Revision Internal Fixation of Failed Intertrochanteric Hip Fractures

Abstract

Nonunion is a rare complication associated with surgical fixation of geriatric intertrochanteric femur fractures. The goal of post-traumatic reconstruction includes bone healing and return of functionality. Host optimization and preoperative planning are critical to optimizing the mechanics necessary to achieve nonunion compression and healing. Corrective osteotomies are often needed in these complex cases, while bone grafting is performed on an individualized basis. Popular implants include the blade plate, sliding hip screw, and intramedullary hip screw, with the ideal implant selected to maintain alignment until union. Fortunately, nonunion reconstruction typically leads to uneventful union if the principles of care are followed.