Comparing Surgical Techniques for CRIF of Pertrochanteric Fractures

Hypothesis: Inflatable intra medullary femoral nailing is superior to DHS in terms of blood loss, operative complications and postoperative rehabilitation in the management of pertrochanteric femur neck fractures.

patients with pertrochanteric fractures of the femur will be randomly assigned to one of 2 groups. group 1 will undergo internal fixation using a DHS device. group 2 will undergo internal fixation using an inflatable intramedullary femoral nail device post operative care will be the same including DVT prophylaxis, early mobilization. weight baring will be aloud in cases of a stable fracture (EVANS 1-3) non weight bearing until callus bridge in patients with unstable fractures (EVANS 4-6) outcomes: death within first year postoperative complications length of hospitalization time to mobilization functional score reontgenic evaluation

Inclusion Criteria: Pertrochanteric femur fracture Unilateral Age over 60 years Low energy trauma ASA score 0-3 Exclusion Criteria: Reverse oblique fractures Pathological fractures Severe osteoarthritis of the hip joint Previous operations on same leg ASA score 4-5

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