Should It Stay or Should It Go? The Postless Technique for Intertrochanteric Fracture Fixation Using a Traction Table: A Case Series Describing a Technical Approach to Avoid Perineal Post–Related Complications

Objectives: To describe a modified postless technique for cephalomedullary fixation of intertrochanteric femoral fractures, potential benefits and limitations, as well as their clinical and radiographic results. Methods: This is a prospective cohort study involving five patients undergoing intertrochanteric fracture fixation with a postless technique. Clinical and radiographic outcomes were evaluated over a 6-month followup period. Results: All five cases (four 31-A2 and one 31-A1) achieved satisfactory intraoperative fracture reduction without the need to convert to a perineal post. Radiographic union was obtained within three months in all patients. No postoperative complications were observed. Conclusion: The modified postless technique appears to be a feasible and safe alternative for intertrochanteric fracture fixation, offering the benefits of traction table use while avoiding perineal post related complications.