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Updated: Jul 8, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Intramedullary nailing versus fixed angle blade plating for subtrochanteric femoral fractures: a prospective
1St George Hospital, Sydney, Australia. drahme@optusnet.com.au
Purpose:
To compare closed intramedullary nailing to open reduction and internal fixation using a fixed angle blade plate for the management of subtrochanteric femoral fractures.
Methods:
58 patients were equally randomised to undergo either an intramedullary nailing (IN) or fixed angle blade plating (BP).
Results:
There were no significant differences between the 2 groups with regard to age, time to surgery, operating time, receipt of blood transfusions, duration of hospital stay, or fracture classification. The revision rate was 28% (8/29) in the BP group and none in the IN group; the difference was statistically significant.
Conclusion:
Internal fixation using a fixed angle blade plate for subtrochanteric femoral fractures has higher implant failure and revision rates, compared to closed intramedullary nailing.
