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

<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Through access to a uniquely large patient data base available, which is available for analysis of trochanteric fractures; we have been able to evaluate the performance of the Gamma Nail over a twelve year period.</p> <p>Methods</p> <p>3066 consecutive patients were treated for trochanteric fractures using Gamma Nails between 1990 and 2002 at the Centre de Traumatologie et de l'Orthopedie (CTO), Strasbourg, France. These patients were retrospectively analysed. Information on epidemiological data, intra- and postoperative complications and patients' outcome was retrieved from patient notes. All available radiographs were assessed by a single reviewer (AJB).</p> <p>Results</p> <p>The results showed a low complication rate with the use of the Gamma Nail. There were 137 (4.5%) intraoperative fracture-related complications. Moreover 189 (6.2%) complications were detected postoperatively and during follow-up. Cut-out of the lag screw from the femoral head was the most frequent mechanical complication (57 patients, 1.85%), whereas a postoperative femoral shaft fracture occurred in 19 patients (0.6%). Other complications, such as infection, delayed healing/non-union, avascular femoral head necrosis and distal locking problems occurred in 113 patients (3.7%).</p> <p>Conclusions</p> <p>The use of the Gamma Nail in trochanteric hip fractures is a safe method with a low complication rate. In particular, a low rate of femoral shaft fractures was reported. The low complication rate reported in this series can probably be explained by strict adherence to a proper surgical technique.</p

A Validated Preclinical Animal Model for Primary Bone Tumor Research

Funding for this study was provided by the German Research Foundation (Grant DFG WA 3606/1-1 to F. Wagner and Grant HO 5056/1-1 to B.M. Holzapfel), the Australian Research Council (Future Fellowship Program) and the Technical University Munich Hans Fischer Senior Fellowship (D.W. Hutmacher), and a Research Fellowship from the National Health and Medical Research Council (#1044091 to J.-P. Lévesque

Quantitative relationship between water-depth and sub-fossil ostracod assemblages in Lake Donggi Cona, Qinghai Province, China

A calibration data set of 51 surface sediment samples from Lake Donggi Cona on the northeastern Tibetan Plateau was investigated to study the relationship between sub-fossil ostracod assemblages and water depth. Samples were collected over a depth range from 0.6 to 80 m. A total of 16 ostracod species was identified from the lake with about half of the species restricted to the Tibetan Plateau and its adjacent mountain ranges and poorly known in terms of ecological preferences, and the other half displaying a mainly Holarctic distribution. Living macrophytes and macroalgae were recorded in Lake Donggi Cona down to a depth of about 30 m, and bivalve (Pisidium cf. zugmayeri) and gastropod (Gyraulus, Radix) shells were found down to depths of 43 and 48 m, respectively. The ostracod-waterdepth relationship was assessed by multivariate statistical analysis and ostracod-based transfer functions for water depth were constructed. Weighted averaging partial least squares (WA-PLS) regression provided the best model with a coefficient of determination r2 of 0.91 between measured and ostracod-inferred water depth, a root mean square error of prediction of 8% and a maximum bias of 10.6% of the gradient length, as assessed by leaveone-out cross-validation. Our results show the potential of ostracods as palaeo-depth indicators in appropriate settings. However, transfer-function applications using fossil ostracod assemblages for palaeo-depth estimations require a thorough understanding of the palaeolimnological conditions of lakes and therefore detailed multi-proxy analysis to avoid misinterpretation of ostracod-based inferences