Intertrochanteric femur fractures are common in the elderly and are associated with significant morbidity and mortality. While both conservative and surgical approaches are used in stable fracture patterns, the optimal modality in elderly patients remains debated. Objective: To compare the outcomes of conservative versus surgical management in elderly patients with stable intertrochanteric femur fractures. Materials and Methods: This prospective comparative study was conducted among 52 elderly patients diagnosed with stable intertrochanteric femur fractures. Patients were equally divided into two groups: Group A (conservative management) and Group B (surgical management). Baseline characteristics, Harris Hip Score (HHS), complications, length of hospital stay, time to mobilization, and mortality were compared over a 6-month follow-up period using appropriate statistical tests. Results: Both groups were comparable at baseline. Mean Harris Hip Scores at 3 and 6 months were significantly higher in the surgical group (69.7 and 78.1) compared to the conservative group (58.4 and 64.2), p<0.001. Surgical patients had shorter hospital stays (7.4 vs. 10.6 days) and earlier mobilization (3.6 vs. 12.5 days), p<0.001. Complication rates were higher in the conservative group, though not statistically significant. Mortality at 3 months was higher in the conservative group (11.5% vs. 3.8%), p=0.30. Conclusion: Surgical management of stable intertrochanteric femur fractures in elderly patients is associated with better functional outcomes, earlier mobilization, and fewer complications compared to conservative treatment. Surgery should be the preferred treatment modality to ensure early rehabilitation and functional independence in this population.

Intertrochanteric Femur Fractures, Elderly Patients, Conservative Management, Surgical Fixation, Functional Outcome.