APPLICABILITY OF PFN IN THE MANAGEMENT OF IT FRACTURES.

Background: Intertrochanteric fractures are common injuries, particularly in the elderly population, and are associated with significant morbidity and mortality. The proximal femoral nail (PFN) has gained popularity in the treatment of unstable intertrochanteric fractures. This prospective study aimed to evaluate the clinical and functional outcomes of PFN in the management of these fractures. Methods: Twenty patients with intertrochanteric fractures (9 males, 11 females; mean age: 61.7 years) were included in this study. Fractures were classified according to the Boyd and Griffin system, with 35% type 2, 40% type 3, and 25% type 4 fractures. All patients underwent PFN fixation by a single experienced surgeon. Functional outcomes were assessed using the Harris Hip Score, and complications were recorded. The mean follow-up duration was 12.5 months (range: 8-17 months). Results: The mean surgical time was 32 minutes (range: 20-65 minutes), and the average intraoperative blood loss was approximately 100 ml. Functional outcomes were excellent in 55% of patients, good in 20%, fair in 20%, and poor in 5%. Superficial surgical site infections occurred in 10% of patients, and varus collapse with limb shortening was observed in 10%. No cases of Z-effect, reverse Z-effect, or implant cutout were reported. Conclusion: PFN is an effective treatment option for intertrochanteric fractures, offering a minimally invasive approach, satisfactory functional outcomes, and an acceptable complication rate. Further research with larger sample sizes and longer follow-up is needed to establish the long-term efficacy of PFN in the management of these fractures. [ABSTRACT FROM AUTHOR]