A serie of 243 hip fractures treated with Gamma nail in a period of 3.5 years was reviewed. The patient previous general condition, surgical time, time for total weight-bearing, hospitalization period, and complications were analized. Weight-bearing begun during first week in 72% of all patients and 9 weeks was the average time of consolidation of the fractures. The most frecuent surgical complication was insertion of distal screws (15%), other technique complications were 2 capital perforations, 5 femoral shaft fractures during surgery or hospitalization period and 5 cut-out of the lag screw. Two infections, 4 femoral shaft fractures, 1 femoral neck fracture, 1 aseptic necrosis of femoral head and 1 material failure were late complications. As conclusion,the Gamma nail is a good method of osteosynthesis for unstable trochanteric and subtrochanteric fractures, although it needs a careful technique.

A serie of 243 hip fractures treated with Gamma nail in a period of 3.5 years was reviewed. The patient previous general condition, surgical time, time for total weight-bearing, hospitalization period, and complications were analized. Weight-bearing begun during first week in 72% of all patients and 9 weeks was the average time of consolidation of the fractures. The most frecuent surgical complication was insertion of distal screws (15%), other technique complications were 2 capital perforations, 5 femoral shaft fractures during surgery or hospitalization period and 5 cut-out of the lag screw. Two infections, 4 femoral shaft fractures, 1 femoral neck fracture, 1 aseptic necrosis of femoral head and 1 material failure were late complications. As conclusion,the Gamma nail is a good method of osteosynthesis for unstable trochanteric and subtrochanteric fractures, although it needs a careful technique.