PMC5446871_01
Preoperative anteroposterior (a) and lateral (b) radiographs of the right hip demonstrating a displaced intertrochanteric femoral fracture. Three-dimensional computed tomography (c) also demonstrated a displaced intertrochanteric femoral fracture.
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Radiographs and computed tomography of his pelvis revealed a displaced intertrochanteric fracture of the right side femur (AO classification: 31-A1) (Figure 1).
Intraoperative photographs demonstrating the setup of the patient on the fracture table with the amputated limb secured with the boot inverted to accommodate the flexed knee and stump (a). Schema of this method (b).
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The method of inverting the traction boot to accommodate the flexed knee and stump could be used to provide traction and rotational control (Figure 2).
(a) The fracture was displaced to be shortening and varus (arrow). (b) After the reduction technique with traction and internal rotation, the displaced fracture was reduced (arrowhead).
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First, a sufficient amount of traction and then internal rotation were done (Figure 3).
Postoperative anteroposterior (a) and lateral (b) radiographs of the pelvis demonstrating satisfactory short femoral nail fixation of the intertrochanteric hip fracture.
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Internal fixation was performed using a short femoral nail (U-Blade Lag Screw for the Gamma3  nail: Stryker Orthopaedics) (Figure 4).
The patient could walk with full weight bearing with a prosthesis on his right affected limb after the operation.
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Postoperatively, rehabilitation was started on the next day and the patient could walk with full weight bearing using a prosthesis on his affected limb (Figure 5).