Functional and Surgical Outcome of Intertrochanteric Fractures of Femur Treated with the Gamma 3 Nail

Background: Intertrochanteric fractures occur both in the elderly and the young, but they are more common in the elderly population with osteoporosis due to a low energy mechanism. These fractures along with other hip fractures are associated with high morbidity and mortality. Currently, 280,000 fractures occur annually with nearly half of these due to intertrochanteric fractures. There are few treatment modalities are available for this kind of fractures such as: DHS, SHS, PFN, PFNA2, Gamma nail, Zimmer Natural Nail, Trigen Intertan nail, and TFN. Materials and Method: This study of 20 patients with intertrochanteric fractures was conducted over a period of 18 months from April 2023 to October 2024 in the Department of Orthopaedics, Navodaya Medical College Hospital and Research Centre. In this study 20 patients (13 male, 7 females) with intertrochanteric fracture treated with closed reduction internal fixation by Gamma 3 nail. Functional outcome was assessed as per the Harris Hip Score. Results: A total of 20 patients were evaluated in our study of which there were 13 males and 7 females. Out of all 20 patients, who were evaluated based on Harris Hip Score at 12 months post operatively, majority 10 cases (50%) had a good outcome.,8 cases (40%) had excellent outcome and only 2 patients (10%) had Fair outcome. Not a single patient had poor outcome according to Harris Hip score. Conclusion: GAMMA 3 is a significant advancement in the treatment of trochanteric fractures which has the unique advantages- a simple operation, closed reduction, preservation of fracture hematoma, minimal soft tissue damage during surgery, less bone loss, early rehabilitation and early return to work with good functional outcome with good recovery despite, patients having several associated injuries.