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Updated: Jun 20, 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
[Subtrochanteric fractures treated with interlocking endomedullary nailing]
Saúl Apóstol-González1, Jesús Herrera
1Servicio de Traumatologia, Hospital Joaquina de Rotondaro, Tinaquillo, Estado Cojedes, Venezuela. saulapostol@hotmail.com
Objective:
Determine the efficacy of the treatment of subtrochanteric femur fractures with interlocking endomedullary nailing.
Material And Methods:
This is a retrospective observational descriptive study. The clinical series reported analyzes the results of nineteen patients with a diagnosis of subtrochanteric fracture who were treated at various hospitals during the period 2000-2004. The fracture was classified according to the AO criteria and the Russell-Taylor classification. The final assessment is described using Sanders et al's Traumatic Hip Assessment Scale.
Results:
The series includes thirteen male and six female patients. Mean age was 36 years. The mechanism of injury was motor vehicle accidents and gunshot wound. Mean follow-up was 18 months. Fracture healing time was 3 months. In two patients healing occurred in varus (< 50) and they have shortening < 2 cm. According to the score in the Sanders et al scale, 10 results were excellent, 8 good and one fair.
Conclusions:
We recommend the use of a monoblock-type of interlocking endomedullary nail to treat subtrochanteric fractures. This method is an alternative to closed interlocking endomedullary nailing.
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