Internal fixation by the Ender method

A new method for the intramedullary fixation of trochanteric fractures with prebent, 4.5-mm, round, semielastic nails has theoretical advantages over use of nail-plate devices. Use of the method in 25 patients suggest that it is mechanically sound, relatively easy to learn, and easier for the patient to tolerate. Operating room time is reduced and blood replacement was not necessary. No infections were encountered, and all patients who were ambulatory preoperatively remained ambulatory postoperatively.