Subtrochanteric femur fracture management with cephalomedullary nailing or plate fixation is associated with high rates of complications, including malunion, nonunion, and implant failure.
What are the treatment options and complications associated with subtrochanteric femur fracture management?
Subtrochanteric femur fractures remain challenging to manage due to deforming muscle forces and high rates of complications with current fixation methods.
Subtrochanteric femur fractures present significant treatment challenges. The deforming muscle forces make fracture reduction difficult. Treatment options include cephalomedullary nailing and various types of plate fixation. There is a high rate of treatment complications, including malunion, delayed union, nonunion, and implant failure.
Hak et al. (2015) studied this question. Subtrochanteric femur fracture management with cephalomedullary nailing or plate fixation is associated with high rates of complications, including malunion, nonunion, and implant failure.