DHS vs IM Nail — Intertrochanteric Fractures ⏱ Chapters 0:00 Intro 1:46 EXPLAINER 2:29 EXPLAINER 3:04 Read the image 4:16 EXPLAINER 4:59 EXPLAINER 6:12 EXPLAINER 6:22 Read the image 7:32 EXPLAINER 8:16 EXPLAINER 9:32 EXPLAINER 10:08 EXPLAINER 11:00 Read the image 11:25 EXPLAINER 12:19 EXPLAINER 13:05 EXPLAINER 13:45 EXPLAINER 14:22 Read the image 15:23 Recap & sources Choose the implant from stability, the lateral wall and fracture geometry In this OrthoVellum master lecture • Stable geometry can be treated with a dynamic hip screw • Reverse obliquity and lateral-wall failure favour a cephalomedullary nail • Reduction quality matters more than brand choice • Varus and poor head-element position cause cut-out • Treat osteoporosis, frailty and falls alongside the fracture Full clinical topic and references: https://orthovellum.com/topics/intertrochanteric-fractures Image credits • Frontiers in Bioengineering 2023 (PMC10665526) — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665526/ • J Clin Med (MDPI) 2023 (PMC10219306) — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10219306/ • Yon et al., Medicina (2025), CC BY 4.0 — CC BY 4.0 — https://europepmc.org/article/PMC/PMC11766848#medicina-61-00112-g004 • Al-Humairi et al., Cureus (2025), CC BY 4.0 — CC BY 4.0 — https://europepmc.org/article/PMC/PMC12318351#cureus-0017-00000087263-i01 • Lee et al., Journal of Clinical Medicine (2026), CC BY 4.0 — CC BY 4.0 — https://europepmc.org/article/PMC/PMC13258431#jcm-15-04375-g001 • Wu CC, J Orthop Surg Res — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9258056/ • Al-Humairi et al., Cureus (2025), CC BY 4.0 — CC BY 4.0 — https://europepmc.org/article/PMC/PMC12318351#cureus-0017-00000087263-i02 • Yon et al., Medicina (2025), CC BY 4.0 — CC BY 4.0 — https://europepmc.org/article/PMC/PMC11766848#medicina-61-00112-g001 • Tonogai I et al., Case Rep Orthop (PMC4129925) — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129925/ • Mariani P et al. - Case Rep Orthop (CC-BY 4.0) — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4258342/ • Yeo AK et al. - Patient Saf Surg (CC-BY 4.0) — CC BY — https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4658799/ Educational only — not individual medical advice. #orthopaedics #orthopedics #medicaleducation #orthovellum Orthovellum.com