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Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases

INTRODUCTION: The aim of this study was to clinically evaluate two generations of intramedullary gamma-nail used in the treatment of 31-A femur fractures. MATERIALS AND METHODS: In two consecutive series, 117 trochanteric gamma nails (TGN) and 100 Gamma3 nails (G3N) were implanted for the treatment...

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Autores principales: Schupfner, R., Käsmann, L.T., Wagner, W., Schulz, A.P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436381/
https://www.ncbi.nlm.nih.gov/pubmed/28523080
http://dx.doi.org/10.2174/1874325001610010389
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author Schupfner, R.
Käsmann, L.T.
Wagner, W.
Schulz, A.P.
author_facet Schupfner, R.
Käsmann, L.T.
Wagner, W.
Schulz, A.P.
author_sort Schupfner, R.
collection PubMed
description INTRODUCTION: The aim of this study was to clinically evaluate two generations of intramedullary gamma-nail used in the treatment of 31-A femur fractures. MATERIALS AND METHODS: In two consecutive series, 117 trochanteric gamma nails (TGN) and 100 Gamma3 nails (G3N) were implanted for the treatment of inter- and subtrochanteric fractures between 2009 and 2011. Clinical and radiological follow-up examinations were assessed. An analysis of surgical time, hemoglobin drop and complications were performed. RESULTS: Average surgical time, fluoroscopy time, haemoglobin drop and length-of-stay (LOS) were similar in both groups. No significant differences were found in surgery-related complications like wound hematomas (p=0,59), abscesses (p=0,38), wound infections (p=0,69) and Cut-outs (p=0,69) between the two groups. The cumulative surgery-related complication rate was higher in the TGN group compared to the G3N group (13,68% vs. 8%) but this did not reach statistical significance (p=0,2). CONCLUSION: Our findings suggest that both TGN and G3N allow adequate treatment of trochanteric fractures with an acceptable complication rate.
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spelling pubmed-54363812017-05-18 Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases Schupfner, R. Käsmann, L.T. Wagner, W. Schulz, A.P. Open Orthop J Article INTRODUCTION: The aim of this study was to clinically evaluate two generations of intramedullary gamma-nail used in the treatment of 31-A femur fractures. MATERIALS AND METHODS: In two consecutive series, 117 trochanteric gamma nails (TGN) and 100 Gamma3 nails (G3N) were implanted for the treatment of inter- and subtrochanteric fractures between 2009 and 2011. Clinical and radiological follow-up examinations were assessed. An analysis of surgical time, hemoglobin drop and complications were performed. RESULTS: Average surgical time, fluoroscopy time, haemoglobin drop and length-of-stay (LOS) were similar in both groups. No significant differences were found in surgery-related complications like wound hematomas (p=0,59), abscesses (p=0,38), wound infections (p=0,69) and Cut-outs (p=0,69) between the two groups. The cumulative surgery-related complication rate was higher in the TGN group compared to the G3N group (13,68% vs. 8%) but this did not reach statistical significance (p=0,2). CONCLUSION: Our findings suggest that both TGN and G3N allow adequate treatment of trochanteric fractures with an acceptable complication rate. Bentham Open 2016-08-10 /pmc/articles/PMC5436381/ /pubmed/28523080 http://dx.doi.org/10.2174/1874325001610010389 Text en © Schupfner et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Schupfner, R.
Käsmann, L.T.
Wagner, W.
Schulz, A.P.
Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases
title Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases
title_full Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases
title_fullStr Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases
title_full_unstemmed Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases
title_short Complications in Treatment of 31-A Fractures with Trochanteric Gamma Nail (TGN) Versus Gamma3 Nail (G3N) - A Review of 217 Cases
title_sort complications in treatment of 31-a fractures with trochanteric gamma nail (tgn) versus gamma3 nail (g3n) - a review of 217 cases
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5436381/
https://www.ncbi.nlm.nih.gov/pubmed/28523080
http://dx.doi.org/10.2174/1874325001610010389
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