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

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

Authors

  • Filippo Calderazzi Maggiore Hospital, Clinica Ortopedica
  • Massimo Pompili Maggiore Hospital, Clinica Ortopedica
  • Antonio Carolla Maggiore Hospital, Clinica Ortopedica
  • Paolo Schiavi Maggiore Hospital, Clinica Ortopedica
  • Giulia Groppi Maggiore Hospital, Clinica Ortopedica
  • Francesco Ceccarelli Maggiore Hospital, Clinica Ortopedica

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.

Author Biographies

Filippo Calderazzi, Maggiore Hospital, Clinica Ortopedica

M.D. Department of Surgical Sciences, University of Parma

Massimo Pompili, Maggiore Hospital, Clinica Ortopedica

M.D. Department of Surgical Sciences, University of Parma

Antonio Carolla, Maggiore Hospital, Clinica Ortopedica

M.D. Department of Surgical Sciences, University of Parma

Paolo Schiavi, Maggiore Hospital, Clinica Ortopedica

M.D. Department of Surgical Sciences, University of Parma

Giulia Groppi, Maggiore Hospital, Clinica Ortopedica

M.D. Department of Surgical Sciences, University of Parma

Francesco Ceccarelli, Maggiore Hospital, Clinica Ortopedica

Full Professor; M.D. Department of Surgical Sciences, University of Parma

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Published

14-12-2015

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Gamma nail™ in pertrochanteric fractures in elderly patients: is anatomical reduction necessary? A preliminary study. Acta Biomed [Internet]. 2015 Dec. 14 [cited 2024 Apr. 25];86(3):260-6. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/4248

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