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首页> 外文期刊>Surgery Research and Practice >Complications following Treatment of Trochanteric Fractures with the Gamma3 Nail: Is the Latest Version of Gamma Nail Superior to Its Predecessor?
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Complications following Treatment of Trochanteric Fractures with the Gamma3 Nail: Is the Latest Version of Gamma Nail Superior to Its Predecessor?

机译：用Gamma3指甲治疗股骨转子骨折后的并发症：Gamma指甲的最新版本是否优于其先前产品？

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摘要

Gamma nail is a cephalomedullary implant that was developed for the treatment of pertrochanteric hip fractures and has been successfully used for over 20 years. During this period, modifications of design and instrumentation have occurred to combat the intra- and postoperative complications that were associated with the use of early designs. The purpose of this study was to compare the complications observed with the use of the Gamma3 nail (G3N) with those seen following use of the previous trochanteric gamma nail (TGN). This study prospectively recorded the intra- and postoperative complications of 175 patients treated with the Gamma3 nail and compared them with those of a historical cohort of 192 patients treated with the trochanteric gamma nail. We encountered less intra- and postoperative complications with the use of Gamma3 nail. Femoral fractures and lag screw cutout were significantly lower. The reoperation rate was significantly higher in the TGN group. Gamma3 nail has proved to be a safe and efficient implant for the treatment of pertrochanteric fractures. The improvement of the biomechanical characteristics has led to a significant decrease in complication rates, demonstrating superiority over its predecessor.
机译：伽马钉是一种用于治疗股骨转子周围髋部骨折的头髓植入物，已成功使用了20多年。在此期间，对设计和仪器进行了修改以应对与早期设计的使用相关的术中和术后并发症。这项研究的目的是比较使用Gamma3钉（G3N）观察到的并发症与使用以前的转子转子伽玛钉（TGN）观察到的并发症。这项研究前瞻性地记录了175例接受Gamma3钉治疗的患者的术中和术后并发症，并将其与历史上的192例接受股骨转子γ钉治疗的患者的并发症进行了比较。使用Gamma3钉减少了术中和术后并发症。股骨骨折和拉力螺钉切口明显降低。 TGN组的再手术率明显更高。 Gamma3指甲已被证明是治疗股骨转子周围骨折的安全有效的植入物。生物力学特性的改善已导致并发症发生率显着降低，显示出优于其前身的优越性。

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