Intramedullary Fixation of Subtrochanteric Fractures with Long Proximal Femoral Nail or Long Gamma Nail: Technical Notes and Preliminary Results

This study suggests that long PFN or long gamma nail is a reliable implant for subtrochanteric fractures, leading to high rate of bone union and minimal soft tissue damage. Intramedullary fixation has biological and biomechanical advantages, but the operation is technically demanding. Gradual learning and great patience is needed in order to make this method truly minimally invasive.