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Fig. 1

In subtrochanteric fractures, the proximal fragment is in abduction and flexion by the pulling of gluteus medius and iliopsoas muscle, and the distal fragment is in adduction by the adductor muscle.

Fig. 2

A varus malalignment with nonunion after cephalomedullary nailing of subtrochanteric fracture.

Fig. 3

(A, B, C) A comminuted subtrochanteric fracture was treated by MIPO (minimally invasive plate osteosynthesis) with DCS system. (D) The fracture healed uneventfully.

Fig. 4

In a subtrochanteric femoral fracture (A), MIPO was performed with various tips (joystick method, percutaneous lag screw) (B~F).

(G) A good alignment was achieved postoperatively.

(H) Union was achieved after 5 months.

Fig. 5

In a subtrochanteric femoral fracture extending to the neck (A), MIPO was performed after the fixation of neck fracture (B~F).

(G) A good alignment was achieved postoperatively.

(H) Union was achieved after 6 months.

Figure & Data

REFERENCES

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