The results of 100 'Long Gamma Nails' (LGN) inserted in 97 @entity1 , for the treatment of complex proximal @entity3330 and @entity922 , are reported. The mean @entity1 age was 74 (16-98). Seven significant complications occurred; four lag screws cut out, one broken nail, one infected non-union and one peri-prosthetic @entity174 . Five @entity1 underwent revision either to total hip arthroplasty or exchange nailing. Seventy @entity1 had follow-up of greater than 2 months (mean 10.8 months). Success was defined as stability of the @entity174 until union or @entity204 ; this was achieved in 85% of cases. The mortality was 10% at 30 days and 25% at 1 year. The complication rate fell with increasing experience. Complex proximal @entity3330 are difficult to treat with all implants demonstrating high complication rates. The long gamma nail allowed early weight bearing and was effective in 85% of cases. Malpositioning of the implant should be avoided, as this was the leading cause of failure. Surgeon experience is an important factor but training of surgeons does not adversely affect outcome.

The use of the long gamma nail in proximal XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fracture'] @entity204 :: ('MESH:D003643', 'Disease') :: ['death'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['femoral fractures'] @entity922 :: ('MESH:D013568', 'Disease') :: ['pathological lesions']
@entity3330 :: (MESH:D005264,Disease) :: ['femoral fractures']
