{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:18Z","timestamp":1789290318436,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Background: Intertrochanteric femur fractures are common in the elderly and are associated with significant morbidity. Proximal femoral nail (PFN) is widely used for fixation; however, outcomes may be influenced by pre-operative metabolic and inflammatory status. This study evaluated functional outcomes of PFN and the predictive value of glycemic control, neutrophil-to-lymphocyte ratio (NLR), and platelet-to-lymphocyte ratio (PLR).\n\nMaterial and Methods: This prospective study included 90 patients with intertrochanteric fractures treated with PFN. Pre-operative Glycated hemoglobin (HbA1c), NLR, and PLR were recorded. Patients were followed for 6 months and assessed using the Harris Hip Score (HHS). Functional outcomes, complications, and predictors of poor outcome were analyzed using t-test, Chi-square test, logistic regression, and receiver operating characteristic analysis.\n\nResults: The mean age was 69.4 \u00b1 10.8 years. At 6 months, the mean HHS was 85.2 \u00b1 10.7, with 73.3% patients achieving excellent or good outcomes. Delayed union was the most common complication (6.7%). Patients with fair\/poor outcomes had significantly higher HbA1c, NLR, and PLR (P &lt; 0.01). HbA1c \u22657.1%, NLR &gt;4.6, and PLR &gt;168 were independent predictors of poor outcome. NLR showed the highest predictive ability (area under the curve 0.812).\n\nConclusion: PFN provides favorable functional outcomes in intertrochanteric fractures. However, elevated pre-operative HbA1c, NLR, and PLR are associated with poorer outcomes and may serve as useful predictors for risk stratification and perioperative optimization.\n\nKeywords: Intertrochanteric fracture, proximal femoral nail, glycated hemoglobin, neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i08.7948","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:41:15Z","timestamp":1786628475000},"page":"546-552","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of Orthopedic Outcomes of Proximal Femoral Nailing for Intertrochanteric Fractures and Predictive Value of Pre-operative Glycemic Status, Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio: A Prospective Study"],"prefix":"10.13107","volume":"16","author":[{"given":"Madhur","family":"Gupta","sequence":"first","affiliation":[{"name":"Department of Biochemistry, NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital, Nagpur, Maharashtra, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Surgery, Government Medical College, Satna, Madhya Pradesh, India,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sourav","family":"Diasi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Government Medical College, Datia, Madhya Pradesh, India."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:25Z","timestamp":1789289125000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/08\/evaluation-of-orthopedic-outcomes-of-proximal-femoral-nailing-for-intertrochanteric-fractures-and-predictive-value-of-pre-operative-glycemic-status-neutrophil-to-lymphocyte-ratio-and-platelet-to-lymp\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i08.7948","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i08.7948","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}