Comparing the Rate of Fusion between Patients with Intertrochanteric Fractures treated using Short Sliding and Non-Sliding Gamma Nail Implants; a Cross-Sectional Study

Intertrochanteric fractures, which are one type of hip fracture, have been considered as amajor public health issue in many nations. This study was carried out with the aim of comparing the rateof fusion between patients with intertrochanteric fractures treated with short sliding and non-slidingGamma nail implants.

This is a retrospective cross-sectional study performed in 2018 and2019, and 47 patients with intertrochanteric fractures, who referred to Imam Hussein Hospital, andwere treated using either sliding or non-sliding gamma nail implants were compared. The rates of bonefusion, fused union, and bone repairments were all assessed using radiography 1, 3, 7 and 12 monthsafter the operation.

In the current survey, 68.6% of cases were treated with non-sliding gammanail implants, while 31.4% were treated with sliding gamma nail implants. The mean period of bonefusion was 4.5 months in patients with non-sliding gamma nail implants and 5.5 months in patientswith sliding gamma nail implants. In patients treated with sliding gamma nail implants, treatment of28.5% of patients failed, and in the group of patients treated with non-sliding gamma nail, treatmentfailure was reported in 12.5% of patients. In addition, mean postoperative Harris Hip Score (HHS) in thegroup treated with non-sliding gamma nail implants was significantly higher than the group treatedwith sliding gamma nail implants (P = 0.002).

Based on the findings of the present study,it seems that treatment with short non-sliding gamma nail implants is a better method compared totreatment with sliding gamma nail implants.