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A prospective cohort (Jan 2019–Dec 2024) excluded open and pathological fractures, pre-operative neurovascular deficits, and polytrauma with head injuries. Surgery used spinal anesthesia, C-arm guided reduction, Halifax nail insertion, tri-wire lag screw insertion, end cap, and distal locking. 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Patients with intertrochanteric fractures were included, excluding open fractures, pathological fractures, pre-operative neurovascular deficits, and polytrauma with head injuries.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the reported outcomes in terms of union time and functional score?",{"text":121,"@type":113},"Patients achieved an average time to union of 11.7 weeks, and the functional outcome measured by the average Harris Hip score was 91.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},449925,1790763127,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":29,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},962090883892,"https://ap-avatar.wpscdn.com/avatar/e00115db34f3e0f11b?x-image-process=image/resize,m_fixed,w_180,h_180&k=1790152879550218658","Original Article  \nJournal of Orthopaedic Case Reports 2025 December:15( 12) :Page 336-341  \nT Sathish Kumar1, A. Guruprasath ¹, S Naveen1, S Sathish Kumar1, K. Mohan Kumar1  \nNew Gen Halifax Nail with Novel Tri-Wire Concept for Intertrochanteric  \nFracture  \nLearning Point of the Article:  \nThe Halifax intramedullary nail helps us in managing intertrochanteric fractures, mainly in osteoporotic bone, effectively, with complications such as increased operating time, blood loss, Z and reverse Z effect, which is the most common complication seen in conventional cephalo-medullary intramedullary nail. This study will introduce the new tri-wire concept in the field of orthopedics.  \nAbstract  \nIntroduction: Intertrochanteric fractures are common in elderly patients and can lead to significant malunion and varus deformities if untreated. While the dynamic hip screw has been the gold standard, there is a continuous effort to evaluate newer fixation devices. This study assesses the functional and radiological outcomes of intertrochanteric femur fractures treated with the Halifax nail, aiming to provide a contemporary comparison to existing methods.  \nMaterials and Methods: This prospective study was conducted at our institution from January 2019 to December 2024. We included patients with intertrochanteric fractures, excluding thosewith open fractures, pathological fractures, pre-operative neurovascular deficits, or polytrauma with head injuries. All patients underwent surgery under spinal anesthesia on a fracture table. Closed reduction was attempted under C-arm guidance; if unsuccessful, open reduction was performed. The Halifax nail was inserted after a tensor fascia lata and gluteus medius split. This was followed by lag screwinsertionwith tri-wire guidance, end cap application, and distal locking.  \nResults: The study included 57patients (31 male and 26 female). Fracture classificationswere 11 AO type A1, 23 AO type A2, and 23 AO type A3. The average surgery duration was 65 min, with an average blood loss of about 200 mL. Patients achieved an average time to union of 11.7 weeks, and the functional outcome, measured by the average Harris Hip score, was 91.  \nConclusion: The findings suggest that the Halifax nail provides favorable functional and radiological outcomes for intertrochanteric femur fractures. Its use resulted in good union rates and high patient function, indicating that it is a viable and effective treatment option. Further comparative studies are needed to confirm its role in orthopedic practice.  \nKeywords: Halifax, intramedullary nail, intertrochanteric fracture, tri-wire.  \nIntroduction  \nIntertrochanteric fractures are oneof themost commonfracturesin elderly patients [1]. About 50% of all hip fractures caused by falls in the elderly are found to be intertrochanteric. Theosteoporoticnature of bone quality in elderly people makes them  \nmoreprone to sustaining intertrochanteric fractures [1,2]. These patients are limited to home ambulation, since most of them are elderly. If the fracture is not stabilized and patients are not mobilized early, it will end up in a poor recovery of functional independence [ 3,4, 5 ] . Risk factors for intertrochanteric  \n\n| \u003Cbr>Access this article online\u003Cbr>\u003Cbr>Website: [www.jocr.co.in](www.jocr.co.in)\u003Cbr>\u003Cbr>DOI:\u003Cbr>[https://doi.org/10.13107/jocr.2025.v15.i12.6552](https://doi.org/10.13107/jocr.2025.v15.i12.6552) | Author’s Photo Gallery |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n|  | | | | | |\n|  | \u003Cbr>1Department of Orthopaedics, Government Stanley Medical College and Hospital, Chennai, Tamil Nadu, India.\u003Cbr>Address of Correspondence:\u003Cbr>Dr. S. Naveen,\u003Cbr>Department of Orthopaedics, Government Stanley Medical College and Hospital, Chennai-600001, Tamil Nadu, India. [E-mail:](E-mail: dr.navy278@gmail.com)[ dr.navy278@gmail.com](E-mail: dr.navy278@gmail.com) |  |  |  |  |\n| Submitted: 13/09/2025; Review: 19/10/2025; Accepted: November 2025; Published: December 2025 |  |  |  ","cbCait2YiYSxARaO","https://ap.wps.com/l/cbCait2YiYSxARaO","pdf",7467402,"English","# Learning Point of the Article\n# Abstract\n## Introduction\n## Materials and Methods\n## Results\n## Conclusion\n# Keywords\n# Introduction","[{\"question\":\"What clinical problem does the Halifax intramedullary nail target in this article?\",\"answer\":\"It targets management of intertrochanteric fractures, particularly in osteoporotic bone, aiming for effective fracture control while reducing complications observed with conventional cephalo-medullary nails.\"},{\"question\":\"How was the prospective study designed and which patients were included?\",\"answer\":\"The prospective study ran from January 2019 to December 2024. Patients with intertrochanteric fractures were included, excluding open fractures, pathological fractures, pre-operative neurovascular deficits, and polytrauma with head injuries.\"},{\"question\":\"What were the reported outcomes in terms of union time and functional score?\",\"answer\":\"Patients achieved an average time to union of 11.7 weeks, and the functional outcome measured by the average Harris Hip score was 91.\"}]","New Gen Halifax Nail with Novel Tri-Wire Concept for Intertrochanteric Fracture | PDF",1790731552,15]