Fig. 4

A 68-year-old male presented with a Type V fracture. a-c Preoperative X-ray and computed tomography 3D reconstruction showed medial-lateral displacement of the subtrochanteric region and medial-lateral displacement of the intertrochanteric region. d Picture of the surgical posture. e and f Closed reduction with traction under fluoroscopy. g A Lowman clamp was used for the subtrochanteric fracture, and the intertrochanteric fracture was irreducible (iliopsoas muscle embedded into the lesser trochanter). h Surgical picture of the maintained reduction in both regions. i and j Intraoperative X-ray after both regions were reduced. k and l Intraoperative X-ray after reduction and fixation. m Postoperative picture of the incision. n and o Postoperative X-ray at 48 months. p Functional picture at follow-up