Background: With purpose to evaluate the outcome of proximal femur nail procedure ,we carried out a prospective observational study in which 40 patients, underwent Proximal Femoral nailing for intertrochanteric fracture femur at Govt. R.D.B.P Jaipuria Hospital, Jaipur, Rajasthan. Materials and Methods: Patients were included as per the inclusion and exclusion criteria in the study. All patients were followed up at 4 weeks, 6 weeks, 8 weeks, 12 weeks, 16weeks and 24 weeks and later depending on the fracture healing status. X ray of the operated hip with femur –anteroposterior and lateral views were taken during follow up. Kyle's criteria and Harris hip score was measured at 6 months follow up. Results:The Kyle's criteria was Excellent in 22 patients (55%), Good in 13 patients (32.5%), Fair in 4 patients (10%) and poor in 1 patient (2.5%) Conclusion: proximal femoral nail (PFN) is a good minimally invasive implant for stable and unstable proximal femoral fractures. It's particularly benecial in elderly and osteoporotic population. Adequate fracture reduction is critical in management of the intertrochanteric fractures. Achieving good anatomical reduction and maintaining the tip apex distance less than 25mm will avoid the implant related complications
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