en جراحی هیپ Hip surgery پژوهشی Research Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><strong>Background</strong>: Intertrochanteric fractures, commonly caused by falls in older people, are a significant issue. This study evaluated a new fixation technique for greater trochanter fractures in elderly hip arthroplasty patients. Unstable intertrochanteric fractures present challenges in orthopedic surgery, and this article assessed a new method for fixing these fractures during hip arthroplasty.<br> <strong>Objectives</strong>: We assessed the efficacy and clinical outcomes of a new fixation technique for managing greater trochanter fractures in elderly patients during hip arthroplasty.<br> <strong>Methods</strong>: This retrospective study, conducted from 2019 to 2022 at Poorsina and Pars hospitals in Rasht, included patients with unstable intertrochanteric fractures. It assessed the efficacy and outcomes of a new fixation technique for the greater trochanter following hip arthroplasty. Statistical analyses were conducted using SPSS software, version 24, employing the Shapiro-Wilk test, Levene&rsquo;s test, generalized estimation equations, and the chi-square and Fisher&rsquo;s exact tests.<br> <strong>Results</strong>: The new fixation technique significantly improved patient outcomes, leading to high rates of complete union, reduced pain levels, improved mobility, and lower complication rates.<br> <strong>Conclusion</strong>: The novel fixation technique for greater trochanter fractures shows significant promise in improving healing rates and reducing complications in elderly patients undergoing hip arthroplasty. This study provides a foundation for future research and clinical practice enhancements in orthopedic surgery.</span></span></span></div> Greater trochanter, Unstable intertrochanteric fractures, Hip arthroplasty, Fixation technique, Orthopedics, Surgery, Patient outcomes 23 28 http://jros.iums.ac.ir/browse.php?a_code=A-10-1804-3&slc_lang=en&sid=1 Amir Aminian Amir_aminian@yahoo.com 10031947532846007879 10031947532846007879 No Department of Orthopedic Surgery, School of Medicine, Shafayahyaeian Hospital, Iran University of Medical Sciences, Tehran, Iran. Arash Aris Drarasharis@gmail.com 10031947532846007880 10031947532846007880 Yes Department of Orthopedic Surgery, School of Medicine, Shafayahyaeian Hospital, Iran University of Medical Sciences, Tehran, Iran. Hossein Ettehad H.ettehad70@gums.ac.ir 10031947532846007881 10031947532846007881 No Department of Orthopedics, Orthopedic Research Center, Faculty of Medicine, Poorsina Hospital, Guilan University of Medical Sciences, Rasht, Iran. Nasibe Goli Nasibe.goli95@gmail.com 10031947532846007882 0009-0007-1830-6648 No Department of Orthopedics, Orthopedic Research Center, Faculty of Medicine, Poorsina Hospital, Guilan University of Medical Sciences, Rasht, Iran.