Introduction:

Pertrochanteric Femoral Fractures has increased significantly during recent decades Several implant designs have been developed in order to facilitate early ambulation and to reduce the risk of complications when treating stable, unstable trochanteric and subtrochanteric fractures. Unstable intertrochanteric femoral fractures  are best treated with an intramedullary implant

Materials And Methods:

We studied a series of 52 patients,whoweretreated with Proximal Femoral Nailingin our institution GovtVillupuram Medical College Hospital, Villupuram. Out of 52,Patients, 38 were included in the study, 10 patient had lost follow up, and 3 patients had associated other fractures, and one died during follow up.

Results:

In our series 14 patients had excellent results,21 had good result,2 had moderate results and one had poor score based on Harris Hip Scoring .one patient had implant failure with shaft fracture after a trivial fall.

Conclusion:

In our study, osteosynthesis using a PFN, resulted in low rates of clinical complications, excellent stabilization, few mechanical complications and good functional results. Thus the treatment of  intertrochanteric fracture with PFN had a more favourable outcome and it is the ideal implant of choice for intertrochanteric fractures at present.