Kuru, Tolgahan2025-01-272025-01-2720201305-70731305-7146https://doi.org/10.5222/terh.2020.34711https://search.trdizin.gov.tr/tr/yayin/detay/380988https://hdl.handle.net/20.500.12428/17066Objective: Intertrochanteric femoral fractures account for more than half of all hip fractures. Proximal femoralnailing is one of the most common methods used in the treatment of these fractures. However, there is no definitiveconsensus on the best positioning when performing proximal femoral nailing in hip fractures, especially in geriatricpatients. The objective of this study was to compare supine and lateral decubitus positioning approach in surgicaltreatment of intertrochanteric femoral fractures with proximal femoral nailing method in geriatric patients.Method: Patients aged over 65 years treated due to intertrochanteric fractures with proximal femoral nailingmethod were included in the study. Patients’ position during the procedure, number of shots received from portableX-ray device, postoperative amount of blood loss, operative time, duration of postoperative follow-up, presence ofpostoperative bleeding, perioperative complications and postoperative long-term complications were also recorded and compared between the patients operated in supine and lateral positions.Results: There was a statistically significant between both groups in terms of the average operative times, andaverage operative time was significantly shorter in the lateral positioning group (p=0.01). No significant differencewas found between the two groups in terms of the amount of postoperative bleeding (p=0.088). There was a statistically significant difference between both groups and the mean number of X-rays received during the procedureswere significantly lower in the lateral positioning group (p=0.010).Conclusion: Lateral positioning in surgical treatment of intertrochanteric fractures with proximal femoral nailingmethod seems to have several advantages over supine position including reduced operative times, blood loss andimaging exposure.eninfo:eu-repo/semantics/openAccessGeriatri ve GerontolojiSağlık Bilimleri ve HizmetleriCerrahiOrtopediArticle30212713210.5222/terh.2020.34711380988