Ender's pinning for fractures about the hip.

In this study, we reviewed retrospectively our first 4 years of experience with treatment of hip fractures with Ender's pinning in an effort to determine the related problems and the types of fractures for which this procedure is the most effective. Of the 77 fractures in our series, 59 cases were available for follow-up evaluation. Knee pain was reported by 41% of the patients. Overall, 31% of the group underwent additional surgical procedures, primarily because of distal migration of the pins. On the basis of our results, we recommend that Ender's pinning be reserved for treatment of basilar neck and type I intertrochanteric fractures in patients who cannot tolerate a more extensive procedure.