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The comminuted intertrochanteric fractures being in cancellous area, fixation of all fragments is difficult. The posteromedial void is generally present which makes the fracture very unstable. The recent popular modality is 4th generation of intramedullary nails like the proximal femoral nails. This may lead to an increased difficulty in placement of femoral neck screws due to osteoporosis. But even with these implants immobilization is required for few days. Management of such cases with primary hemiarthroplasty permits early mobilization, thus avoiding most of the complications of recumbence. The patient is mobilized early giving good rehabilitation and better options for independent free living.

Evaluation of results of cemented hemiarthroplasty and proximal femur nailing in comminuted intertrochanteric fractures of elderly patients