Long-term outcomes of distal locking in extracapsular fractures treated with trochanteric Gamma3 nails

ConclusionsAny type of distal locking seems to be safe for consolidation, despite a slightly longer consolidation time in static locking. Early cut-out was the main complication, while others were very infrequent, which is an advantage over helical blade devices. There was a higher rate of minor and overall mechanical complications in ST, but infection and lateral thigh pain were similar. Most non-traumatic mechanical complications occurred around 5 –6 weeks. About one in five of the DN truly dynamised, with all cases occurring before 8 weeks. Mobility until endpoint and overall long-term survival were not influenced by the locking mode used.Level of evidenceTherapeutic study, level 2b.
Source: Journal of Orthopaedics and Traumatology - Category: Orthopaedics Source Type: research