Results of Intertrochanteric Fractures Treated with Ender Nailing

Abstract

Intertrochanteric fracture is one of the most common trauma in the elderly. We treated intertrochanteric fractures with Ender nailing for several advantages, which are minimally traumatic with little blood loss and allow early weight-bearing.
We report the outcomes of 123 intertrochanteric fractures (30 males and 93 females) treated during last 10 years. The age at the surgery ranged from 51 to 93 years with a mean of 73.
The average duration of postoperative observation was 1 year and 2 months (range: 1 month-10 years). Subjective symptoms and walking ability were evaluated and X-ray assessments were carried out.
Seventy-eight out of 118 patients (66%) maintained their walking ability after surgery. Patients who started to walk within 14 days have a good result. Pain and decreased ROM of the knee were complained by 24% of the patients. The more increasing occupying ratio of nails in femoral intramedullary cavity, the less the risk such as backing out of nails, the varus deformity of femoral neck and knee troubles.