Izvorni znanstveni članak
Treatment of Peritrochanteric Fractures by the Use of Gamma Nail
Zdenko Ostojić
; Department of Orthopedics, University Hospital Mostar, Mostar, Bosnia and Herzegovina
Goran Moro
; Department of Orthopedics, University Hospital Mostar, Mostar, Bosnia and Herzegovina
Ante Kvesić
; Department of Pediatric Surgery, University Hospital Mostar, Mostar, Bosnia and Herzegovina
Sandor Roth
; Institute of Pediatric Orthopedics, University Hospital Center Rijeka, Rijeka, Croatia
Josip Bekavac
; Department of Orthopedics, University Hospital Center Split, Split, Croatia
Slavko Manojlović
; Department of Orthopedics, Banja Luka Hospital, Banja Luka, Bosnia and Herzegovina
Sažetak
The Gamma nail was designed to treat unstable intertrochanteric and subtrochanteric fractures. In this study we analysed a total of 60 patients (44 men and 16 women), who were surgically treated for the peritrochanteric fracture in period 2006–2007 at the University Hospital Mostar. After the surgical treatment good bone healing was achieved in 50 patients (83.3%). A total of five patients had delayed healing or protrusion of the cervical screw, and in two patients nails were not appropriately distally locked. During the follow-up period a total of 7 patients died. The average operation time was 40 minutes, and the average blood loss was 400 mL, which is a comparable result with the previously published studies. In conclusion, although most of the peritrochanteric fractures treated at the University Hospital Mostar were fixated by gamma nail, the final decision regarding the operational technique should be left to surgeon’s judgment, since the efficacy of the treatment plan is highly dependent on experience of the operational team and surgeon’s operational technique.
Ključne riječi
gamma nail; trochanteric fracture; distal locking; protrusion of the cervical screw
Hrčak ID:
51772
URI
Datum izdavanja:
25.3.2010.
Posjeta: 1.484 *