Surgical Technique for Adolescent Femur Fractures: The Trochanteric Entry Intramedullary Nail

Locked intramedullary nailing provides a useful adjunct to the armamentarium of surgical treatment options for skeletally immature patients. It is particularly useful for older and heavier patients who are not well stabilized by flexible nails. New lateral entry nails and techniques enable safe nailing without a risk of avascular necrosis of the capital femoral epiphysis. Special consideration must be given during placement because the insertion point is not collinear with the axis of the femoral intramedullary canal.