The purpose of the current study was to describe methods for revising the Gamma nail. From March 1997 to March 2003, inter-or sub-trochanteric femoral fractures (n=315) were treated routinely using the Gamma nail. Twelve cases (3.8%) were treated surgically because of post-operative complications including cutting out of the femoral head, loosening of the lag screw, femoral shaft fracture and wound infection. Of the six cases whose femoral heads were cut out, two were treated by hemi hip arthroplasty and three by total hip arthroplasty. In these cases, we managed massive bleeding, added trochanter osteotomy for exposure of the hip joint in three cases, and used femoral components for replacement because of large bone defects.
