J Korean Fract Soc.  2000 Oct;13(4):771-778. 10.12671/jksf.2000.13.4.771.

Ambulatory Recovery after Fixation of Intertrochanteric Fracture with Gamma nail in the Elderly

• Shin DK
• Kwun KW
• Kim SK
• Lee SW
• Choi CH
• Go SB

• KMID: 2100140
• DOI: http://doi.org/10.12671/jksf.2000.13.4.771

Abstract

PURPOSE: This study was performed to evaluate the ambulatory recovery after fixation of intertrochanteric fracture of elderly patients with Gamma nail and to analyze the factors to affect the recovery.
MATERIALS AND METHODS
we evaluated the ambulatory result of 64 cases of intertrochanteric fracure which were fixed with gamma nail and rehabilitated with early weight bearing protocol regardless of reduction state. We analysed the result with statisical method and tried to find the important factor for better ambulatory recovery.
RESULTS
Only 21 patients were able to recover to preinjured level of ambulation and mean loss of ambulation ability was 1.31 according to our evaluation protocol. Stastically the age and early weight bearing walking exercise was affecting factor for better recovery of ambulation and the rate of complication caused by early weight bearing was not significant.
CONCLUSION
Fixation with Gamma nail and early weight bearing rehabilitation protocol was good choice for elderly intertrochanteric fracture without the risk of major complication.

Keyword

intertrochanteric fracture; gamma nail; ambulatory recovery

MeSH Terms

Aged*
Humans
Rehabilitation
Walking
Weight-Bearing