p JOURNAL OF MEDICAL CASE REPORTS Jiang et al. Journal of Medical Case Reports 2014, 8:383

Operative treatment of intertrochanteric fractures were derived from the Gamma nail, passing through dynamic hip screw (DHS), proximal femural nail (PFN), proximal femural nail antirotation (PFNA), and progressed to the latest use of the TRIGEN INTERTAN nail [1-4]. With the unique integrated interlocking screw constructs, the TRIGEN INTERTAN nail provides all the benefits of a traditional antegrade intramedullary surgical nail ap-proach as well as strengthening the stability and resist-ance to intraoperative and postoperative femoral head rotation. Furthermore, INTERTAN ™ compression screw is always against the nail, which makes a medial migra-tion impossible; thus, eliminating the Z-effect. In this report, we would like to illustrate the intraoperative pit-falls we have encountered while implanting INTERTAN™ nails in four patients who were admitted to our hospital