30-177
Fracturas proximales de fémur. Osteosíntesis con tornillo-placa deslizante versus clavo gamma
Fractures of the proximal femur. Osteosynthesis using dhs versus gamma nail
M. A. PLASENCIA ARRIBA, M.ª J. JUANICOTENA ITURRALDE y F. JATIVA SILVESTRE Servicio de Cirugía Ortopédica y Traumatología. Hospital Universitario «Príncipe de Asturias». Alcalá de Henares. Madrid.
Recepción:
06/11/2008
Aceptación:
06/11/2008
Publicación:
06/11/2008
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Resumen (ES)
We report a prospective study of ninety fractures of proximal femur treated by
either the GAMMA nail or the dynamic hip screw (DHS). We found no difference in operating
time, blood loss or stay in the hospital. However, the GAMMA nail group had a earlier full
weight-bearing, but there was no significant difference in hip function at final review. There
was failure of proximal fixation in four cases with the DHS. More intra-operative complications
were recorded in the GAMMA nail group, mainly a high incidence of femoral shaft fracture
which we relate in part to the design of the implant. We only recommend the use of the GAMMA
nail for unstable intertrochanteric fractures of the proximal femur.
either the GAMMA nail or the dynamic hip screw (DHS). We found no difference in operating
time, blood loss or stay in the hospital. However, the GAMMA nail group had a earlier full
weight-bearing, but there was no significant difference in hip function at final review. There
was failure of proximal fixation in four cases with the DHS. More intra-operative complications
were recorded in the GAMMA nail group, mainly a high incidence of femoral shaft fracture
which we relate in part to the design of the implant. We only recommend the use of the GAMMA
nail for unstable intertrochanteric fractures of the proximal femur.
Palabras clave (ES):
Quirúrgico
Operatorio
Cervicodiafisario
Fractura
ProximalFémur
Osteosíntesis
Tornillo-placa
Deslizante
Clavo
Gamma
Cadera
Tratamiento
Trocantérea
Intertrocantérea
Intertrocantérea
Pertrocantérea
Resumen (EN)
We report a prospective study of ninety fractures of proximal femur treated by
either the GAMMA nail or the dynamic hip screw (DHS). We found no difference in operating
time, blood loss or stay in the hospital. However, the GAMMA nail group had a earlier full
weight-bearing, but there was no significant difference in hip function at final review. There
was failure of proximal fixation in four cases with the DHS. More intra-operative complications
were recorded in the GAMMA nail group, mainly a high incidence of femoral shaft fracture
which we relate in part to the design of the implant. We only recommend the use of the GAMMA
nail for unstable intertrochanteric fractures of the proximal femur.
either the GAMMA nail or the dynamic hip screw (DHS). We found no difference in operating
time, blood loss or stay in the hospital. However, the GAMMA nail group had a earlier full
weight-bearing, but there was no significant difference in hip function at final review. There
was failure of proximal fixation in four cases with the DHS. More intra-operative complications
were recorded in the GAMMA nail group, mainly a high incidence of femoral shaft fracture
which we relate in part to the design of the implant. We only recommend the use of the GAMMA
nail for unstable intertrochanteric fractures of the proximal femur.
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