3066 consecutive Gamma Nails. 12 years experience at a single centre.

Background: Fixation of trochanteric hip fractures using the Gamma Nail has been performed since 1988 and is today well established and wide-spread. However, a number of reports have raised serious concerns about the implant's complication rate. The main focus has been the increased risk of a subsequent femoral shaft fracture and some authors have argued against its use despite other obvious advantages, when this implant is employed.

Biomechanical evaluation of primary stiffness of tibiotalocalcaneal fusion with intramedullary nails.

Background: Intramedullary implants are being used with increasing frequency for tibiotalocalcaneal fusion (TTCF). Clinically, the question arises whether intramedullary (IM) nails should have a compression mode to enhance biomechanical stiffness and fusion-site compression. This biomechanical study compared the primary stability of TTCF constructs using compressed and uncompressed retrograde IM nails and a screw technique in a bone model.

Biomechanical evaluation of primary stiffness of tibiotalar arthrodesis with an intramedullary compression nail and four other fixation devices.

Background: Many techniques of tibiotalar arthrodesis have been described. Screw fixation is widely used. At our center, intramedullary compression nailing has been successfully used for over 10 years.