Letters to the Editor   |    
H. Palm, S. Jacobsen, S. Sonne-Holm, and P. Gebuhr reply:
Henrik Palm, MD; Steffen Jacobsen, MD; Stig Sonne-Holm, MD, DMSc; Peter Gebuhr, MD
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These letters originally appeared, in slightly different form, on jbjs.org. They are still available on the web site in conjunction with the article to which they refer.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Nov 01;89(11):2553-2553
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We appreciate the interest by Dr. Gotfried in our recent article and are delighted that he finds our study to be particularly important. In a large number of patients, our study does, in fact, confirm previous reports of the importance of the integrity of the lateral femoral wall, including the fact that a fracture of the lateral femoral wall is most often an iatrogenic complication.Dr. Gotfried raises good questions regarding the nomenclature used in the article. The general nomenclature for these fractures is quite confusing. As the terms trochanteric, pertrochanteric, pantrochanteric, and intertrochanteric, etc., are often mixed up, we also find it highly relevant to achieve international consensus on this matter. In our article, we simply used the term intertrochanteric for all type 31-A fractures, in part, because we found that Dr. Gotfried also previously did this1, although not in a later article2 referred to in our study. We now agree that using the terms pertrochanteric for the type 31-A1 and 31-A2 fractures and intertrochanteric only for the type 31-A3 fractures would have been more precise. On the other hand, we still find that we enable the reader to distinguish between the fracture types by using the AO/OTA classification numbers, including the very important subtypes in the text and tables, and by showing an illustrating diagram.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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