Medialized Trochanteric Entry Nailing Is a Safe and Effective Method for High-Energy Subtrochanteric Femur Fracture Treatment

Erik R. Nakken, Timothy S. Achor, Marschall B. Berkes

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Summary:Fixation of subtrochanteric femur fractures using intramedullary nails can provide high rates of osseous union. However, a lateral starting point or a medial trajectory can result in varus alignment, typically seen with trochanteric entry nails. Even with piriformis nails, medial comminution can result in secondary malalignment and varus. Varus can predictably result in nonunion and need for repeat operations. Medialized trochanteric entry nailing has been reported previously as a method to prevent varus alignment in low-energy, atypical subtrochanteric femur fractures in association with bisphosphonate use. We present a surgical technique using a medialized trochanteric nail entry point to provide proper alignment and avoidance of varus malreduction in 24 patients with a subtrochanteric femur fracture after a high-energy traumatic event.

Original languageEnglish
Pages (from-to)e458-e462
JournalJournal of orthopaedic trauma
Volume36
Issue number12
DOIs
StatePublished - Dec 1 2022

Keywords

  • high-energy trauma
  • medialized trochanteric entry
  • subtrochanteric femur fracture
  • trochiformis

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