To The Editor:We welcomed Dr. Baumgaertner's analysis of our paper1 in his
commentary to "The Pertrochanteric External Fixator Reduced Pain,
Hospital Stay, and Mechanical Complications in Comparison with the Sliding Hip
Screw" (2002;84:1488) in the Evidence-Based Orthopaedics section of
The Journal. However, certain questions raised in that commentary
need to be answered.Exclusion of reverse obliquity and intertrochanteric fractures with a
subtrochanteric extension should not be considered a limitation of our study.
Since the sliding hip screw is known to perform poorly with such fractures, we
tend not to use it for these injuries. Instead, we prefer the 90° sliding
screw, which provides increased stability for these fracture patterns. For
this reason, these fractures were excluded from our study.