Related Experiment Video
Updated: Apr 14, 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
[Pertrochanteric femur fracture - our technique and results]
1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Klinikverbund Südwest, Kliniken Sindelfingen.
Background:
In patients over 65 years, pertrochanteric proximal femur fractures are very common, with an incidence of 966/100,000. Treatment of choice is nailing or dynamic hip screws. The operative approaches are standardised and easy to learn.
Purpose:
We want to demonstrate the operation technique by video and our own results of the last two years.
Patients:
From 1 January 2012 until 31 December 2013, 210 patients with an average age of 80.7 years and pertrochanteric fractures underwent treatment.
Results:
Preoperative delay averaged one day. Skin to skin operative time averaged 48 minutes. There were 6 misplaced implants and cutouts (2.8 %), one infection (0.5 %), and 6 operative revisions because of hematoma or seroma (2.8 %). Four patients (1.9 %) died of cardiovascular failure with ASA 3 and 4 during the inpatient stay.
Conclusion:
Internal fixation with nailing in pertrochanteric femur fractures is a standard operative approach. It is quickly learnt and easily performed.
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