The subtrochanteric fracture of the femur is often comminuted because the bone here is mainly cortical and high velocity trauma and hiornechanically and adjacent power muscles.
Therefore, it is difficult to maintain accurate reduction and rigid fixation and delayed or nonunion, limb shortening, varus deformity, mechanical failure, and many other problems can be encountered.
We studied 6 comminuted subtrochanteric fractures treated with Ender nails from Sept. 1991 to Oct. 1992.
3 weeks of skin or skeletal traction followed by partial weight bearing postoperatively showed excellent outconles.