Gamma nail™ in pertrochanteric fractures in elderly patients: is anatomical reduction necessary? A preliminary study

Main Article Content

Filippo Calderazzi
Massimo Pompili
Antonio Carolla
Paolo Schiavi
Giulia Groppi
Francesco Ceccarelli

Keywords

Pertrochanteric fractures, Gamma Nail, Outcomes, Anatomical reduction

Abstract

Aim of the work

This study analyzes the clinical and radiographic results of 100 patients who underwent osteosynthesis with Gamma nail™, following fracture of the pertrochanteric region.

Methods

These patients were divided into 2 groups: A, those without anatomical reduction of the fracture and B, those with anatomical reduction. All patients were classified according to the ASA system, pre-injury and follow-up Harris Hip Score and pre-operative/post-operative radiographic evaluation. An univariate analysis has been performed comparing pre-injury and final follow-up Harris Hip Score. Moreover a multivariate analysis has been completed including: age, ASA classification, anticoagulant therapy, cognitive impairment, length of surgical procedure, type of surgical result, length of hospitalization, timing between trauma and surgical procedure.

Results

The univariate analysis documented no statistical significance (p=0.541). At multivariate analysis resulted as statistically significant only the age, the ASA classification and the timing between trauma and surgical procedure. Patients of group A have obtained rehabilitation time, fracture healing time and long-term functional results similar to patients of group B. 

Conclusions

It is suggested that, compared with anatomic reduction, preoperative ASA, age and the time interval between trauma and surgery are more predictive criteria of patient mortality in the months following the intervention.

a

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...
Abstract 238 | PDF Downloads 93