ملخص الدراسة

100 patients with Boyd and Griffin type III unstable intertrochanteric femur fractures were randomized and analyzed to receive either trochanteric fixation nail (TFN) or proximal femoral nail anti-rotation-II (PFNA-II). The outcomes of interest were operative time, intraoperative blood loss, radiological union time, and functional outcome assessed using the Harris Hip Score. Other outcomes included implant-related and postoperative complications. Outcomes were assessed at 6 weeks, 3 months, and 6 months postoperatively. Overall, the results of the study revealed that PFNA-II demonstrated shorter operative time and lower intraoperative blood loss, while functional outcomes, union times, and complication rates were comparable between the two fixation methods.