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COMPARISON OF INTRAMEDULLARY NAILS IN THE TREATMENT OF INTERTROCHANTERIC FRACTURE-A REVIEW

Intertrochanteric fractures account for more than half of the fractures around the hip. Intramedullary nail is the standard surgical treatment options chosen by most surgeons and wide variety of implants have been developed for intramedullary fixation. New and modified nails have been introduced as the nails introduced earlier resulted in various complications and poor outcomes compared to extramedullary devices. Many comparative studies have been performed to evaluate the outcomes and superiority of the devices. InterTan, PFNA and Gamma3 are new generation devices, reported to be some of the best devices according to current studies. In this literature review, I reviewed various intramedullary fixation devices, its biomechanical advantages, outcomes and complications. Among these, InterTan nail is suggested to be the optimal device for the fixation of intertrochanteric femoral fractures since it is more stable, showed lesser complications and better performance when compared to other intramedullary nails. However, more comparative studies comparing InterTan with other devices may be required to study more potential advantages to establish its superiority.