Interest of the surgical treatment of mass trochanteric fractures by gamma nail, about 25 cases.

Abstract

Pertrochanteric fracture is commonly seen in elderly patients in home accident, it compromises vital and functional prognosis at short term. This proximal end fracture of femur will be distinguished with femoral neck fracture. In the young patients this fracture is less frequently seen with high velocity traumas. The gamma nail is the the latest perfection of implants in the trochanteric fracture with principles of intramedullary nailing and closed reduction. The aims of our study is to show advantages and disadvantages of this surgical techniques. We made a retrospective descriptive study on the patients records in the orthopedics and trauma department of National Military Hospital in Nouakchott- Mauritania. They where 25 cases in two years (since January 2014 to December 2016). The middle age of our patients was 62 years, with 88% of mans. Etiology was dominated by in-house falling (60%), the left side was most frequently compromised (64%) , with one bilateral fracture. The middle waiting time was 7 days with an operating time average at 90 minutes. We screened patients until fracture fusion with a minimal follow-up of 6 months. The rate of infectious complications was 3%. We obtained 90% of good and excellent results. In conclusion the use of gamma nail in pertrochanteric fracture is correlated with good functional and morphological outcomes.