A 2007 narrative review covering the evaluation, classification, and operative management of subtrochanteric femoral fractures. It addresses implant selection across the full spectrum of fracture patterns—from simple Russell-Taylor IA to comminuted type IIB—and synthesizes clinical and biomechanical evidence on plates versus intramedullary devices.
When you see a proximal femur fracture, confirm it isn't a subtrochanteric pattern masquerading as an intertrochanteric one—misclassification leads to wrong implant choice and high failure rates.
Reach for a cephalomedullary nail as your default; reserve 95° plates for surgeons with specific experience, and never use a 135° hip screw for subtrochanteric fractures.
A 2007 narrative review covering the evaluation, classification, and operative management of subtrochanteric femoral fractures. It addresses implant selection across the full spectrum of fracture patterns—from simple Russell-Taylor IA to comminuted type IIB—and synthesizes clinical and biomechanical evidence on plates versus intramedullary devices.
When you see a proximal femur fracture, confirm it isn't a subtrochanteric pattern masquerading as an intertrochanteric one—misclassification leads to wrong implant choice and high failure rates.
Reach for a cephalomedullary nail as your default; reserve 95° plates for surgeons with specific experience, and never use a 135° hip screw for subtrochanteric fractures.