Results: 86 of the 91 patients randomized into the FAITH-2 pilot study were deemed eligible. There were no significant differences in patient-reported function or HRQL between the treatment groups at 12 months post-fracture. At the 6-and 9-month assessments, a potential benefit in hip function was seen in the cancellous screw group. In all treatment groups, participants reported lower function and HRQL at 12 months post-fracture as compared to their pre-injury assessment.Conclusions: Few differences were found in function and HRQL among the treatment groups in the FAITH-2 pilot study. Despite modern implants and vitamin D supplementation, neither function nor HRQL returns to baseline in this population. Additional effort s to improve the outcomes of these challenging injuries are still needed.

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Intertrochanteric fractures are common in elderly osteoporotic population. Our study aims to analyse the clinico radiological outcome in these fractures operated using Proximal Femur Nail. This is a prospective study was conducted in our department involving 52 patients between June 2014 to June 2016. All patients more than 18 years of age with intertrochanteric fractures less than 2 weeks of injury were included. Pathological fractures, patients with previous hip surgeries, polytrauma and associated neurological problems like stroke were excluded. Fractures classified by AO system and fixed using Proximal Femur Nail. Optimal position of cervical screw in immediate postop and mean lateral sliding of cervical screw during every follow up were analysed. Harris Hip Score is used to analyse the functional outcome at 1 year. Optimal Placement of screw achieved in 76% of patients with mean clinico radiological union time of 15.4 weeks. Lateral sliding of lag screw is more in unstable A3 fractures with mean lateral slide of the lag screw at the end of 1 year was 4.9mm.Proximal Femur Nail is useful impant in unstable intertrochanteric fractures. Complications can be minimised by strictly following the principles of fracture fixation.

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