Subtrochanteric Femur Nonunion - Chasing the elusive An analysis of two techniques to achieve union: nail-plate fixation and plate-structural fibula graft fixation

Subtrochanteric femur fractures are the fractures of the proximal femur involving the area between the lesser trochanter and 5 cm distal to it [1,2]. The strong deforming forces of the muscles attached in this region create displacements of fracture fragments that hinder accurate reduction. There is a risk of suboptimal bone healing due to the poorly vascularized cortical bone in this area [2]. This often leads to problems in union with the incidence of nonunion reported to be as high as 7-34% [3].
Source: Injury - Category: Orthopaedics Authors: Source Type: research
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