Subtrochanteric Hip Fractures eMedicine Orthopedics

Description: Lee & Ertl 2008
During the last 50 years, the treatment of subtrochanteric femur fractures has evolved with improved understanding of both fracture biology and biomechanics. Previously, nonsurgical treatment of these fractures was associated not only with significant shortening and malrotation but also with the morbidity and mortality of prolonged immobilization. Early techniques of surgical repair demonstrated unacceptably high rates of complications; however, the benefits of restoring the anatomy and encouraging early mobilization are recognized and have led to significant research and improvement in implants. Currently, the subtrochanteric fracture remains technically challenging, even to experienced fracture surgeons.