
Trauma
Gamma nail more effective than sliding hip screw in unstable intertrochanteric fractures
This report has been verified
by one or more authors of the
original publication.
Int Orthop. 2014 Jan;38(1):155-61. doi: 10.1007/s00264-013-2196-7.
Eighty patients with a 31-A2.2 or A2.3 AO/OTA multifragmentary intertrochanteric fracture were randomized to receive either a Gamma intramedullary nail or an AMBI sliding hip screw. Parker mobility, Barthel Index, and EuroQol-5D quality of life scores were primary outcomes. After 12 months, patients treated with a Gamma nail achieved higher outcome scores compared to AMBI sliding hip screw and with comparable failure rates. Treatment with Gamma nails seem to be more effective in restoring functional state.
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