It is reported about indication, technique and the first results of 40 osteosynthesis carried out in proximal femur fractures with the help of a gamma nail. The indication of the gamma nail ranges from the lateral fracture of the femoral neck to subtrochanteric fractures of the femur. According to existing experiences the following conclusions could be drawn: The technique of this modern interlocking nailing is to be learned in a short time period. The instruments are practically compiled and in case of a suitable use the handling is free of complications. It could be used in all stable and instable pertrochanteric fractures. The possibility of an immediate postoperative load of the fracture is one of the essential advantages of this method.
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