J Korean Orthop Assoc.  2015 Jun;50(3):202-214. 10.4055/jkoa.2015.50.3.202.

Subtrochanteric Fracture: Emphasis on Surgical Techniques in Nailing

Affiliations
  • 1Department of Orthopaedic Surgery, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea. jkoh@korea.ac.kr

Abstract

Intramedullary nailing is considered the most biomechanically advantageous therapeutic modality in the treatment of subtrochanteric femoral fractures. Many technical pitfalls and difficulties in nailing are well known. Reduction of the proximal fragment in a flexed, abducted, and externally rotated position should be performed before nailing of subtrochanteric fractures in order to avoid malalignment and nonunion. In this review, various reduction techniques to control the proximal fragment which are useful in nailing will be discussed.

Keyword

subtrochanteric fracture; intramedullary nailing; cerclage wiring; percutaneous reduction; entry point
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