Hemiarthroplasty vs. proximal femoral nail fixation in unstable pertrochanteric fractures: an updated systematic review and meta-analysis

Hemiarthroplasty and proximal femoral nails/nails anti-rotation are effective methods for treating unstable pertrochanteric fractures. No clinically important differences-such as re-operation rates due to implant-related complications-were identified between these two tactics. Surgeons should prioritize internal fixations, barring conditions wherein hemiarthroplasty is essential.