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were patients who required postoper¬ ative transfusions. I cannot give the exact numbers now, but it appears to be no more than five out of 100. It is my feeling that the cause of bleeding is most likely the hemorrhage ex¬ pected from intertrochanteric frac¬ tures rather than trauma to intramedullary canal because of the fixation devices.When the procedure is performed by the attending staff in our teaching hospital, the operating time is fre¬ quently between ten and 15 minutes. However, the major benefit of the operation is not the time factor, but in not having to open the fracture site. Leg lengths were difficult to assess because they were not mea¬ sured preoperatively. However, in our first 25 cases, the patients had no complaints of leg-length discrepan¬ cies. External rotation of the leg is also difficult to measure, but in the reported series, there were no com¬ plaints by the patients that were referable to external rotation de¬ formity.More series are necessary before the exact role of the Ender technique is defined.

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