Management of Comminuted Subtrochanteric Femur Fractures by Indirect Reduction and Biological Fixation with Dynamic Condylar Screw

Comminuted subtrochanteric femoral fractures are considered as one of the most difficult fracture to treat for the orthopaedic surgeons [1,2,3,4]. Until now there is no agreement in the orthopaedic literatures for the best method to manage such complicated fractures [2,4,5]. The biological fixation is considered now as one of the golden solutions for this complicated fracture. The aim of biological fixation is not to cause any biological harm to the bone and the surrounding soft tissues by indirect reduction, proper alignment of the intermediate bone fragment [1,6]. The risks of open reduction includes, devitalization, damages of the vascular supply, soft tissues and increased risks of non union, infection and implant failure [1,6]. The aim of this study was to evaluate the results of comminuted subtrochanteric femoral fractures treated by indirect reduction and biological fixation method with Dynamic condylar screw and plate fixation.