Gamma nail versus Prixomal femur Locked plate in treatment of intertrochanteric femur fractures: one year follow-up, final radiological and clinical outcomes

Document Type : Original Article

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Department of Orthopedic and Traumatology, Faculty of Medicine, Aswan University

Abstract

Background Intertrochanteric femur fractures require early mobilization and stable fixation. Commonest methods of fixation are gamma nail and proximal femur locked plate.
The aim of the work: to compare the clinical and radiological outcomes of the two fixations methods in one year follow-up
Subjects and methods: Two groups of fifty patients with intertrochanteric femur fractures were assigned to participate in this prospective study. 25 patients fixed with proximal femur locked plate for groub A and 25 patient fixed gamma nail for group B . Functional outcomes is determined by Harris Hip Score at the final follow-up . Recorded data such as Weight bearing time, mobility Score, union time and complication such as infection, nonunion malunion used to assess the final outcome
Results In a gamma nail, the time to full weight bearing is (4.16±0.37) months, in a PFLP group (5.64±0.49) months. Postoperative infection is seen in 36% of the PFLP group, compared to 8% in the GN group which is statistically significant. In PFLP 44% show varus malunion compared to 24% in gamma nail.
Conclusion: the Gamma Nail appears to have advantages in terms of mobility outcomes, early full weight bearing, less postoperative infection and less malunion.

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