Stable fracture posteromedial cortex intact/minimal comminution Treatment = 2-hole Intertrochanteric Femur Fracture SHS 27244. Tip-apex distance shoulde be equal to or less than 25mm (tip apex distance = the sum of the distance from the tip of the lag screw to the apex of the femoral head on the AP and lateral Xrays) (Baumgaertner MR, JBJS 1995; 77:1058) See also AO Classification. Return to Intertrochanteric Femur Fracture S72.143A 820.21 Unstable fracture posteromedial cortex comminuted, lateral cortex disruption. Treatment = Intertrochanteric Femur Fracture IMHS 27245. Generally with long unlocked nail, unless there is subtrochanteric extention. Distal locking indicated for fractures with subtroch extention. Increased failure/complications rate as compared to stable fractures. See also AO Classification. Return to Intertrochanteric Femur Fracture S72.143A 820.21 Reverse oblique 5% of all IT/subtrochanteric fxs) Treatment = Intertrochanteric Femur Fracture IMHS 27245 with distal locking are indicated or 95 degree fixed-angle device. (Haidukewych JBJS 2001;83A:643) Sliding hip screw is associated with many complications and failures. See also AO Classification. Return to Intertrochanteric Femur Fracture S72.143A 820.21