Subtrochanteric Fractures of the Femur Treated with Nail-Plate Devices

Abstract

Fifty-four cases of nonpathologic subtrochanteric fractures of the femur were treated by fixation with nail-plate devices. Of the 48 final cases, 42 patients (88%) united successfully after a single operative procedure. Six patients (12.5%) developed a non-union and required further surgery, an experience similar to that of other authors. Ten per cent appears to be the expected non-union rate with nail-plate devices. At this time the Jewett nail and the compression screw should be regarded as part of the the orthopedist's armamentarium in the treatment of comminuted subtrochanteric fractures of the femur.