• OBJECTIVE
    • To explore the treatment outcomes of elderly femoral intertrochanteric fractures with long Gamma nail.
  • METHODS
    • A total of 86 elderly femoral intertrochanteric fractures were treated with long Gamma nail. There were 30 males and 56 females with an average age of (65-93) 78.5 years. According to the AO classification, there were type 31A1 (n = 19), 31A2 (n = 61) and 31A3 (n = 6). Hip function was evaluated according to the Harris score.
  • RESULTS
    • Among them, 59 patients received a mean follow-up period of 18.5 (12-28) months. The mean operative duration was 63 (41-85) min and mean time of bone union 10.6 (8-14) weeks. The time of partial weight-bearing was 3-10 days and that of full weight bearing 10 (6-14) weeks. The Harris score was used to evaluate the postoperative hip function at 6-12 months. The treatment outcomes were excellent (n = 17), good (n = 26), fair (n = 7) and poor (n = 6). And the ratio of excellent and good was 89.6%. No wound infection, hip pain or nail breakage occurred.
  • CONCLUSION
    • Use of long Gamma nail may avoid the postoperative occurrence of femoral refracture and reduce other complications. And partial weight-loading walk is safe.