Vol. 11, Issue 2 (2025)

Aim: This study evaluates the efficacy, complications, and functional outcomes of PFNA in extracapsular proximal femoral fractures.

Materials and Methods: A prospective observational study was conducted on 66 patients with extracapsular proximal femoral fractures treated with PFNA at Department of Orthopaedics, Pt. B.D. Sharma PGIMS, Rohtak, Haryana between Jan 2023 and Dec 2024. Fractures were classified using the AO/OTA classification. Surgical outcomes were assessed based on operative time, blood loss, fracture union time, and complications. Functional recovery was evaluated using the Harris Hip Score (HHS) at 6 months postoperatively.

Results: The mean age of patients was 68.5 years, with a male-to-female ratio of 1.2:1. The average operative time was 65 minutes, and mean blood loss was 150 mL. Fracture union was achieved in 92.4% (61/66) of cases, with an average union time of 14.2 weeks. Complications included cut-out (3 cases, 4.5%), superficial infection (2 cases, 3%), and implant failure (1 case, 1.5%). The mean HHS at 6 months was 82.6, indicating good functional recovery.

Conclusion: PFNA is an effective implant for extracapsular proximal femoral fractures, providing stable fixation with a high union rate and acceptable complication rates. Its design minimizes rotational instability, making it suitable for osteoporotic and unstable fracture patterns.