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Masters Thesis | Orthopaedic Surgery | Volume 15 Issue 3, March 2026 | Pages: 1696 - 1701 | India
Functional Outcome of Stable Intertrochanteric Femur Fractures Treated with Short Gamma3 Nail: A Prospective Study
Abstract: Introduction: Intertrochanteric fractures are extracapsular fractures of the proximal femur occurring between the greater and lesser trochanters and are associated with substantial morbidity and mortality, particularly in the elderly osteoporotic population. The global incidence of hip fractures is rising steadily, with nearly half of the annual cases attributable to intertrochanteric fractures, and projections suggest a marked increase by 2040. Operative management is the standard of care, with intramedullary devices increasingly preferred for unstable fracture patterns due to superior biomechanical stability and preservation of reduction. The Gamma 3 Locking Nail has been developed with design modifications to enhance fixation strength and clinical outcomes compared with earlier generations of cephalomedullary implants. Aim of the study: To access the functional outcome of Gamma 3 nail for treatment of Stable Intertrochanteric fractures. Materials and Method: This hospital-based prospective study was conducted from January 2024 to July 2025, involving 30 patients aged 30 to 79 years with stable intertrochanteric fractures AO A1 treated Gamma 3 Nail. Data collected included patient demographics, mechanism of injury, clinical and radiological evaluations, and postoperative follow-up assessments using the Harris Hip Score. Results: The mean age of patients was 54.2 years, with ratio of 1:1 male and female. The right proximal was affected in 66.6% of cases, with road traffic accidents accounting for 63.3% of injuries. 180mm Short Gamma 3 Nail with 53.3% of 10mm distal diameter and with 8 mm & 60% 81-90cm length lag screw was used for intertrochanteric fracture. A union was achieved in all patients, with a mean time to union of 11.6 weeks. Two cases of femur shaft fracture occurred, which resolved with implant removal and Long PFN. The HHS scores showed an improving trend over time, with a final score of 88?5 at six months. These findings are consistent with the existing literature, particularly highlighting the effectiveness of Gamma 3 nailing in young and geriatric patients with shorter union times. Conclusion: Gamma 3 nail is an good surgical treatment for intertrochanteric fractures, offering satisfactory functional outcomes and union rates. Its minimally invasive nature and biomechanical advantages make it a preferable option for selected cases requiring surgical intervention.
Keywords: Intertrochanteric fractures, Hip fractures, Intramedullary nailing, Gamma 3 nail, Cephalomedullary fixation, Osteoporosis
How to Cite?: Dr. Arun K N, Dr. Bharath Narayanasamy, Dr. Chandrahas A, Dr. L Chendan, Dr. Mullapadi Shashank Sai Charan, Dr. Mullapadi Shashank Sai Charan, "Functional Outcome of Stable Intertrochanteric Femur Fractures Treated with Short Gamma3 Nail: A Prospective Study", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 1696-1701, https://www.ijsr.net/getabstract.php?paperid=SR26328200628, DOI: https://dx.dx.doi.org/10.21275/SR26328200628