[Preliminary experience with gamma nails]

Good fixation, ability for full weight-bearing in most of the cases, closed surgical technique-these are the advantages of lately developed intramedular osteosynthesis for instabil pertrochanteric and subtrochanteric fractures, called gamma nailing. These advantages do make the general and local complications less and do help the fast rehabilitation. Authors give report on 28 patients, were operated on with gamma nailing within the last 1.5 year. Local complication, infection, loosening, breakage, pseudoarthrosis was not observed. The healing was complete in all evaluated cases. 2/3 of the patients had full weight-bearing following surgery. According to the authors the results are very good in the cases of instabil subtrochanteric and pertrochanteric fractures, therefore the method is highly recommended in similar cases.