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Updated: Jun 23, 2026

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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Intraoperative reduction techniques for difficult femoral fractures
Hans-Christoph Pape1, Ivan S Tarkin
1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. papehc@upmc.edu
Journal of Orthopaedic Trauma
|April 25, 2009
Abstract:
Successful intramedullary nailing of difficult femoral fractures is predicated on achieving and maintaining reduction before reaming and implant insertion. Closed and percutaneous strategies are emphasized which preserve fracture biology and encourage primary union. However, open techniques are sometimes necessary to avoid postoperative deformity.

