title: Contemporary management of subtrochanteric fractures.
abstract: Cephalomedullary interlocking nails that allow for trochanteric entry and minimally invasive fixation have revolutionized the contemporary management of subtrochanteric fractures with improved union rates and decreased incidence of fixation failure. The most successful alternative to intramedullary fixation remains the angled blade plate. Despite biomechanical superiority of contemporary intramedullary implants to previous intramedullary devices, the importance of achieving and maintaining satisfactory fracture reduction prior to and during hardware insertion cannot be overemphasized. In comminuted and more challenging fractures, additional techniques, such as limited open reduction with clamps and/or cables, can allow for canal restoration and more anatomic reductions prior to and/or during nail insertion.
authors.affiliation: VAMC Fresno, 2615 East Clinton Avenue, Fresno, CA 93730, USA; UCSF Fresno, 2823 Fresno Street, Fresno, CA 93721, USA. Electronic address: siddharth.joglekar@va.gov.
authors.forename: Siddharth B
authors.initials: SB
authors.lastname: Joglekar
authors.affiliation: UCSF Fresno, 2823 Fresno Street, Fresno, CA 93721, USA; Department of Orthopedic Surgery, CRMC Fresno, 2823 Fresno Street, Fresno, CA 93721, USA.
authors.forename: Eric M
authors.initials: EM
authors.lastname: Lindvall
authors.affiliation: UCSF Fresno, 2823 Fresno Street, Fresno, CA 93721, USA; Department of Orthopedic Surgery, CRMC Fresno, 2823 Fresno Street, Fresno, CA 93721, USA.
authors.forename: Armen
authors.initials: A
authors.lastname: Martirosian
mesh_terms: D005265:Femoral Neck Fractures / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D006801:Humans; D016268:Internal Fixators
keywords: Angled blade plate; Cephalomedullary nails; Reconstruction nail; Subtrochanteric fracture; Trochanteric entry