Morphology and Fixation Pitfalls of a Highly Unstable Intertrochanteric Fracture Variant

Abstract

This intertrochanteric fracture variant is highly unstable with a high failure rate. Loss of superolateral support rather than the medial calcar buttress is the main contributing factor to mechanical failure. Computed tomography is important in preoperative planning. Intramedullary nailing is more appropriate than extramedullary plating for such unstable fractures.