ArticleMusculoskeletal surgery2016
How evolution of the nailing system improves results and reduces orthopedic complications: more than 2000 cases of trochanteric fractures treated with the Gamma Nail System.
Article in Musculoskeletal surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 40 citations in OpenAlex.
- Intramedullary Nailing vs Sliding Hip Screw in Trochanteric Fracture Management: The INSITE Randomized Clinical Trial.JAMA network open · 2023Trial
- Intramedullary nailing for pertrochanteric fractures of proximal femur: a consecutive series of 323 patients treated with two devices.Journal of orthopaedic surgery and research · 2019Trial
- Lag screw cutout risk factors in geriatric intertrochanteric femur fractures.BMC geriatrics · 2026Article
- Clinical Outcomes in the Treatment of Pertrochanteric Femur Fractures: A Retrospective Cohort Study.Journal of personalized medicine · 2025Article
- Subcapital Femoral Fracture with Cephalomedullary Nail Lag Screw Failure after Healed Intertrochanteric Fracture: A Case Report.Orthopedic reviews · 2025Article
- Advantages of Distal Unlocked Proximal Femoral Nails in the Treatment of Stable Intertrochanteric Fractures in Geriatric Patients: A Single-Center Comparative Randomized Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Correlation between cephalic screw positioning of Standard Gamma 3 Nail for intertrochanteric fractures and cut-out incidence.SICOT-J · 2024Article
- Predictive value of tip-apex distance and calcar-referenced tip-apex distance for cut-out in 398 femoral intertrochanteric fractures treated in a private practice with dynamic intramedullary nailing.Frontiers in surgery · 2024Article
- Locking in trochanteric fractures: a comparison of static versus dynamic locking using the Gamma3 nail.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Fractures after cephalomedullary nailing of the femur : Systematization of surgical fixation based on the analysis of a single-center retrospective cohort.International orthopaedics · 2022Article
- Effectiveness of Cement Augmentation on Early Postoperative Mobility in Patients Treated for Trochanteric Fractures with Cephalomedullary Nailing: A Prospective Cohort Study.Journal of personalized medicine · 2022Article
- New tip-apex distance and calcar-referenced tip-apex distance cut-offs may be the best predictors for cut-out risk after intramedullary fixation of proximal femur fractures.Scientific reports · 2022Observational
- Static vs dinamic short nail in pertrochanteric fractures: experience of two center in Northern Italy.Acta bio-medica : Atenei Parmensis · 2021Article
- Titanium Alloy Gamma Nail versus Biodegradable Magnesium Alloy Bionic Gamma Nail for Treating Intertrochanteric Fractures: A Finite Element Analysis.Orthopaedic surgery · 2021Article
- Biomechanical Comparison of INTERTAN Nail and Gamma3 Nail for Intertrochanteric Fractures.Orthopaedic surgery · 2020Article
- Distal interlocking for short trochanteric nails: static, dynamic or no locking? Review of the literature and decision algorithm.EFORT open reviews · 2020Review
- A simple reproducible technique for the retrieval of broken proximal femoral blades, a technical note and review of literature.Journal of clinical orthopaedics and trauma · 2020Article
- Femoral offset loss and internal arch restoration defect are correlated with intramedullary nail cut-out complications after pertrochanteric fractures: a case-control study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
- Controlled study on Gamma nail and proximal femoral locking plate for unstable intertrochanteric femoral fractures with broken lateral wall.Scientific reports · 2018Article
- Timing of proximal femoral shortening in the early postoperative period after cephalomedullary nailing of hip fractures.Journal of orthopaedicsArticle
Corrections and comments
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe incidence of trochanteric fractures has increased significantly during the last few decades, especially in elderly patients with osteoporosis. The dynamic/sliding hip screw and the cephalomedullary nail are the most commonly used fixation methods to treat trochanteric fractures. The improvements in the Gamma Nail System (GNS) associated with a correct surgical technique reduced the postoperative orthopedic complications. The purpose of this study was to compare the results of the different Gamma Nails.
methodsThe present study is a retrospective analysis of 2144 patients treated with GNS between January 1997 and December 2011 for trochanteric fractures, classified according to AO classification method. The patients were divided into three groups according to the nailing system: 525 were treated with Standard Gamma Nail (SGN), 422 with Trochanteric Gamma Nail (TGN) and 1197 with Gamma3 Nail.
resultsThe overall incidence of intra-operative complications was 1.21 %; the incidence of intra-operative complications for each group was 1.71 % for SGN group, 0.47 % for TGN group and 1.25 % for Gamma3 Nail group. The overall incidence of postoperative complications was 5.48 %, and the incidence for each group was 10.73 % for SGN group, 9.92 % for TGN group and 2.92 % for Gamma3 Nail group.
conclusionThe GNS is a safe device with a low rate of intra-operative complications. The evolution of this nail system reduces postoperative complications, thus improving the results at follow-up and confirming that the Gamma3 Nail is a safe and predictable device to fix trochanteric fracture.
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