Clinical Indications in Orthopedic Trauma The 6.4mm lag screw is indicated for stabilizing proximal femoral fractures managed with intramedullary nail systems:
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Intertrochanteric Fractures: Stable and unstable pertrochanteric fractures (AO/OTA 31-A1 and 31-A2) requiring controlled impaction.
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Subtrochanteric Fractures: High subtrochanteric fractures with trochanteric extension treated with long cephalomedullary nails.
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Reverse Obliquity Fractures: Transverse and reverse obliquity trochanteric patterns (AO/OTA 31-A3) prone to severe medial displacement.
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Osteoporotic Hip Trauma: Fragility fractures in elderly patients requiring robust anchorage in poor bone mineral density to avoid cut-out.
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Pathological & Impending Trochanteric Fractures: Prophylactic or post-fracture internal fixation of metastatic bone lesions in the proximal femur.