40-221

Clavo Gamma en el tratamiento de las fracturas del macizo trocantérico. Estudio comparativo entre el Clavo Gamma Trocantérico y el Gamma 3

Gamma nail in the treatment of the trochanteric fractures. Comparative study between trochanteric gamma nail and gamma nail 3

R. GAVA (*), D. PÉREZ HERNÁNDEZ (*), C. CORONA FERNÁNDEZ (*), J. GARCÍA GARCÍA (*), D. HERNÁNDEZ VAQUERO (*) (**) (*) SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA. HOSPITAL SAN AGUSTIN. AVILÉS. ASTURIAS. (**) DEPARTAMENTO DE CIRUGÍA. FACULTAD DE MEDICINA. UNIVERSIDAD DE OVIEDO
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008


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Resumen (ES)

The nail Gamma is a well-established technique in
the treatment of the trochanteric fractures. We have made a
prospective study in 40 patients for compare two Gamma nail
types. In 20 we use the Trochanteric Gamma Nail and in 20 a
new device called Gamma 3 manufactured in titanium and
with modifications in the design to permit a less incision and
most facilities in his implantation. Of all of the parameters studied
both intra and postoperative we have found differences
in the time of surgical act and in the size of the incision, finding
less time and less size of the approach in the gamma 3
nail. We do not find differences about technical complications,
neither as to the pain, time to the consolidation or independence
grade obtained. We regard to the nail Gamma 3 as
a valuable technique that decreases the time of surgery and
the traumatism of the soft tissues.

Palabras clave (ES):

quirúrgico
Operatorio
Fijación
interna
Osteosintesis
Trocantérico
Estudio
comparativo
Cadera
Fractura
Pertrocantérea
Intertrocantérea
Trocantérea
Clavo
Gamma
Tratamiento

Resumen (EN)

The nail Gamma is a well-established technique in
the treatment of the trochanteric fractures. We have made a
prospective study in 40 patients for compare two Gamma nail
types. In 20 we use the Trochanteric Gamma Nail and in 20 a
new device called Gamma 3 manufactured in titanium and
with modifications in the design to permit a less incision and
most facilities in his implantation. Of all of the parameters studied
both intra and postoperative we have found differences
in the time of surgical act and in the size of the incision, finding
less time and less size of the approach in the gamma 3
nail. We do not find differences about technical complications,
neither as to the pain, time to the consolidation or independence
grade obtained. We regard to the nail Gamma 3 as
a valuable technique that decreases the time of surgery and
the traumatism of the soft tissues.

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