Efficacy and Outcomes of Gamma Nail Versus Proximal Femoral Nail in the Treatment of Stable Extracapsular Fractures of the Proximal Femur: A Comparative Study

  • Akshay Sharma MS Orthopaedics, Dr. RPGMC Kangra at Tanda.
  • Anu Kumar Changkum MS Orthopaedics, Dr. RPGMC Kangra at Tanda.
  • Ashish Meena MS Orthopaedics, Dr RPGMC Kangra at Tanda.
  • Vipin Sharma Professor and Head, Department of Orthopaedics, Dr. RPGMC Kangra at Tanda.
DOI: https://doi.org/10.32553/jbpr.v13i2.1080
Keywords: Extracapsular fractures

Abstract

Background: Stable extracapsular fractures of the proximal femur are a common and challenging injury in the elderly, with Gamma Nail and Proximal Femoral Nail (PFN) being the primary surgical options. This study aims to compare the efficacy and outcomes of these two methods.

Methods: A prospective study was conducted on 50 patients with stable extracapsular fractures, randomly assigned to undergo CRIF with either Gamma Nail or PFN. Parameters such as operation time, blood loss, radiological outcomes, and postoperative recovery were analyzed.

Results: The Gamma Nail group experienced shorter operation times (33±6.5 min) and less blood loss (28.08±32.80 ml) compared to the PFN group. Radiological outcomes showed no significant difference between the groups, with high success rates in achieving stable fixation. Both methods demonstrated effectiveness in managing these fractures, but Gamma Nail offered some technical advantages.

Conclusion: Gamma Nail and PFN are both effective for treating stable extracapsular fractures of the proximal femur, with the choice of technique depending on various patient-specific factors.

Keywords: Extracapsular fractures, proximal femur, Gamma Nail, Proximal Femoral Nail, orthopedic surgery, elderly.

 

Published
2024-04-08
How to Cite
Sharma , A., Changkum , A. K., Meena , A., & Sharma , V. (2024). Efficacy and Outcomes of Gamma Nail Versus Proximal Femoral Nail in the Treatment of Stable Extracapsular Fractures of the Proximal Femur: A Comparative Study. Journal of Biomedical and Pharmaceutical Research, 13(2), 33-38. https://doi.org/10.32553/jbpr.v13i2.1080
Issue
Vol. 13 No. 2 (2024): April-June
Section
Articles

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