[Value of gamma nailing in management of hip para-articular fractures. Clinical use in 310 cases].

Treatment of fractures of the coxal femur has become routine at the Clinic for Trauma Surgery at the University of Vienna. This paper reports on the follow up on 310 patients treated with the gamma nailing (average follow up: 21.4 months). In all, 240 women and 70 men were operated on between 1987 and 1992. Most of the fractures wer unstable and many were located in the subtrochanteric region (38.3% A3). It was possible to operate on 45.8% of these patients during the first 2 days. The modalities of treatment and mobilization are described, and the clinical and radiological results are presented. Mobilization was possible after an average of 10.2 days in 81.6% of these cases. Complications we had to face and ways they might be prevented in future are discussed.