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RESEARCH PRODUCT

A Clinical Comparison between the Gamma® and the Claufitt® Nails in Unstable Proximal Femoral Fractures

subject

description

Purpose To assess the differences that exist between two intramedullary osteosynthesis systems for the treatment of unstable proximal femoral fractures in an attempt to find out whether the use of an antirotation screw improves the final result. Materials and methods A retrospective study was carried out to analyze the plcement and clinical evolution of both intramedullary nailing systems (Gamma ® y Claufitt ® ). The patients’ medium-term functional status was evaluated and benchmarked against the characteristics of the population served by our University Hospital. A final database was obtained made up of 43 cases of Claufitt ® that met the criteria of our study. A functional assessment system was custom designed for each patient. Results Although the results are not statistically significant, the results obtained with Claufitt ® proved to be 10% better than those for the Gamma ® , nail. The Real Functional Assessment is a straightforward, reproducible and useful evaluation method to perform an detailed individualized follow-up of our patients that can be applied to any type of procedure or follow-up protocol. Conclusions The data obtained are in line with that published in the literature. The differences between the two intramedullary osteosynthesis systems cannot be quantified technically or clinically. Each patient's functional status and clinical evolution can be determined easily through the Real Functional Assessment.