A PROSPECTIVE RANDOMIZED COMPARISON OF THE DYNAMIC HIP SCREW AND THE GAMMA LOCKING NAIL

We made a randomised prospective comparison of the Dynamic Hip Screw a nd the Gamma locking nail for the internal fixation of 200 pertrochant eric femoral fractures in elderly patients. There was less intraoperat ive blood loss and a lower rate of wound complications in the patients treated by the Gamma nail. They had, however, a high incidence of fem oral shaft fracture which we relate in part to implant design. We do n ot recommend the use of the Gamma nail for these fractures.