A Evaluation of Initial Treatment of Trochanteric Fractures using Gamma Nails
Background: Trochanteric fractures are extra-joint fractures, account for 55% of femoral proximal fractures. They often happen in the elderly with increased frequency due to age. Treatment experiences at 7A Military Hospital showed increased trochanteric fracture cases. To properly assess treatment effectiveness and select proper treatment methods, the study of “Evaluation of initial treatment of trochanteric fractures using gamma nails at 7A Military Hospital and made the conclusions of indications and applied techniques” was carried out.
The study objectives are evaluating the initial treatment of trochanteric fractures using gamma nails at 7A Military Hospital and made the conclusions of indications and applied techniques.
Methods and findings: nineteen patients diagnosed with traumatic trochanteric fractures and surgically treated with Gamma nails were monitored and evaluated for bone fusion, bone union, range of motion, limb shortening, and functional rehabilitation according to Merle D'Aubigné scale.
Fourteen patients (82.35%) achieved proper bone union with the femoral neck-shaft angle of 1250 - 1300, three patients (17.65%) got slightly deviated bone union. Amongst patients aged under 60, 14/17 cases (82.35%) achieved “good” and “very good” functional rehabilitation, scored over 15 points according to Merle D΄aubigne Index; 3/17 cases (17.65%) got “average” recovery. Hip range of motion in 14 cases (82.35%) achieved “very good” (normal movement) or “good” (over 10% movement limitation) outcome, 3 cases had “average” movement (17.65%). Limb shortening of below 1cm took place in 10 patients (58.82%), 1 – 2 cm in 4 patients (23,53%) and over 3 cm in 3 patients (17.65%).
Conclusions: The surgical treatment of trochanteric fractures using gamma nails yielded positive outcomes.
Keywords: Gamma nails, trochanteric fractures, elderly, extra-joint.
2. Le VT. Evaluation of trochanteric fractures treatment using Gamma nails at Cho Ray Hospital. Ho Chi Minh Orthopedics Association. Jul 2007. (In Vietnamese)
3. Biau DJ, Brand RA. Robert Merle d’Aubigne, 1900–1989. Clin Orthop Relat Res. 2009;467(1):2-6.
4. Vo TP. Physical health of aged over 65 patients and orpthopedic surgery. J Med News. 2004 Apr;9(2):81-3. (In Vietnamese)
5. Adam P. Treatment of recent trochanteric fracture in adults. Orthop Traumatol Surg Res. 2014 Feb;100(1):S75-S83.
6. Lustosa LP, Bastos EO. (2009). Proximal fracture of the femur on the elderly: what's the best treatment?. Acta Ortopédica Brasileira. 2009;17(5):309-12.
7. Ricardo M. Treatment of Intertrochanteric Hip Fractures in Elderly High Risk Patients with External Fixation. Orthop Rheumatol. 2016 Oct;3(2).
8. Ghoneem HF, Zayda AI, El Sayed AFA. Treatment of intertrochanteric fracture femur by Ilizarov fixator in elderly patients. Menoufia Med J. 2018;31(4):1293-8.
9. Gulcelik NE, Bayraktar M, Caglar O, Alpaslan M, Karakaya J. Mortality after hip fracture in diabetic patients. Exp Clin Endocrinol Diabetes. 2011 May;119(07):414-18.
10. Li Y, Lin J, Cai S, Yan L, Pan Y, Yao X, Zhuang H, Wang P, Zeng Y. (2016). Influence of bone mineral density and hip geometry on the different types of hip fracture. Bosnian J Basic Med. 2016 Feb;16(1):35-8.
11. Lin JC-F, Liang W-M. Mortality and complications after hip fracture among elderly patients undergoing hemodialysis. BMC Nephrol, 2015;16.
12. Baumgarten M, Margolis DJ, Orwig DL, Shardell MD, Hawkes WG, Langenberg P et al. Pressure ulcers in elderly patients with hip fracture across the continuum of care. J Am Geriatr Soc. 2009 May;57(5):863-70.
13. Yamaguchi R, Jono O, Hamasaki A, Sakamoto A, Tatsumoto T, Kita M et al. Early Operation for Femoral Trochanteric Fracture in Elderly: Cause of Delayed Operation. Orthop Traumatol. 2012 Jun;61(2):265–9.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright policies & self-archiving
We are a RoMEO green journal.
Author's Pre-print: author can archive pre-print (ie pre-refereeing)
Author's Post-print: author can archive post-print (ie final draft post-refereeing)
Publisher's Version/PDF: author can archive publisher's version/PDF
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access and Benefits of Publishing Open Access).
This journal provides immediate open access to its content on the principle that making research freely available to the public supports a greater global exchange of knowledge.
Articles are published Under License of Creative Commons Attribution 4.0 License ©