Abstract
Intertrochanteric fractures are very common fractures that occur in the elderly, owing to the fragile nature of their skeleton and are related to their propensity to falls. They are extra-articular fractures of the hip that occur between the extracapsular region of the femoral neck and just distal to the lesser trochanter. The choice of treatment falls into one of two options: fixation with an intramedullary device (cephalomedullary nail) or an extramedullary one (sliding hip screw, SHS). It is well established that in the case of stable, A1 AO-OTA (Arbeitsgemeinschaft fur Osteosynthesefragen-Orthopaedic Trauma Association), intertrochanteric fractures, the optimal method of fixation is the SHS, whereas in the case of very unstable intertrochanteric fractures (A3 AO-OTA), intramedullary nailing is preferable. Moreover, a reverse obliquity fracture pattern is associated with a large posteromedial fragment and the use of an intramedullary nail is essential to
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