Treatment of Femoral Subtrochanteric Fracture

Abstract

We report eight cases of femoral subtrochanteric fractures which we experienced. Case 1 was a 20-year-old male carpenter with right femoral subtrochanteric fracture. Osteosynthesis with nailing system was performed with good reduction. Twenty-nine weeks after the operation, bone union was achieved. Case 2 was a 53-year-old male with right femoral subtrochanteric fracture. Osteosynthesis with nailing system was performed with poor reduction. Two years and three months after the operation, bone union was achieved. Case 3 was a 60-year-old female with left femoral subtrochanteric fracture. Osteosynthesis with locking plate system was performed with good reduction. Twenty-seven weeks after the operation, bone union was achieved. Femoral trochanteric fracture increases biodynamic stress, and nonunion results from poor reduction. We found that treatment of subtrochanteric fracture is harder than that of trochanteric fracture.