Revision Internal Fixation of Failed Intertrochanteric Hip Fractures

Nonunion is a rare complication associated with surgical fixation of geriatric intertrochan-teric femur fractures. The goal of post-traumatic reconstruction includes bone healing and return of functionality. Host optimization and preoperative planning are critical to optimizing the mechanics necessary to achieve nonunion compression and healing. Corrective osteot-omies are often needed in these complex cases, while bone grafting is performed on an individualized basis. Popular implants include the blade plate, sliding hip screw, and intra-medullary hip screw, with the ideal implant selected to maintain alignment until union. For-tunately, nonunion reconstruction typically leads to uneventful union if the principles of care are followed.Oper Tech Orthop 33:101042 & COPY; 2023 Published by Elsevier Inc.