DOI: 10.36347/sasjs.2020.v06i07.004

Pages: 276-279

The frequency of trochanteric fractures rises in parallel with the ageing of the population, and with the degree of osteoporosis. Osteosynthesis using gamma nail has become the surgical technique that best ensures a satisfactory management of these fractures. In a retrospective study, we report the characteristics of 130 patients treated for trochanteric fractures in the Department of Traumatology-Orthopedics of the Ibn Tofail University Hospital of the Mohamed VI University Hospital Center of Marrakesh, over a period of 5 years from 2014 to 2018. The mean age of patients was 63 years with a male predominance (76.2%). The main causes of fracture were simple falls in 50% of cases, and motor accidents in 23.1% of cases. In 62.3% of cases, an underlying condition was present. All patients underwent standard gamma nail surgery. The results were assessable in only 80 patients, and were encouraging, with a rate of good to excellent results of 68.7%. We were able to identity 15 postoperative complications, that is in 18,75% of cases, going back 8.5 months on average after treatment. Our findings bear resonance with several other studies. Trochanteric fractures constitute a public health problem, and their management requires a multidisciplinary approach.