This is a retrospective review of all patients who underwent PFR for either bipolar hemiarthroplasty or total hip replacement

retrospective review of all patients who underwent PFR for either bipolar hemiarthroplasty or total hip replacement will be conducted All patients that fall in the selection criteria from 2009 to 2018 will be included as part of this study will be selected Patients are identified using medical record numbers. A questionnaire containing questions on demographics of the patients which includes their age, sex and co morbids. Furthermore, the cause of fracture, time from the fracture to presentation in the emergency room, time from the presentation to ER to the time patient was in the operating room would be noted. Duration of the surgery.

The weight bearing status in the ward and follow-up would be noted. Functionality of the patient; which is that how much patients are able to carry their normal daily routine work would also be noted from the medical records.

Collected data will be analysed using Statistical Package for Social Sciences (SPSS, Inc, Chicago, IL, USA). Results will be recorded as frequencies, means, Standard Deviation (SD) and p-values while statistical tests will be applied for comparative reasons. For all purposes a p-value of 0.05 will be considered as the level of significance.

Inclusion Criteria:

• All patients, regardless of race, gender, age and co-morbids, who were treated with proximal femur fracture with any of the following variables:

Poor bone quality Bone loss Severe communition Multiple comorbids Failed hip surgery Pathological fractures

Exclusion Criteria:

• The patient who weren't treated with proximal femoral replacemnt, those lost to follow up, those with missing record.

patient underwent proximal femur replacement