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Updated: Mar 9, 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
The art of trochanteric fracture reduction
Roland Biber1, Johanna Berger2, Hermann Josef Bail1
1Department of Trauma and Orthopaedic Surgery, Paracelsus Medical University, Klinikum Nürnberg, Breslauer Strasse 201, 90471 Nürnberg, Germany.
Abstract:
The name of Ender is primarily associated with the Ender nails, which were popular for trochanteric fracture fixation more than thirty years ago. However, Ender's concepts were not limited to the implant. Ender developed a unique classification system for trochanteric and subtrochanteric fractures, which provided the theory for closed reduction maneuvers that made the method so successful in his hands. While Ender's nails have become history in the meantime, his principles of fracture reduction can be readily applied on surgery with modern implants such as proximal femoral nails. This article reflects the classification and the principles published by Hans Georg Ender in some print work hardly available nowadays.
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