THE SUBTROCHANTERIC FRACTURE IN ADULT MALES – ALTERNATIVE APPROACHES

Abstract

The subtrochanteric fracture occurs on the femur bone at 5 to 7.5 cm below the lesser trochanter. Its uniqueness consists of the fact that it occurs at the junction between cortical bone and trabecular bone and also the various muscle attachments that displace the fractured ends making the end treatment difficult. We introduce a cases series of such situation. We treated our patients with intra-medullar nailing with or without cerclage cables and on all 3 presented cases one year follow up was excellent. We strive for the perfect implant, but for now we have yet to discover if cerclage cables on all intra-medullar nailing would be beneficial or the open method and the fracture hematoma evacuation is more of a disadvantage. The functional outcome of the patients was excellent using all three surgical methods. The most important aspect remains the recovery time and the patient’s quality of life after the intervention. Therefore, the surgical strategy should be individualized for improving the outcome.