Ensuring correct placement of proximal fixation in reconstruction intramedullary nailing for subtrochanteric femur fractures.

Abstract

Subtrochanteric femur fractures present a challenge to orthopedic surgeons. Anatomic reduction and stabilization can be technically difficult. A variety of intramedullary and extramedullary devices have been used to stabilize these fractures. The authors describe a novel technique for easier proximal interlock fixation for reconstruction intramedullary nailing to ensure proper placement into the nail. This will likely save time in a patient population that may be either frail and elderly or young with high-energy polytrauma, and it may reduce radiation exposure for both patients and surgeons.