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05), intraoperative blood loss (P 0.001), transfusion rate (P 0.001), operation time (P 0.001), Harris Hip Score (HHS; P 0.001), and two-year mortality (P 0.05). Both hemiarthroplasty and PFN produce satisfactory results in surgically treated unstable intertrochanteric femur fractures in the elderly. Both groups are associated with their own complications, but in the PFN group, better functional results, less surgery-related trauma, and lower mortality rates are the main advantages. Both hemiarthroplasty and PFN