Recent advances in the use and indications of Ender's nailing.

Ender's closed nailing was initially described for osteosynthesis of trochanteric fractures in elderly people. The authors performed about 500 cases, advanced their indications, and applied this technic to two particular types of lesions, segmental fractures of the femur including the neck and shaft, and metastatic fractures of upper femur. They discuss their indications, technical problems and results.