title: Controversies in Intramedullary Fixation for Intertrochanteric Hip Fractures.
abstract: Intertrochanteric hip fractures are common and costly. Intramedullary fixation has gained popularity as a means of stabilizing intertrochanteric hip fractures. This review article presents some of the controversies surrounding the treatment of intertrochanteric fractures using a cephalomedullary nail. These topics include nail length, the need for distal interlocking, proximal screw design, the number of proximal lag screws, and integrated proximal sliding lag screws.
  
  
  METHODS
  Therapeutic Level V. See Instructions for Authors for a complete description of levels of evidence.
authors.affiliation: *Department of Orthopaedic Surgery, Orlando Regional Medical Center, Orlando Health, Orlando, FL; and†Florida Orthopaedic Institute, Department of Orthopaedic Surgery, University of South Florida, Tampa, FL.
authors.forename: Paul C
authors.initials: PC
authors.lastname: Baldwin
authors.forename: Randy C
authors.initials: RC
authors.lastname: Lavender
authors.forename: Roy
authors.initials: R
authors.lastname: Sanders
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Koval
mesh_terms: D019317:Evidence-Based Medicine; D005594:Fracture Fixation, Intramedullary / Q000191:economics / Q000295:instrumentation* / Q000706:statistics & numerical data*; D017048:Health Care Costs / Q000706:statistics & numerical data; D006620:Hip Fractures / Q000191:economics / Q000453:epidemiology* / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000191:economics / Q000453:epidemiology* / Q000517:prevention & control*; D015995:Prevalence; D012307:Risk Factors; D016896:Treatment Outcome