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The Gamma-nail is an effective device for the treatment of the trochanteric fracture of the femur. Through our experience with the Gamma-nail, we were able to determine the problems of its surgical technique.From June 1998 to February 1999, we surgically treated 33 cases of the trochanteric fracture of the femur using the Gamma-nail. We examined the surgical results through X-rays. We also determined the problems concerning Gamma-nail both during and after surgery, indications, and the operative technique.The advantage of the Gamma-nail is that it allows minimum blood loss during surgery by short operation time. It also allows early weight bearing by the patients. On the other hand, there is a risk of complications due to the wrong positioning of the nail, lag screws, and incorrect indications. To avoid complications and obtain satisfactory results, it is essential to study effective surgical techniques and careful operative procedures.

Treatment of Trochanteric Fractures of the Femur Using Gamma-nail.