Intramedullary versus extramedullary fixation in the management of subtrochanteric femur fractures: a meta-analysis.

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Abstract

[Indexed for MEDLINE] 18. J Orthop Trauma. 2015 Apr;29 Suppl 4:S28-33. doi: 10.1097/BOT.0000000000000287. Reducing subtrochanteric femur fractures: tips and tricks, do's and don'ts. Yoon RS(1), Donegan DJ, Liporace FA. Author information: (1)*Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY; and †Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA. Treatment of subtrochanteric fracture remains a challenge, but evolution of strategy has allowed for reliable results with low complications. Although several fixation options exist, reamed, antegrade intramedullary nailing (IMN) has evolved as the standard of care. Cognizant effort to achieve anatomic reduction before IMN passage allows for desired outcomes. Several reduction techniques can be used to overcome the deforming forces present in the proximal femur to allow for proper IMN placement. The purpose of this article is to review the tips, tricks, and pitfalls to avoid in the treatment of subtrochanteric femur fractures with IMN. DOI: 10.1097/BOT.0000000000000287