Controversies in Intramedullary Fixation for Intertrochanteric Hip Fractures

作者：Paul C. Baldwin, Randy C. Lavender, Roy Sanders, Kenneth J. Koval · 发表于：Journal of Orthopaedic Trauma · 年份：2016 · DOI：10.1097/bot.0000000000000652 · 被引用次数：39 · 研究领域：Hip and Femur Fractures、Cardiac, Anesthesia and Surgical Outcomes、Pelvic and Acetabular Injuries

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.