Comminuted intertrochanteric fracture of the femoral neck

If comminuted intertrochanteric fractures of the femoral neck are treated in the same way as the simple ones--by reduction, McLaughlin nailing, and early weightbearing--many complications will occur, in most cases failure of the osteosynthesis or infection. If operation is to be used at all in these fractures, it must take the form of a firmer fixation or primary osteotomy. Moreover, the time of commencement of weight-bearing must be accurately and individually determined.