caa a22 4500 477098843 CHVBK 20180405111535.0 cr unu---uuuuu 170330e19960601xx s 000 0 eng 10.1007/BF02625833 doi (NATIONALLICENCE)springer-10.1007/BF02625833 Gamma nailing—Critical overview of 335 cases [Elektronische Daten] [Ch. Kukla, T. Heinz, N. Matis, M. Greitbauer, C. Merhaut] Der Gammanagel—Kritischer Überblick in 335 Fällen Summary: Background: The purpose of this study was to evaluate the rate of intra and postoperative complications due to the Gamma nail® (GN) in 335 cases of proximal, femoral fractures classified according to the "Arbeitsgemeinschaft für Osteosynthesefragen” (AO)/"Association for the study of Internal Fixation” (ASIF) Methods: Only AO 31 A1-A3 fractures were included. After closed reduction of the fracture site, intramedullary stabilization was performed using the GN. Patients underwent full weight-bearing whenever possible post operation, followed by X-ray examinations. Results: The rate of intraoperative complications was 11.34%, and that of postoperative ones 9.55%. Complications occurring during surgical intervention were misdrilling of the distal locking site, shaft fractures distally to the implant, or hardware failure and others. Cranial cutting out of the lag screw was only seen during postoperative mobilization. The infection rate was found to be 3.9%; 2 patients ended up in a girdlestone situation after removal of the implant. 6 cases of thromboembolic complications occurred. All patients showed high "American Society of Anesthesia” (ASA)-scores. Patients in which the primary regimens were not changed progressed to bony union within the follow-up period of 6 months but early full weight-bearing was possible in each of the cases. Conclusions: The results lend support to the empirical practice of using this intramedullary device in unstable fractures. Its superior biomechanics make the GN a sound option once the early complications of the learning phase have been overcome. Blackwell Science Ltd, 1996 Gamma nail nationallicence proximal femoral fractures nationallicence complications nationallicence biomechanics nationallicence Gammanagel nationallicence coxale Femurfrakturen nationallicence Komplikationen nationallicence Biomechanik nationallicence Kukla Ch Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut Heinz T. Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut Matis N. Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut Greitbauer M. Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut Merhaut C. Department of Anesthesiology and Intensive Care Medicine, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut Acta Chirurgica Austriaca Springer-Verlag 28/3(1996-06-01), 160-162 0001-544X 28:3<160 1996 28 10353 https://doi.org/10.1007/BF02625833 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02625833 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kukla Ch Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Heinz T. Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Matis N. Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Greitbauer M. Department of Traumatology, University of Vienna, Medical School, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 700 1- Merhaut C. Department of Anesthesiology and Intensive Care Medicine, University of Vienna, Währinger Gürtel 18-20, A-1090, Vienna aut NATIONALLICENCE 773 0- Acta Chirurgica Austriaca Springer-Verlag 28/3(1996-06-01), 160-162 0001-544X 28:3<160 1996 28 10353 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer