The Clinical Efficacy and Prognostic Impact of Intramedullary Nail Combined With Either Plates or Titanium Cable Internal Fixation in the Treatment of Femoral Subtrochanteric Fractures

Internal fixation with intramedullary nails combined with titanium cables for unstable femoral subtrochanteric fractures offers advantages of a smaller incision length and less intraoperative blood loss. In contrast, internal fixation with intramedullary nails combined with locking plates requires less fluoroscopy time, faster fracture healing, and fewer complications. Both approaches have specific strengths and limitations, providing promising guidance for surgical decision-making and achieving favorable outcomes.