Radford P J, Needoff M, Webb J K
Department of Fracture and Orthopaedic Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
J Bone Joint Surg Br. 1993 Sep;75(5):789-93. doi: 10.1302/0301-620X.75B5.8376441.
We made a randomised prospective comparison of the Dynamic Hip Screw and the Gamma locking nail for the internal fixation of 200 petrochanteric femoral fractures in elderly patients. There was less intraoperative blood loss and a lower rate of wound complications in the patients treated by the Gamma nail. They had, however, a high incidence of femoral shaft fracture which we relate in part to implant design. We do not recommend the use of the Gamma nail for these fractures.
我们对动力髋螺钉和伽马锁定钉治疗200例老年股骨转子周围骨折的内固定效果进行了随机前瞻性比较。采用伽马钉治疗的患者术中失血量较少，伤口并发症发生率较低。然而，这些患者股骨干骨折的发生率较高，我们认为这部分与植入物设计有关。我们不建议将伽马钉用于这些骨折的治疗。
