Implant breakage, a rare complication with the Gamma nail. A review of 843 fractures of the proximal femur treated with a Gamma nail.

Internal fixation with a Gamma nail, in its short and long versions, is an excellent surgical technique for intertrochanteric and subtrochanteric fractures of the femur. A stable osteosynthesis is obtained which allows early mobilisation and promotes healing of the fracture. However, it is not free from complications; many of them are due to poor surgical technique and/or inadequate monitoring.