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Prospective study of 40 cases of subtrochanteric fracture treated either extramedullary fixation intramedullary fixation in Sri Ramachandra medical center April 2011to June 2013. Inclusion criteria are all traumatic subtrochanteric fractures, exclution criterias are all open fractures paediatric fractures, pathologic fractures. We had 20 extramedullary and 20 intramedullary fixations we used schatzker and Lambert scoring system, mean follow up for 2 years. The most important factor to prevent the failure of fixation may be due to inadequate initial reduction. The most important factor to prevent the failure of fixation is anatomical reduction of fracture and restoration of medial buttress. In our comparative analysis of intramedullary versus extramedullary fixation of subtrochanteric fractures. Intramedullary devices give superior results than extramedullary devices. But the most important factor to prevent the failure of fixation is Anatomical reduction of fracture at time of surgery.

Comparitive Analysis Of Intramedullary Versus Extramedullary Fixation In Subtrochanteric Fractures