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Logo of brjsmedBritish Journal of Sports MedicineCurrent TOCInstructions for authors
Br J Sports Med. Feb 2000; 34(1): 54–58.
PMCID: PMC1724144

Sport related proximal femoral fractures: a retrospective review of 31 cases treated in an eight year period


In an eight year period, 31 patients with proximal femoral fractures resulting from sports accidents were treated by implantation of either a Gamma nail or a dynamic hip screw. Return to work or sports and the time to bone healing did not differ very much between the treatments. Gamma nailing was clearly the best with regard to stability and time to full mobilisation (4.5 days), but required 39 minutes to perform compared with insertion of a dynamic hip screw (27 minutes). The incidence of complications and malalignments did not differ very much between the two, although, when Gamma nailing was first used in the authors' clinic, more intraoperative complications occurred than with the dynamic hip screw. Stable pertrochanteric fractures may be treated with a dynamic hip screw. Unstable pertrochanteric or subtrochanteric fractures are treated with a Gamma nail at the authors' institution.

Key Words: femur; fracture; Gamma nail; dynamic hip screw; skiing; mountain biking

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Selected References

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  • Bannister GC, Gibson AG, Ackroyd CE, Newman JH. The closed reduction of trochanteric fractures. J Bone Joint Surg Br. 1990 Mar;72(2):317–317. [PubMed]
  • Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM. The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am. 1995 Jul;77(7):1058–1064. [PubMed]
  • Stapert JW, Geesing CL, Jacobs PB, de Wit RJ, Vierhout PA. First experience and complications with the long Gamma nail. J Trauma. 1993 Mar;34(3):394–400. [PubMed]
  • Williams WW, Parker BC. Complications associated with the use of the gamma nail. Injury. 1992;23(5):291–292. [PubMed]
  • Wolfgang GL, Bryant MH, O'Neill JP. Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. Clin Orthop Relat Res. 1982 Mar;(163):148–158. [PubMed]
  • Bridle SH, Patel AD, Bircher M, Calvert PT. Fixation of intertrochanteric fractures of the femur. A randomised prospective comparison of the gamma nail and the dynamic hip screw. J Bone Joint Surg Br. 1991 Mar;73(2):330–334. [PubMed]
  • Jacq B, Horn F, Janody F, Gompel N, Serralbo O, Mohr E, Leroy C, Bellon B, Fasano L, Laurenti P, et al. GIF-DB, a WWW database on gene interactions involved in Drosophila melanogaster development. Nucleic Acids Res. 1997 Jan 1;25(1):67–71. [PMC free article] [PubMed]
  • Habernek H, Kwasny O, Schmid L, Ortner F. Complications of interlocking nailing for lower leg fractures: a 3-year follow up of 102 cases. J Trauma. 1992 Dec;33(6):863–869. [PubMed]
  • Suckert K, Pechlaner S. Der WSandel des Verletzungsmusters im alpinen Schisport. Studie und Analyse von 16 421 Schiunfällen. Unfallheilkunde. 1984 Dec;87(12):506–511. [PubMed]
  • Freeman JR, Weaver JK, Oden RR, Kirk RE. Changing patterns in tibial fractures resulting from skiing. Clin Orthop Relat Res. 1987 Mar;(216):19–23. [PubMed]
  • Boriani S, Bettelli G, Zmerly H, Specchia L, Bungaro P, Montanari G, Capelli A, Canella P, Regnoli R, Rispoli R, et al. Results of the multicentric Italian experience on the Gamma nail: a report on 648 cases. Orthopedics. 1991 Dec;14(12):1307–1314. [PubMed]
  • Leung KS, So WS, Shen WY, Hui PW. Gamma nails and dynamic hip screws for peritrochanteric fractures. A randomised prospective study in elderly patients. J Bone Joint Surg Br. 1992 May;74(3):345–351. [PubMed]
  • Halder SC. The Gamma nail for peritrochanteric fractures. J Bone Joint Surg Br. 1992 May;74(3):340–344. [PubMed]
  • Lindsey RW, Teal P, Probe RA, Rhoads D, Davenport S, Schauder K. Early experience with the gamma interlocking nail for peritrochanteric fractures of the proximal femur. J Trauma. 1991 Dec;31(12):1649–1658. [PubMed]
  • Calvert PT. The Gamma nail--a significant advance or a passing fashion? J Bone Joint Surg Br. 1992 May;74(3):329–331. [PubMed]
  • Den Hartog BD, Bartal E, Cooke F. Treatment of the unstable intertrochanteric fracture. Effect of the placement of the screw, its angle of insertion, and osteotomy. J Bone Joint Surg Am. 1991 Jun;73(5):726–733. [PubMed]

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