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J R Soc Med. 1983 July; 76(7): 550–554.
PMCID: PMC1439096

Use of Ender's nails in unstable trochanteric femoral fractures.


Eighty consecutive patients with unstable trochanteric femoral fractures treated by the Ender technique have been studied. Early fixation failure was seen in 18% of patients. Leg shortening and external rotation deformities due to uncontrolled fragmentary collapse were found in almost 80% of the 57 surviving patients at 3 months, and caused severe disability. The continued use of the Ender technique in unstable fractures is questioned.

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Selected References

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  • Bonamo JJ, Accettola AB. Treatment of intertrochanteric fractures with a sliding nail-plate. J Trauma. 1982 Mar;22(3):205–215. [PubMed]
  • Chapman MW, Bowman WE, Csongradi JJ, Day LJ, Trafton PG, Bovill EG., Jr The use of Ender's pins in extracapsular fractures of the hip. J Bone Joint Surg Am. 1981 Jan;63(1):14–28. [PubMed]
  • Dimon JH, Hughston JC. Unstable intertrochanteric fractures of the hip. J Bone Joint Surg Am. 1967 Apr;49(3):440–450. [PubMed]
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  • Laros GS, Moore JF. Complications of fixation in intertrochanteric fractures. Clin Orthop Relat Res. 1974 Jun;(101):110–119. [PubMed]
  • Pankovich AM, Tarabishy IE. Ender nailing of intertrochanteric and subtrochanteric fractures of the femur. J Bone Joint Surg Am. 1980;62(4):635–645. [PubMed]
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