{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T13:33:56Z","timestamp":1770816836935,"version":"3.50.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Unstable peritrochanteric fractures of the femur are among the most challenging injuries in orthopaedic trauma, especially in the elderly with osteoporotic bone. The proximal femoral nail (PFN), a cephalomedullary device, offers potential biomechanical and clinical advantages.\n\nObjectives: To assess (1) the functional outcome of PFN in unstable peritrochanteric femoral fractures using the Harris hip score (HHS); (2) the radiological outcome using the radiographic union score for hip (RUSH); and (3) complications associated with PFN fixation.\n\nMaterials and Methods: A prospective observational study was conducted at the Department of Orthopaedics, Gajra Raja Medical College and J.A. Group of Hospitals, Gwalior (M.P.), from September 2022 to June 2024. A total of 74 patients with unstable peritrochanteric fractures (Arbeitsgemeinschaft f\u00fcr osteosynthesefragen [AO] 31A2.2-A3.3) were operated on using PFN. Functional outcome (HHS) and radiological outcome (RUSH) were evaluated at 6 weeks, 3 months, and 6 months postoperatively. Statistical analysis was performed using Statistical Package for the Social Sciences v26 with paired t-tests, considering P &lt; 0.05 significant.\n\nResults: The mean patient age was 54.3 \u00b1 10.7 years; 67.5% were males. The most common fracture pattern was AO 31-A2.2 (40.5%). The mean operative time was 67.5 \u00b1 11.1 min. Mean HHS improved significantly from 57.8 \u00b1 8.9 at 6 weeks to 72.2 \u00b1 4.7 at 3 months and 85.7 \u00b1 6.2 at 6 months (P &lt; 0.001). Radiological union (RUSH &gt;18) was seen in 6.7% at 6 weeks, 54.1% at 3 months, and 98.6% at 6 months. Complications included superficial infection (4.05%), screw back-out (1.3%), reverse Z-effect (1.3%), and non-union (1.3%).\n\nConclusion: PFN provides stable fixation, early rehabilitation, and high union rates in unstable peritrochanteric fractures. Its minimal soft-tissue dissection and superior biomechanical profile make it a preferred implant, especially in osteoporotic bone.\n\nKeywords: Femur intertrochanteric fracture, Harris hip score, proximal femoral nail, rush, unstable peritrochanteric fracture.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i02.6836","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T06:48:57Z","timestamp":1770792537000},"page":"307-315","source":"Crossref","is-referenced-by-count":0,"title":["Functional and Radiological Outcomes of Proximal Femoral Nailing in Unstable Peritrochanteric Fractures: A Prospective Observational Study"],"prefix":"10.13107","volume":"16","author":[{"name":"Department of Orthopaedics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India.","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesser D","family":"Shira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yogesh Singh","family":"Parihar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish","family":"Bairagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of Orthopaedics, Gajra Raja Medical College, Gwalior, Madhya Pradesh, India.","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T06:48:59Z","timestamp":1770792539000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/02\/functional-and-radiological-outcomes-of-proximal-femoral-nailing-in-unstable-peritrochanteric-fractures-a-prospective-observational-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i02.6836","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}