Management of subtrochanteric fractures with a sliding hip screw-plate device

Background: Subtrocahnteric fractures pose a problem in management. Methods: Twenty three subtrochanteric fractures were treated with sliding screw plate. Russell-Taylor Type II fractures were 78% and Type I were 22%. Results: Union was achieved in 21 patients. Fractures with medial cortical comminution were most unstable and were at great risk of complication. Conclusion: The sliding screw plate device is a reliable method of achieving union in subtrochanteric fractures in Russell Taylor type II fractures.