International Journal of Clinical Research

Objective To analyze the therapeutic effect of proximal femoral intramedullary nailing in elderly patients with intertrochanteric fractures of the femur. Methods A total of 114 patients with intertrochanteric fractures of the femur who met the criteria of this study in our hospital were selected. All patients received treatment from December 2023 to January 2025. Among them, 57 cases received dynamic hip screw treatment (control group), and the other 57 cases were the observation group and received proximal femoral intramedullary nailing treatment. Observe the therapeutic effects of the two groups and record the influence of different therapies on the surgical indicators and hip joint recovery of the patients. Results The therapeutic effect ratio of the two groups was (98.25%vs85.96%), and the observation group achieved a more ideal therapeutic effect (P<0.05). Compared with the control group, the surgical indicators of the observation group decreased significantly, and the difference was significant (P<0.05). Before treatment, the comparison of hip joint function scores between the two groups (P>0.05); From 1 to 6 months after the operation, the hip joint function of the observation group recovered significantly, and there was a significant difference between the two groups (P<0.05). Conclusion For elderly patients with intertrochanteric fractures of the femur, intramedullary nail treatment of the proximal femur has achieved remarkable therapeutic effects, shortened the operation time, and promoted the recovery of hip joint function in patients. It is recommended for clinical promotion and application.

Intertrochanteric fracture of the femur; Proximal femoral intramedullary nail; Therapeutic effect