[Various possibilities for managing subtrochanteric fractures].

Subtrochanteric fractures are highly unstable. For treatment, open reduction and internal fixation are the method of choice. The 95 degrees condylar plate is widely used for stabilization of these fractures. Alternative devices are the gamma nail and the recently developed intramedullar nail with a twisted plate which allows immediate postoperative weight bearing. The reported complications of the gamma nail restrict its general application, whereas preliminary reports of the intramedullar nail with the twisted plate are encouraging. Further clinical data are necessary before its general application can be recommended.