Abstract
Introduction: Based on good results obtained with the hip screw and gamma nail and on newer biomechanical studies, we started treating intertrochanteric fractures with other intramedullary devices: the PFN (Proximal Femoral Nail) and Supernail.
Material and methods: From January 2003 to January 2005 we have treated 100 intertrochanteric fractures, 50 with PFN nail and 50 with Supernail. Fracture type distribution and patient’s age were similar in both groups.
Discussion: To evaluate differences in results we have studied various parameters: blood loss, surgical time and healing process.
Results: We haven’t encountered intra-op complications, nor post-op fractures or fixation devices failure. We, although, had two cases of screw cut-out, one for each implant. About 85% of patients reported good-excellent result.
Conclusions: Both nails have brought to reduction of surgical time, blood loss and intra and post-op complications. Best results are achieved following cautious surgical technique: correct nail’s introduction entry, minimal or no proximal reaming, gentle introduction of the nail and particular attention to proximal screw positioning and length.
Correspondence should be addressed to Ariella Neustadt at Studio EGA, Professional Congress Organisers, Viale Tiziano, 19 - 00196, Rome - Italy.
