We report the results of surgery for trochanteric fracture using a long nail in our hospital. Between April 2009 and March 2013, 22 patients with trochanteric fracture were treated by using a long nail. We were able to follow up 18 of these 22 patients (5 males and 13 females). The average age was 79 years (47-94 years). There were no complications before or after surgery, and the average surgery time was 78 minutes (50-165 minutes). Tip apex distance (TAD) was average 4.4 mm (2∼9 mm), and the average telescoping was 6.5 mm (0∼17 mm). Bone union was achieved in all cases except for two that could not be followed up sufficiently. Use a long nail for trochanteric fracture AO clarification A3 and A2 cases that the fracture line extend to subtrochanter, we obtained a good result without complications. As use of a long nail is associated with problems such as a long operation time and significant invasion, it is necessary to select its indications carefully.
