Abstract:
Background:Pertrochanteric fractures are a common problem with an increasing incidence specially among old age groups.
Objectives: Accurate realignment, rigid fixation, decreasing comorbidities during surgical intervention is the main goal during treatment of these fractures as well as early mobilization Evaluation the results of Gamma nail in treatment unstable trochanteric fracture .
Patients & Methods:This is a prospective study included 18 patient with ages ranged from (53 to 78 years with mean (65.11 years) with closed unstable trochanteric fractures managed between September 2017 and fubrurey 2019 at Zigzag university hospital and Zliten teaching hospital fixed with gamma nail.
Results: This study that Gammanail provides a good choice of treatment of pertrochanteric fractures.Younger patients recover better than older patients72.2% were satisfactory (good & excellent)and 27.8% were unsatisfactory (poor& fair) results according to Harris hip score at last postoperative followup,
Conclusions: Gamma nail provides a biomechanically stable construct, proved by minimal or negligible incidence of implant-related failures