Many erroneous concepts are common as regards fracture of the trochanter. Perhaps that most frequently met is that the trochanteric fracture is a simple lesion, easily handled and usually with good result. Under such a concept a good result must be accepted as that in which the patient escapes with life and deformity. Lisability and discomfort during the final ensuing years are disregarded. Only on a percentage basis of an adequate number of cases treated may one rightly draw conclusions as to what constitutes the best mode of treatment with the most satisfactory results obtainable. In a recent survey of 133 consecutive cases treated on the orthopedic service at St. Luke's Hospital this lesion was shown not to be simple and not to eventuate routinely in a satisfactory result.
CLEVELAND M, BOSWORTH DM, THOMPSON FR. MANAGEMENT OF THE TROCHANTERIC FRACTURE OF THE FEMUR. JAMA. 1948;137(14):1186-1190. doi:10.1001/jama.1948.02890480006002