Strength and Stability The Biomechanical Advantage Rehabilitation Benefits over Side-Plate Systems The biomechanical features of Since the load-bearing axis of the The extra strength effectively gained the intramedullary system offers Gamma3 Nail is closer to the hip joint through the biomechanics of the significantly greater strength and fulcrum, the effective lever arm on the Gamma3 System combined with stability compared with the side plate, implant and femur is significantly improved control axial telescoping in clinical use[1]. The Gamma3 system shorter than with an extramedullary control and rotational stability offers the same strength as the well- plate. The reduction factor is may allow earlier weight-bearing established Gamma Locking Nail equivalent to d/D as shown in Figure 6 even in patients with complex or System. (approximately 25% [1]). unstable proximal fractures [2]. Early The resultant force is transmitted mobilization, dynamic compression, directly down the femur using a nail and a less traumatic operative technique system. If a side-plate system is used, the help to increase the chance for more femur shaft may be weakened through a efficient recovery and reliable bone high number of screws. The Gamma3 union. Nail increases both the strength and reliability of the biomechanical repair. The distal dynamic locking option additionally allows the use of dynamic compression.
[1] K.S.Leung et al, Multicenter Trial of the Modified
Gamma Nail in East Asia CORR323: 146-154, 1996 [2] G . Rocca, M. Inguaggiato, A. Migliorini, Gamma Nail Surgical Revision after 15 Years of Experience: Results, Osteo Trauma Care 2007, 15:117-122