Related Experiment Video
Updated: Mar 17, 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
Controversies in Intramedullary Fixation for Intertrochanteric Hip Fractures
Paul C Baldwin1, Randy C Lavender, Roy Sanders
1*Department of Orthopaedic Surgery, Orlando Regional Medical Center, Orlando Health, Orlando, FL; and†Florida Orthopaedic Institute, Department of Orthopaedic Surgery, University of South Florida, Tampa, FL.
Abstract:
Intertrochanteric hip fractures are common and costly. Intramedullary fixation has gained popularity as a means of stabilizing intertrochanteric hip fractures. This review article presents some of the controversies surrounding the treatment of intertrochanteric fractures using a cephalomedullary nail. These topics include nail length, the need for distal interlocking, proximal screw design, the number of proximal lag screws, and integrated proximal sliding lag screws.
Level Of Evidence:
Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.
