INTRODUCTION Subtrochanteric fractures of femur remain most challenging injuries faced by orthopaedic surgeons. The implant choice shifted from extra medullary to intramedullary nails over the last two decades. Effort to achieve anatomical reduction before nail insertion for better outcomes has been emphasized well in literature. We reviewed various surgical techniques for reduction of fracture in more biological way that can be used to overcome the deforming forces of the muscles acting on fracture fragments. CONCLUSION Regardless of the closed vs open reduction for subtrochanteric fracture fixation, the key point to reduce the risk of complications is quality of reduction of fracture. This article highlights specific strategies to achieve reliable, efficient and desired outcomes when using intramedullary nails for subtrochanteric fractures.

中文翻译：

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通过钉骨合成术治疗股骨粗隆下骨折：技巧和窍门。

简介股骨转子下骨折仍然是整形外科医生所面临的最具挑战性的伤害。在过去的二十年中，植入物的选择从髓外钉转移到髓内钉。在文献中已经充分强调了在钉子插入之前实现解剖复位以达到更好的效果的努力。我们回顾了以更生物学的方式减少骨折的各种外科技术，这些技术可用来克服作用在骨折碎片上的肌肉的变形力。结论无论采用闭合还是开放复位治疗股骨粗隆下骨折，降低并发症风险的关键在于降低骨折的质量。本文重点介绍使用髓内钉治疗股骨粗隆下骨折的可靠，有效和理想结果的特定策略。