مقایسه ی میزان جوش خوردگی در بیماران با شکستگی اینترتروکانتریک با گاما نیل کوتاه قفل و غیر قفل؛ یک مطالعه مقطعی

Abstract

Introduction: Intertrochanteric fractures, which are one type of hip fracture, have been considered as a major public health issue in many nations. This study was carried out with the aim of comparing the rate of fusion between patients with intertrochanteric fractures treated with short sliding and non-sliding Gamma nail implants. Methods: This is a retrospective cross-sectional study performed in 2018 and 2019, and 47 patients with intertrochanteric fractures, who referred to Imam Hussein Hospital, and were treated using either sliding or non-sliding gamma nail implants were compared. The rates of bone fusion, fused union, and bone repairments were all assessed using radiography 1, 3, 7 and 12 months after the operation. Results: In the current survey, 68.6% of cases were treated with non-sliding gamma nail implants, while 31.4% were treated with sliding gamma nail implants. The mean period of bone fusion was 4.5 months in patients with non-sliding gamma nail implants and 5.5 months in patients with sliding gamma nail implants. In patients treated with sliding gamma nail implants, treatment of 28.5% of patients failed, and in the group of patients treated with non-sliding gamma nail, treatment failure was reported in 12.5% of patients. In addition, mean postoperative Harris Hip Score (HHS) in the group treated with non-sliding gamma nail implants was significantly higher than the group treated with sliding gamma nail implants (P = 0.002). Conclusion: Based on the findings of the present study, it seems that treatment with short non-sliding gamma nail implants is a better method compared to treatment with sliding gamma nail implants.