Reduction and fixation with a paracortical sliding screw or an intramedullary nail are the most used treatments for intertrochenteric fractures.

In cases of complications the attempt to perform further internal fixation may lead to failure because of the poor quality of bone and cartilage. Conversion to a hip replacement seems a better choice and the use of long stems with a distal, diaphyseal fit appears to be a good option, allowing to by-pass the intertrochanteric region. Authors report their experience in hip replacement for failed treatment of hip fractures that allow to restore immediately the function of the hip.