TITLE:	Gamma nail vs compression screw for trochanteric femoral fractures. 15 reoperations in a prospective, randomized study of 378 patients.
AUTHORS:	Aune AK; Ekeland A; Odegaard B; Grogaard B; Alho A
AUTHOR AFFILIATION:	Orthopedic Department, Ullevaal Hospital, University of Oslo, Norway.
SOURCE:	Acta Orthop Scand 1994 Apr;65(2):127-30
CITATION IDS:	PMID: 8197841 UI: 94256194
ABSTRACT:	A total of 378 trochanteric and subtrochanteric femoral fractures were randomized to treatment with Gamma nail (177) or Hip Compression Screw (HCS) (201). After a median follow-up time of 17 (10-27) months, 15 patients needed reoperations; 13 had been treated with Gamma nail and 2 with HCS. 10 patients, all treated with Gamma nail, were reoperated because of a femoral shaft fracture. 5 of these fractures occurred 8 (4- 10) days postoperatively and were related to intraoperative complications. The other 5 shaft fractures occurred a median of 2 (1-3) months postoperatively after falls, and may be related to stress concentration at the tip of the solid nail. The lag screw cut out or penetrated the femoral head in 5 patients, 3 of them treated with Gamma nail and 2 with HCS.
MAIN MESH HEADINGS:	*Bone Nails *Bone Screws Femoral Fractures/*surgery Hip Fractures/*surgery
ADDITIONAL MESH HEADINGS:	Aged Aged, 80 and over Bone Nails/adverse effects Bone Screws/adverse effects Comparative Study Female Follow-Up Studies Human Incidence Intraoperative Complications/epidemiology Male Middle Age Postoperative Complications/epidemiology Prospective Studies Reoperation
PUBLICATION TYPES:	CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED CONTROLLED TRIAL
LANGUAGES:	Eng

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