Surgical Management of Unstable Pertrochanteric Fractures: Prospective Comparative Study Between Gamma™ Nail and Dynamic Hip Screw Plate of 36 Cases

Bouabdellah, M.^1*, Bouzidi, R.¹, Ammar, A.², Hadhri, K.¹, Lebib, H.¹ & Kooli, M.¹

¹Department of Orthopedic and Traumatology of Charles Nicolles Tunis
²Institute of Orthopedic Surgery Mohamed Taieb Kassab Manouba, University Tunis Elmanar

Dr. Bouabdellah, M., Department of Orthopedic and Traumatology of Charles Nicolles Tunis.

Keywords: Per Trochanteric; Fracture; Dynamic Screw Plate; Intramedullary Fixation

Abstract

Purpose of the Study
The objective of this study was to evaluate and to compare the dynamic hip screw and intramedullary Gamma™ nail fixation for the treatment of pertrochanteric fracture in terms of stability, complications and cost effectiveness.
Material and Methods
This prospective randomized study included 36 patients hospitalized in an emergency setting for instable per trochanteric fracture next term between June 2018 and December 2018. Two fixation systems were used: the Gamma™ proximal femoral nail and the screw plate dynamic hip screw DHS. We noted: operative data (type of implant, duration of surgical procedure), postoperative data (blood loss, radiographic findings, early complications), and outcome mortality and radiographic results. All patients were assessed least six months after surgery. The series included 36 patients, 16 men and 20 women. The Gamma™ nail was used for 15 patients and the DHS for 21. The AO classification was: A2 1= 11, A2 2 =10, A2 3 =4, A3 1 =3, A3 2 =2, A3 3= 6. All this fractures were unstable.

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