Subtrochanteric fractures in the older child and adolescent often are not a
menable to conservative methods of treatment. The anatomic constraints of t
he proximal femur including the small diameter of the femoral neck and the
presence of the capital femoral physis may limit the type of internal fixat
ion used in these patients. This article presents our preliminary experienc
e with a custom 95 degrees condylar blade plate for subtrochanteric fractur
es in older children and adolescents.