The stability of intertrochanteric fractures

The stability of intertrochanteric fractures is primarily dependant on the attainment of firm contact between the medial cortices of the two major fragments. In addition, the placement of the internal fixation device (regardless of the type used) also is of importance in relation to its placement in reference to the femoral neck. Furthermore, the angle of inclination of the fracture plays a major role, since a fracture of a high very vertical angle may more easily collapse under vertical forces.