190Original Article Indirect Reduction with Sliding Compression Screw Stabilization for Subtrochanteric Fractures

Background: Subtrochanteric fractures possess unique characteristics, and no single device used in their treatment is considered absolutely superior to others. Use of sliding compression screws (SCSs) is technically simple. The feasibility of SCS stabilization was evaluated using indirect reduction of fracture frag-ments. Methods: One hundred and thirty-one acute subtrochanteric fractures without extensive shaft involvement were treated using this technique, and they were classified into 4 groups to evaluate the success rate. After the lag screw was inserted into the femoral head, the side plate was applied onto the distal fragment without exploring the fracture site. At least 4 cortical screws were used to stabilize the distal fragment. Postoperatively, ambulation with protected weight bearing was encouraged at as early a time as was possible. Results: One hundred and thirteen fractures were followed-up for 12~38 (mean, 22) months. The union rate was 94.7 % (107/113), and the time period until union occurred was 2.5~8 (mean, 3.8) months. No statistical difference was note