[Hip osteosynthesis with IM nail: lateral decubitus without fracture table].

BACKGROUND: Hip fractures have increased in the last decades, mainly in elderly patients with osteoporosis. The incidence becomes in some countries up to 250 thousand new cases per year, generating millions for health systems costs, so it should be considered a public health problem. They are treated in supine position, with a fracture table, through a lateral approach. However, it is important to know that there are other techniques, which can dispense a table of fractures and in a different position.

MATERIAL AND METHODS: Show a surgical technique for the treatment of transtrochanteric fractures of hip in lateral decubitus, without a fracture tab le and define its advantages and precise indications.

RESULTS: Eight patients, five women (62.5%) and three men (37.5%). Bleeding average 115 cc and average surgical time of 67 minutes. A patient with detachment of the system that ended in Girdlestone. No neurological complications or early infection was documented.

CONCLUSIONS: The reduction and fixation of transtrochanteric hip fractures with intramedullary nail without fracture tab le and in lateral decubitus is feasible and with a low level of associated complications.