Evaluation of Postoperative Complications in Peritrochanteric Fracture Treatment with Gamma Nail, and Follow-up Study

Postoperative results of gamma nailing for peritrochanteric fracture were studied on 48 cases with an average age of 74.9 years from 1994 to 1998. The postoperative complication, seen in four (8.3%) cases with an average age of 84 years, was superior cutting out by the lag screw. Our clinical result was worse compared with other reports. The purpose of this study is the evaluation of the cause of cutting out, and the follow-up of these cases.Gamma nails were inserted at incorrect positions in three cases, and in the other case, the gamma nail was inserted at the correct position but she fell down again after the operation. Even if the lag screw is at correct position, elderly patients or those with severe osteoporosis require close attention and long follow-up.