[The gamma nail. A new implant for the management of hip para-articular fractures].

An alternative treatment of fractures of the coxal femur side is a new implant called "GAMMA-NAIL". The article describes the new implant and the operative technique. Furthermore, we present the results of a first series of 58 patients, mainly women (w:m = 8:1) with an average on age of 78.09 years. Although these patients were characterised by a number of complicating factors, it was possible to mobilise 86.2% at an average of 9.4 days after surgery with full load. We present a report on the quality of walking, a pain report, data on the mobility of joints and the x-ray findings. The 5.1% of infections and 8.6% of operative and postoperative complications we have to face, are described in detail.