Comparative Study between Short and Long Proximal femoral Nailing in Management of Intertrochanteric Fracture in Elderly Patients

Background: Elderly people frequently suffer from intertrochanteric fractures; to address the challenges associated with treating unstable fractures, trochanteric-entry intramedullary nails have been developed. Both of short and long PFN apparatuses are being used to cure the trochanteric hip fractures. Compared to long devices, short PFN have recently been shown to cause less blood loss and speed up operations. Other research, however, has revealed that a lengthy PFN may be linked to fewer ipsilateral femur fractures in the future. Objective: To compare the surgical time, estimated blood loss, hospital stay and intra-operative complications and the effectiveness of short and long proximal femoral nails in treating intertrochantric fractures in older patients Patients and Methods: This prospective controlled investigation whereas 20 elderly patients shared and equally distributed to double collections, each collection includes 10 patients. The first collection 10 patients achieved success short PFN procedure and the second collection 10 patients achieved success long PFN procedure. Results: There were non-significant variations in the functional outcome, distance of hospital admission, or postoperative complications. Conclusion: The Evaluated variables with the positive and negative results of the research medications, demonstrated the following: both nails have good clinical results. In terms of functional result, hospital stay, and surgical complications, they did not differ significantly. However, a short PFN can certainly shorten the duration of the procedure and minimally minimize intraoperative blood loss, when curing older patients with intertrochanteric femur fractures