Functional Outcomes of PFN Fixation and Hemiarthroplasty of Unstable Intertrochanteric Fractures in Elderly A Comparative Study

Abstract Background Unstable Intertrochanteric Fracture of femur in elderly forms a great challenge to orthopedic surgeons, the aim of the management is early ambulation and good functional outcome also avoiding complications as the elderly patients often have several comorbidities. Aim of the Work To compare Functional hip outcome between active elderly patient who receive either a bipolar hemiarthroplasty or fixation via proximal femoral nail, after an unstable intertrochanteric femoral fractures through HHS. Patients and Methods prospective Cohort study was conducted at Ain Shams university hospitals recruiting 48 active patients aged from 60 and above with unstable intertrochanteric fracture femur starting from November 2022 till January 2024. We excluded patients with pathological fractures, revision cases and patients unfit for surgery. Patients were in 2 groups each group 24 patients, one group for PFN fixation and the other for Bipolar Hemiarthroplasty (BHA). The mean follow-up period was 1 year. Results In this study, we found that there is statistically significant difference between PFN and BHA regarding the functional outcomes towards the PFN Conclusion For the healthy elderly with Unstable intertrochanteric Femoral Fractures. Fixation with PFN appeared to be superior with respect to HHs as indicator to Functional outcomes.