malalignment are focused on shaft a

malalignment are focused on shaft and distal fractures. Torsionalmalalignment in subtrochanteric fractures in the proximal areahas been reported, but few studies on torsional malalignment introchanteric fracture have been reported. Most recently, Ramanoudjame et al. reported torsional malalignment cases using CTimages of inter-trochanteric fracture, 15-degrees or moretorsional malalignment occurred in about 40% of the subjectsafter surgery, with anteversion being the most common [2].However, few studies on the clinical results of these malalignments have been reported. In studies about the malalignment inthe mid to distal shaft of femur, torsional malalignment causedfunctional or ambulational disturbances, so it had to be activelycorrected. Even though malalignment was reported to havedeveloped in 40% of the subjects in trochanteric fracture, theclinical results by torsional malalignment was not described. Inthis study, not only the torsional malalignment incidence introchanteric fracture but also the clinical results, including thefunctional outcomes and complications, were investigated. Ourstudy showed that the torsional malalignment in trochantericfracture in the elderly group did not affect the clinical results. Thismay be the first study on the clinical results of malalignment introchanteric fracture.Previous studies on torsional malalignment in femoral shaft ordistal fractures mostly targeted young patients, whereas thisstudy targeted elderly patients aged 65 or older. So the clinicalresults in our study can be affected by the patient’s old age.Malalignments not only cause malunion or a secondary fracturedue to gait disturbance but also affect the patient’s morbidity andmortality. Accordingly, studies on the functional outcomes andcomplications of malalignments are very important in thetrochanteric fracture.