Stabilization in treatment of per- and subtrochanteric fractures of the proximal femur

The incidence of fractures in the trochanteric region is high in the elderl y, and early stabilization is required that allows immediate weight bearing . Older patients with low bone quality, limited compliance and strength, an d the inability for partial weight-bearing, benefit from intramedullary sta bilization of these fractures. The choice of implant and the operative tech nique depends on the degree of instability in the individual fracture type. Intertrochanteric fractures are frequently combined with subtrochanteric f racture types. Their treatment is still a challenge because of the high deg ree of instability.