Failure of short versus long cephalomedullary nail after intertrochanteric fractures

Pernille Engell Bovbjerg; Morten Schultz Larsen; Carsten Fladmose Madsen; Jesper Schønnemann

doi:10.1016/j.jor.2019.10.018

Failure of short versus long cephalomedullary nail after intertrochanteric fractures

J Orthop. 2019 Nov 6:18:209-212. doi: 10.1016/j.jor.2019.10.018. eCollection 2020 Mar-Apr.

Authors

Pernille Engell Bovbjerg^{1

2}, Morten Schultz Larsen³, Carsten Fladmose Madsen³, Jesper Schønnemann²

Affiliations

¹ OPEN Odense Patient Data Explorative Network, Department of Orthopaedics and Traumatology, Hospital of Southern Denmark, Kresten Philipsensvej 15, 6200, Aabenraa, Denmark.
² Department of Orthopaedics and Traumatology, Hospital of Southern Denmark, Denmark.
³ Department of Orthopaedics and Traumatology, Odense University Hospital, Denmark.

Abstract

The aim of study is to examine the frequency of reoperation and difference in failures for short cephalomedullary nail (SN) and long cephalomedullary nail (LN).We included patients with an intertrochanteric fracture treated with Gamma nail (Stryker®). All radiographs were reviewed, TAD and diastasis were measured, and type of failure registered.216 patients were included, 95 short nails and 121 long nails. We found 12 reoperations, 5 in the SN group and 7 in the LN group. Most common failure was cut out. Our study showed no difference in frequency of reoperations or type of failures.

Keywords: Cephalomedullary nail; Complication; Gamma nail; Hip fracture; Intertrochanteric fracture; Intramedullary nail.