Complications associated with gamma nailing. A review of 439 cases.
Complications associated with gamma nailing. A review of 439 cases.
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DOI：
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发表时间：
2002-06
影响因子：
0.4
通讯作者：
P. Docquier;E. Manche;J. Autrique;B. Geulette
中科院分区：
文献类型：
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作者：
P. Docquier;E. Manche;J. Autrique;B. Geulette
我们回顾性分析了我们机构使用 Gamma 钉治疗的 439 例股骨粗隆周围髋部骨折，重点关注并发症。 15 名患者（3.4%）出现术中并发症，主要为骨折（1.8%）。在 323 例骨折 (73.6%) 中，随访直至放射线骨愈合（平均随访 10 个月），其中 261 例 (80.8%) 愈合顺利。术后出现 62 例并发症（19.2%），其中 37 例患者（11.5%）需要额外手术。两种最常见的主要并发症是头颅螺钉切除（7.1%）和骨干骨折（3.1%）。其他并发症包括骨折塌陷超过2厘米（1.5%）、感染（0.9%）、延迟愈合（0.9%），其中1例指甲断裂（0.3%）以及20例患者（6.2%）持续疼痛。所有术中骨折、几乎所有术后拉力螺钉切出的病例以及部分术后骨干骨折都可能与技术失误有关。严格遵守手术技术可以减少术中和术后并发症。
We have retrospectively analysed 439 peritrochanteric hip fractures treated in our institution using the Gamma nail, with attention focused on complications. Intraoperative complications were observed in 15 patients (3.4%), consisting mainly of fractures (1.8%). Out of 323 fractures (73.6%) followed until radiographic bone healing (mean follow-up of 10 months), 261 (80.8%) healed without a problem. There were 62 postoperative complications (19.2%) with 37 patients (11.5%) requiring additional surgical procedure. The two most frequent major complications were cut out of the cephalic screw (7.1%) and diaphyseal fractures (3.1%). Other complications included fracture collapse more than 2 cm (1.5%), infection (0.9%), delayed union (0.9%) with one case of nail breakage (0.3%) and persistent pain in 20 patients (6.2%). All intraoperative fractures, nearly all cases of postoperative cut out of the lag screw and some postoperative diaphyseal fractures can be related to technical errors. Strict observance of the operative technique can decrease per- and postoperative complications.