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Background: Proximal femoral fractures have been on the rise with the increase in life expectancy and osteoporosis in the elderly population and road traffic accidents among the younger counterparts. Aim of the Work: To evaluate and compare the outcome f using Gamma nail and Proximal femoral nail in internal fixation of unstable intertrochanteric fractures regarding preoperative parameters, intraoperative variables, postoperative complications. Patient and Methodology: A prospective study on 30 cases suffering from unstable intertrochanteric fractures managed using either Gamma Nail or Proximal femoral nail to assess the functional and radiological results. Results: There was a significant difference found between the two groups regarding intraoperative blood loss (ml). There was no significant difference found between the two groups regarding DVT, Infection, Implant failure, and non-union. There was a significant difference found between the two groups regarding the Time of union (months). Conclusion: Our study showed that both gamma nail and proximal femoral nail are trusted implants for the surgical management of unstable trochanteric fractures in patients with a high rate of union but with differences in the time of union, less intraoperative blood loss, and fewer postoperative complications rate.

Comparison between Gamma Nail and Proximal Femoral Nail in Management of Unstable Intertrochanteric Fractures