Percutaneous acetabular anchoring pin-assisted cephalomedullary nailing for subtrochanteric and unstable intertrochanteric fractures.

Abstract

It is important to maintain acceptable reduction and make suitable entry when performing cephalomedullary nailing for subtrochanteric and unstable intertrochanteric fractures; however, this is often challenging due to deforming forces or the unstable nature of the fracture itself. Several percutaneous reduction techniques for fractures have been introduced, but, in some cases, a loss of reduction during the nailing procedure is experienced. To prevent this problem, it is important to keep the proximal fragment stable for the entire nailing procedure. The present study reports favourable outcomes for cephalomedullary nailing for subtrochanteric and unstable intertrochanteric fractures when percutaneous acetabular anchoring pin is used to maintain the proximal fragment stably in the reduced position.