van Doorn R, Stapert J W
Department of Surgery, Tweesteden Hospital, Tilburg, The Netherlands.
Eur J Surg. 2000 Mar;166(3):240-6. doi: 10.1080/110241500750009357.
To study the outcome of treating extensive proximal femoral fractures with the long Gamma nail.
Retrospective study, with a minimum follow-up of a year.
24 hospitals throughout The Netherlands.
329 patients with primary proximal femoral fractures.
Functional results and complications.
19 patients died in hospital and 6 were lost to follow-up. Of the remaining 304 who were fully documented, 241 (80%) became fully mobile, 59 (19%) moderately mobile, and 4 remained bedridden. 264 patients had no pain, 38 had moderate pain and used oral painkillers, and 2 had severe pain that was difficult to treat. Major technical complications occurred in 17 patients: alignment and locking gave rise to most problems, 4 patients developed deep infections, and 7 patients needed additional measures before the fracture was solid.
The long Gamma nail in the treatment of extensive proximal femoral fractures gave good functional results with acceptable rates of complications and union problems.
研究使用加长伽马钉治疗股骨近端广泛骨折的疗效。
回顾性研究，最短随访一年。
荷兰的24家医院。
329例原发性股骨近端骨折患者。
功能结果及并发症。
19例患者在医院死亡，6例失访。在其余304例有完整记录的患者中，241例（80%）完全恢复活动能力，59例（19%）活动能力中等，4例仍卧床。264例患者无疼痛，38例有中度疼痛且使用口服止痛药，2例有难以治疗的重度疼痛。17例患者出现主要技术并发症：对线和锁定问题最多，4例发生深部感染，7例患者在骨折愈合前需要采取额外措施。
加长伽马钉治疗股骨近端广泛骨折功能结果良好，并发症和愈合问题发生率可接受。
