الفهرس 
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Abstract
Objectives To assess the efficacy of closed internal fixation of subtrochanteric femoral fractures in adults utilising cephalomedullary nails with a biomechanically stable reduction for early rehabilitation.
Radiological and clinical assessment of fracture union and implant-related problems were performed.
Thirty individuals with subtrochanteric femoral fractures were included in the research. The average patient age was 58.3 years.
Eighteen of the fractures in this research were the result of a simple fall, six were the result of a traffic accident, three were the result of a fall from a great height, one was the result of a blow to the head, one was the result of an attack, and one was pathological.
At 33.3% of patients, A1 fractures were the most prevalent form according to the AO classification. The B1 fracture category was second most prevalent, accounting for 26.7% of all cases. Subtrochanteric fractures of types A2, A3, B3, and C1 occurred in 16.7%, 3.3%, 3.3%, and 16.7% of patients, respectively.
Postoperatively Four to six week intervals of clinical visits and radiographic assessment of healing were obtained. With adequate bone quality, anatomic reduction, and minimum comminution, the patient may gradually increase their weight bearing over the following several weeks. Following hip and knee surgery, gentle range of motion exercises were started within the first week. Patients were given the green light to increase weight bearing and strength training after radiographic evidence of callus had shown. The crutches or walker may be put away after the patient’s power in their limbs has returned and their limp has disappeared. Six months to a year of follow-up was conducted in the outpatient clinic at Minia University Hospital. Infection at the incision site (10%), delayed union (16.7%), and nonunion (20%) were among the postoperative problems measured during follow-up, along with the Harris Hip Score (HHS) and the time to reach complete radiological union (6.7 percent ). Only two patients (6.7%) who had unsuccessful union attempts ultimately needed revision surgery.
If you look at the Harris hip score (excellent and good results were considered satisfactory, fair and poor results were considered unsatisfactory). Twenty-three patients (76.7% of the total) reported positive outcomes, whereas seven individuals reported negative outcomes (23.3 percent ).