Dr Digambar S Maraskolhe, Dr Ankur B Chawla, Dr Nandkishor M Harne


Intramedullary implants for fracture intertrochanteric fractures, there is always risk of loss of reduction despite of reduction after percutaneous procedure. Loss of reduction intraoperatively is not uncommon.

Temporary k wire fixation is a good alternate to maintain the reduction during procedure. Retrospective analysis of intraoperative C-arm image with x ray proves this method as a reasonable approach for maintaining reduction of intertrochanteric fractures during nailing.


Material and methods


A total number of 30 cases of inter trochanteric fracture treated with PFN

Inclusion criteria were:

1) Extracapsular hip fracture classified as AO-OTAtype31 A1 orA2

2) Patient who gave consent for this procedure.

3) Implant PFN

4) Acceptable reduction after percutaneous reduction procedure

Exclusion criteria:      

1) Mixed method of reduction

2) Pathological fracture


Intertrochanteric fracture, Temporary k wire

Full Text:



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