Seven hundred twenty-three consecutive patients with intertrochanteric fractures of the femur have been treated by intramedullary nailing with Ender's nails. Six hundred forty-four patients have survived for 6 months or longer, with one patient requiring secondary surgery for delayed union and six patients requiring revision of the fixation device. The morbidity has been low, the complication rate acceptable, and the complications readily corrected. The overall result in terms of fracture healing, maintenance reduction, and functional activity has been very satisfactory.
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