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September 10, 2025Journal of Orthopaedic Case ReportsOpen Access

Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures

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Authors

IPIsmail PandorShree Krishna Hospital ASAbhishek SharmaGuru Kashi University PPParesh PatilShree Krishna Hospital

Discussion

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Implication

Randomized trial compared functional outcomes and complications in unstable intertrochanteric fractures, suggesting PFNA-II may offer intraoperative benefits.

Key Points

PFNA-II showed shorter operative times averaging 65.5 minutes versus 71.5 minutes for TFN, indicating efficiency in surgery.
Operative blood loss was less in the PFNA-II group at 253 mL compared to 275 mL in the TFN group, showing improved safety during surgery.
Functional outcomes measured by Harris Hip Scores favored PFNA-II with a mean of 67.83, while TFN's mean was 71.72, though not statistically significant.
Both implants were effective in treating unstable intertrochanteric fractures, but PFNA-II exhibited trends toward better outcomes and fewer complications.

Cite This Study

Pandor et al. (2025) studied this question.

synapsesocial.com/papers/68c1b82654b1d3bfb60ecb83 https://doi.org/10.13107/jocr.2025.v15.i08.5980

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Implication

Randomized trial compared functional outcomes and complications in unstable intertrochanteric fractures, suggesting PFNA-II may offer intraoperative benefits.

Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures

Discussion

Member takes

Implication

Key Points

Cite This Study

Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures

Discussion

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Implication

Key Points

Cite This Study

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