Prospective, comparative, randomized, double-blind study to evaluate the outcomes of trochanteric nailing in unstable hip fractures with and without a distal interlocking screw.

Due to the lack of first-level evidence, this study aims to evaluate the effectiveness and safety of surgical treatment for unstable hip fractures, with or without the inclusion of a distal interlocking screw in the hip nail.

Inclusion Criteria:

• Patient over 50 years old
• With unstable intertrochanteric hip fracture
• Operated in the first 48 hours after hospital admission

Exclusion Criteria:

• Simultaneous associated fractures
• Fractures with subtrochanteric line
• Non-acute fractures

Blinding of the patient included in the study and the investigator evaluating the results