Author(s): Jishnu Pr. Baruah 1
The indication of the proximal femoral nails in the proximal femoral fractures seems to have narrowed down to the Subtrochanteric fractures in recent times. However, it still remains to be validated by properly conducted large prospective controlled trials. In 2010, The Cochrane Database of Systematic Reviews suggested that further studies are required in this category. Proponents of this technique are usually motivated by references to biomechanical advantages and minimal exposure during surgery. However there are also numerous difficulties and complications that are encountered and these have not received due consideration apart from implicating the learning curve for these problems. This small series conducted after due considerations to all these aspects reveals that the numerous problems may actually not be surgeon related alone but due to the inherent peculiar biomechanics of this region and the deficiencies of the IM nails to effectively control this fracture environment`.