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Introduction: Intertrochanteric fractures are the prevalent fractures in the elderly individual. Due to the unsteady design showed to be exigent demand to manage. The main aim of this study is to review the management modalities of intertrochanteric fractures and the outcome following proximal femoral nailing as reported in the literature. Methods: Articles involving the intertrochanteric fractures and proximal femoral nailing were collected from various sources, including PubMed, Google Scholar, open-access journals excluding review articles, small studies and case reports. The modalities of treatment and outcome of proximal femoral nailing was reviewed. Results: Early fixation and early mobilization of the patients is the mainstay goal in the treatment of intertrochanteric fractures. Intramedullary devices (PFN) offer better fixation of complex patterns of fractures and aid in early weight-bearing compared to extra-medullary devices and hence is the preferred mode of fixation.

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