Intertrochanteric fractures: a review of fixation methods

  • Senthil Nathan Sambandam
  • Jayadev Chandrasekharan
  • Varatharaj MounasamyEmail author
  • Cyril Mauffrey
Expert's Opinion • HIP - FRACTURES


Intertrochanteric fractures are common, and data show that nearly half of the fractures around the hip are intertrochanteric. Intramedullary nail with a cephalomedullary screw or sliding hip screw–plate construct is the standard surgical treatment options chosen by most surgeons, and wide variability on fixation methods and outcomes has been observed. Fracture pattern, bone quality, fixation techniques and few other factors are important to achieve ideal results. In this article, we review various fixation methods in detail.

Dynamic hip screw

This is the most commonly used implant and extensively studied implant for extra-capsular hip fractures (Table  1) [ 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20]. It is an extra-medullary fixation device that works on the concept of stabilizing the fracture but allowing controlled collapse of the fracture by allowing the screw to slide in the barrel. Proposed advantages of the device are ease of use, low cost,...


Trochanteric fractures Implants choices Dynamic hip screw Cephalomedullary nail Hemiarthroplasty 


Compliance with ethical standards

Conflict of interest

All authors (Senthil Sambandam, Vartharaj Mounasamy, Jayadev Chandrasekharan and Cyril Mauffrey) declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

No human subjects were involved in this study.


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Copyright information

© Springer-Verlag France 2016

Authors and Affiliations

  • Senthil Nathan Sambandam
    • 1
  • Jayadev Chandrasekharan
    • 1
  • Varatharaj Mounasamy
    • 2
    Email author
  • Cyril Mauffrey
    • 3
  1. 1.Department of OrthopaedicsK.G. Hospital and Postgraduate Medical InstituteCoimbatoreIndia
  2. 2.VCU Medical CenterAmbulatory Care CenterRichmondUSA
  3. 3.Denver health Medical CenterDenverUSA

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