Randomized Trialhigh evidence
Intramedullary nailing compared with primary total hip arthroplasty for pertrochanteric fractures in autonomous elderly patients : a prospective randomized study.
Bone & joint open·September 9, 2026·PMID 42710875
Why it mattersPertrochanteric fractures in autonomous elderly patients are common, and the optimal surgical strategy remains debated. This trial provides high-level evidence that primary THA offers no functional or survival advantage over intramedullary nailing, supporting the continued use of nailing as standard care.
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