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Operative management preferred for subtrochanteric fractures; Level 5 evidence leaves optimal technique and outcomes open.
Background: Subtrochanteric fractures of the femur remain some of the most challenging fractures faced by orthopaedic surgeons. Most of the fractures in the elderly results from trivial fall from standing or while walking, whereas in the younger age group it is mainly due to road traffic accidents. Closed management of these subtrochanteric fractures poses difficulties in obtaining and maintaining reduction, hence making operative management the preferred method of treatment 1 .Rapid strides in new implants, instrumentation and fracture fixation techniques in quest for ideal implant for fixation of these fractures have made many options available.
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