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Pertrochanteric femurfractures with inherent stability: DHS or Gamma nail osteosynthesis?

Rahusen FThG, Janssen RPA, Mourik van JBA
Medisch Journaal 2000;3:117-20

In our trauma department, pertrochanteric femoral fractures with inherent stability are treated by either a DHS (Dynamic Hip Screw) or Gamma nail osteosynthesis. There are specific indications for both implants. However, a grey area seems to exist where both implants may be used for pertrochanteric femurfractures with inherent stability. It seems that the choice of implant in this last group of fractures, is dependent on the experience of the surgeon caring for the patient. We have performed a review of the literature of the last 20 years, in order to compare theoretical pros and cons for both implants. Our conclusion is that a DHS is the implant of choice for the treatment of pertrochanteric femurfractures with inherent stability.