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. 2019 Jun;98(25):e16140.
doi: 10.1097/MD.0000000000016140.

Comparison of internal fixation with Gamma3 Long nails and INTERTAN nails in the treatment of Seinsheimer type V subtrochanteric femoral fractures in elderly patients

Yan-Hui Li  1 , Dong Zhu  2 , Yuying Li  3 , Tianhao Zhao  2 , Zongbing Cao  2 , Lei Tan  2
Affiliations

Comparison of internal fixation with Gamma3 Long nails and INTERTAN nails in the treatment of Seinsheimer type V subtrochanteric femoral fractures in elderly patients

Yan-Hui Li et al. Medicine (Baltimore). 2019 Jun.

Abstract

The aim of this study was to clinically compare the therapeutic effects of internal fixation using a third-generation Gamma Long Nail (TGLN) with that of INTERTAN in the treatment of Seinsheimer Type V subtrochanteric femoral fractures in elderly patients.The therapeutic effect of internal fixation with TGLN, compared with that with INTERTAN, was retrospectively analyzed in elderly patients diagnosed with Seinsheimer Type V subtrochanteric fracture. Twenty-five cases were divided into 2 groups based on the fixation devices: the TGLN group (13 cases; 5 men and 8 women) and the INTERTAN group (12 cases; 5 men and 7 women). Patients were followed up postoperatively, and their clinical history, intraoperative blood loss, fracture healing, Harris Hip Scores, and postoperative complications were recorded and compared.Patients in the TGLN group had shorter operation time and less intraoperative blood loss, compared with those in the INTERTAN group (P < .05). There were no significant between-group differences in postoperative complications, fracture healing time and Harris Hip Scores during the follow-up (P > .05).

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Figures

Figure 1
Figure 1
Fixation of Seinsheimer Type V subtrochanteric femoral fracture with a TGLN. Preoperative anteroposterior pelvis x-ray shows Seinsheimer Type V subtrochanteric fractures on the left proximal femur with significant displacement of the fracture ends (A). Postoperative anteroposterior and lateral view radiographs of the left femur demonstrated excellent fracture reduction and internal fixation in place (B, C).
Figure 2
Figure 2
Fixation of Seinsheimer Type V subtrochanteric femoral fracture with an INTERTAN device. The fracture (A) was reduced and fixed appropriately (B, C).
See this image and copyright information in PMC

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