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4Preliminary reduction

Preliminary reduction

General considerations

Subtrochanteric fractures present a particular problem in terms of fracture reduction and alignment. Due to the strong pull of the iliopsoas muscle, the proximal fragment is flexed and externally rotated and therefore difficult to control.

Preliminary reduction should be undertaken before the plate is applied. Once the plate is attached to the proximal fragment the definitive reduction with respect to length, rotation and axis can then be achieved.