478/sjecr-2018-0038

Słowa kluczowelong intramedullary Gamma nail, complex femoral fractures, Harris Hip Score

© 2019 Aleksandar Juskovic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Figure 1

Functional outcome of the operative procedure

Clinical characteristics of the study population

Connection between the type of fracture and frequency of complications

Słowa kluczowe
long intramedullary Gamma nail, complex femoral fractures, Harris Hip Score