Abstract: Aim: To compare closed intramedullary nailing to open reduction and internal fixation using a fixed angle blade plate for the management of subtrochanteric femoral fractures.
Methods: 58 patients were equally randomised to undergo either an intramedullary nailing (IN) or fixed angle blade plating (BP).
Results: There were no significant differences between the 2 groups with regard to age, time to surgery, operating time, receipt of blood transfusions, duration of hospital stay, or fracture classification. The revision rate was significant (28%) in the BP group and none in the IN group.
Conclusion: Internal fixation using a fixed angle blade plate for subtrochanteric femoral fractures has higher implant failure and revision rates, compared to closed intramedullary nailing.
