ArticleBMC musculoskeletal disorders2010
3066 consecutive Gamma Nails. 12 years experience at a single centre.
Article in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
63 citing papers in PubMed, 1 synthesis or guideline pooled it, 166 citations in OpenAlex.
- Comparative outcome of PFNA, Gamma nails, PCCP, Medoff plate, LISS and dynamic hip screws for fixation in elderly trochanteric fractures: a systematic review and network meta-analysis of randomized controlled trials.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2017Pooled it
- The new trochanteric nail TFN-A has a higher complication rate in the treatment of proximal femoral fractures than the predecessor model PFN-A.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Case of implant failure following osteosynthesis for an intertrochanteric femoral fracture using a carbon fiber intramedullary nail.Journal of surgical case reports · 2026Article
- The accumulation of technical errors exponentially increases the risk of screw cut-out in femoral intramedullary nailing.Archives of orthopaedic and trauma surgery · 2026Observational
- Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures.Journal of orthopaedic case reports · 2025Article
- Clinical Outcomes in the Treatment of Pertrochanteric Femur Fractures: A Retrospective Cohort Study.Journal of personalized medicine · 2025Article
- Experimental Analysis of a Failed Gamma Nail: A Case Report and Literature Review.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Development of early complications after treatment of trochanteric fractures with an intramedullary sliding hip screw in a geriatric population.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Robot Navigation System Assisted PFNA Fixation of Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Clinical Study.Clinical interventions in aging · 2024Article
- Correlation between cephalic screw positioning of Standard Gamma 3 Nail for intertrochanteric fractures and cut-out incidence.SICOT-J · 2024Article
- Gamma nail versus percutaneous compression plate for the treatment of intertrochanteric hip fractures: a multicenter pair-matched study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Blade Augmentation in Nailing Proximal Femur Fractures-An Advantage despite Higher Costs?Journal of clinical medicine · 2023Article
- Uncemented hemiarthroplasty may have a role in the treatment of unstable intertrochanteric fractures in elderly patient. A survival complications and functional outcomes analysis.International journal of burns and trauma · 2023Article
- New Prognostic Factors in Operated Extracapsular Hip Fractures: Infection and GammaTScore.International journal of environmental research and public health · 2022Article
- Risk factors for cut-outs in geriatric intertrochanteric fractures with cephalomedullary nailing after obtaining acceptable reduction: a case-control study.BMC musculoskeletal disorders · 2022Article
- One-Stage Closed Intramedullary Nailing for Delayed Femoral Fracture in Multiple Injured Patients.Orthopaedic surgery · 2022Article
- CalTAD is the Key Evaluation Tool for Measurement of Cephalic Fixation Position for Predicting Cut-Out in Geriatric Intertrochanteric Fracture Patients with Internal Fixations after Achieving Acceptable Reduction.Geriatric orthopaedic surgery & rehabilitation · 2022Article
- Intertrochanteric fractures treated by diaphyseal support arthroplasty with hook plate vs cerclage wires only: A retrospective cohort study.Annals of medicine and surgery (2012) · 2021Article
- Delayed hematoma in gluteus medius caused by Gamma nail protrusion over the greater trochanter.Trauma case reports · 2021Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFixation of trochanteric hip fractures using the Gamma Nail has been performed since 1988 and is today well established and wide-spread. However, a number of reports have raised serious concerns about the implant's complication rate. The main focus has been the increased risk of a subsequent femoral shaft fracture and some authors have argued against its use despite other obvious advantages, when this implant is employed. Through access to a uniquely large patient data base available, which is available for analysis of trochanteric fractures; we have been able to evaluate the performance of the Gamma Nail over a twelve year period.
methods3066 consecutive patients were treated for trochanteric fractures using Gamma Nails between 1990 and 2002 at the Centre de Traumatologie et de l'Orthopedie (CTO), Strasbourg, France. These patients were retrospectively analysed. Information on epidemiological data, intra- and postoperative complications and patients' outcome was retrieved from patient notes. All available radiographs were assessed by a single reviewer (AJB).
resultsThe results showed a low complication rate with the use of the Gamma Nail. There were 137 (4.5%) intraoperative fracture-related complications. Moreover 189 (6.2%) complications were detected postoperatively and during follow-up. Cut-out of the lag screw from the femoral head was the most frequent mechanical complication (57 patients, 1.85%), whereas a postoperative femoral shaft fracture occurred in 19 patients (0.6%). Other complications, such as infection, delayed healing/non-union, avascular femoral head necrosis and distal locking problems occurred in 113 patients (3.7%).
conclusionsThe use of the Gamma Nail in trochanteric hip fractures is a safe method with a low complication rate. In particular, a low rate of femoral shaft fractures was reported. The low complication rate reported in this series can probably be explained by strict adherence to a proper surgical technique.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.