DECIDING FACTORS: SELECTING AN IMPLANT IN AN INTERTROCHANTERIC FRACTURE.

Introduction: Intertrochanteric fractures are a global concern, with 1.6 million annually occurring. The study aimed to nd the optimal implant using Evans and AO classications, addressing issues like inadequate understanding, incorrect implant selection, and surgeon incompetence. Materials and methods: The study identied patients with proximal femur intertrochanteric fractures in a hospital from 2016 to 2019, categorized them into stable and unstable fractures using the Orthopaedics Trauma Association categorization system and kappa statistic. Result: The study involved 104 patients who underwent surgery, with four dying during follow-up. The stable group had an average age of 50, while the unstable group had an average age of 57. Both groups used different postoperative regimens, with intramedullary implants preferred. The unstable group faced more issues due to osteoporosis and instability. The choice between an intramedullary device Conclusion: and a surface implant for treating intertrochanteric fractures is inuenced by fracture stability, despite a great deal of uncertainty in the best implant choice.