Challenges in Subtrochanteric Femur Fracture Management

Orthopedics. 2015 Aug;38(8):498-502. doi: 10.3928/01477447-20150804-06.

Abstract

Subtrochanteric femur fractures present significant treatment challenges. The deforming muscle forces make fracture reduction difficult. Treatment options include cephalomedullary nailing and various types of plate fixation. There is a high rate of treatment complications, including malunion, delayed union, nonunion, and implant failure.

MeSH terms

  • Bone Nails
  • Bone Plates
  • Bone Screws
  • Femoral Fractures / classification
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / surgery*
  • Fracture Fixation, Intramedullary / instrumentation*
  • Fracture Healing / physiology
  • Fractures, Ununited / etiology
  • Humans
  • Muscle, Skeletal / physiology
  • Muscle, Skeletal / surgery
  • Postoperative Complications / etiology
  • Prosthesis Failure
  • Radiography