Abstract
Background: Proximal femoral fractures are common in elderly and with high velocity trauma in younger age groups too. Nailing of proximal femoral fractures is technically demanding procedure which needs experience to tackle the difficulties. Detailed literature regarding the difficulties faced during the procedure is lacking. Methods: Analysis of the intra operative complications faced during closed and open proximal femoral intra-medullary nailing. Conclusions: Technical difficulties arise due to many reasons starting from improper positioning of the patient. With good instrumentation and with experience these problems can be minimized with attention to each surgical step.
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