Vol. 11, Issue 2 (2025)

Background: Intertrochanteric fractures are a common orthopedic injury, particularly among the elderly and osteoporotic populations. Effective management is crucial to restore mobility and reduce complications associated with prolonged immobilization. This study evaluates the clinical and functional outcomes of unstable intertrochanteric fractures treated with Proximal Femoral Nailing (PFN).

Methods: A prospective descriptive study involving 60 patients was conducted, focusing on patient demographics, fracture classification, post-operative outcomes, and functional results assessed using the Harris Hip Score. Radiological union and complication rates were also evaluated.

Results: The majority of patients achieved excellent (45%) or good (30%) functional outcomes, with radiological union observed within 12 weeks. Complications were minimal, including superficial infections (10%) and implant-related issues (10%). Compared to traditional fixation methods such as the Dynamic Hip Screw (DHS), PFN demonstrated superior biomechanical stability, reduced recovery time, and facilitated early mobilization.

Conclusion: Proximal Femoral Nailing (PFN) offers significant advantages in the management of unstable intertrochanteric fractures, including improved biomechanical stability and functional outcomes. While the results are promising, further large-scale, multi-center studies with extended follow-up are recommended to validate these findings and optimize treatment protocols.