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Clinical Application of Gamma Nail
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Il Yong Choi, Kwang Hyun Lee, Chung Kyu Choi
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J Korean Soc Fract 1996;9(2):489-495. Published online April 30, 1996
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DOI: https://doi.org/10.12671/jksf.1996.9.2.489
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 Abstract
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- The Gamma nail combining the advantages of a sliding lag screw and the intramedullary femoral fixation is a advance in the treatment of trochanteric fractures. The Gamma nail is a new intramedullary device which has been applied in treatment of the trochanteric fractures with the benefits of closed technique such as low blood loss, low risk of infection, short operative time, short bone union period and early weight bearing and with the biomechanical advantages such as short lever arm and decreased bending moment. The implant can be used by the method of static or dynamic.
Intraoperative compression of the fracture segments can be achieved by acting on the sliding lag screw and further compression is given by weight bearing.
We studied 31 cases of patients who had the trochanteric fractures and treated opratively with Camma nail. The intertrochanteric fracture was 25 cases and subtrochanteric fracture was 6 cases.
Intraoperative complication was encountered failure of distal locking in 1 case. Postoperative complications were encounted superior cutting-out in 3 cases. As results of postoperative ambulation, 4 cases were death, 4 cases were bedridden state, 4 cases were ambulation state within house, 19 cases were social activity respectively.
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Bilateral Subtrochanteric fracture After Pin Removal in Slipped Capital Femoral Epiphysis: A Case Report
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Sung Joon Kim, Il Young Choi, Tai Seung Kim, Chung Kyu Choi
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J Korean Soc Fract 1995;8(1):68-71. Published online January 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.1.68
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Abstract
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- Subtrochanteric fracture of the femur has been infrequently reported after pin removal that is second operation for slipped capital femoral epiphysis and that fracture is a serious complication. We report a case of subtrochanteric fracture of the femur occured after pin removal that had been inserted for fixation of slipped capital femoral epiphysis. Its treatment was open reduction with condylar blade plate and screws. We recommend insertion of fewer pins and longer pins at higher level, early pin removal, avoidance of repeated insertion and use of cannulated pin screw instead of Knowles pin for prevention of subtrochanteric fracture after pin removal.
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