Abstract
Background: Stable extracapsular fractures of the proximal femur are a common and challenging injury in the elderly, with Gamma Nail and Proximal Femoral Nail (PFN) being the primary surgical options. This study aims to compare the efficacy and outcomes of these two methods.
 Methods: A prospective study was conducted on 50 patients with stable extracapsular fractures, randomly assigned to undergo CRIF with either Gamma Nail or PFN. Parameters such as operation time, blood loss, radiological outcomes, and postoperative recovery were analyzed.
 Results: The Gamma Nail group experienced shorter operation times (33±6.5 min) and less blood loss (28.08±32.80 ml) compared to the PFN group. Radiological outcomes showed no significant difference between the groups, with high success rates in achieving stable fixation. Both methods demonstrated effectiveness in managing these fractures, but Gamma Nail offered some technical advantages.
 Conclusion: Gamma Nail and PFN are both effective for treating stable extracapsular fractures of the proximal femur, with the choice of technique depending on various patient-specific factors.
 Keywords: Extracapsular fractures, proximal femur, Gamma Nail, Proximal Femoral Nail, orthopedic surgery, elderly.
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