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.
Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.
*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.
Reprints: Kenneth J. Koval, MD, Department of Orthopaedic Surgery, Level One Orthopaedics, Orlando Regional Medical Center, Orlando Health, 1222 South Orange Avenue, Orlando, FL 32806 (e-mail: firstname.lastname@example.org).
K.J. Koval receives royalties from Zimmer Biomet and Newclip; R. Sanders receives royalties from Zimmer Biomet, Stryker, Smith & Nephew. For the remaining authors none were declared.
Accepted July 01, 2016