If the extracapsular fracture
has damaged the lateral buttress, the surgical option is an IM nail.
Moreover, this fracture type also poses a management problem, whether to treat it with osteosynthesis like an extracapsular fracture or with arthroplasty like an intracapsular fracture.
On the other hand, the treatment of choice for extracapsular fractures is a compression device (DHS/CHS)  as the blood supply is good and the chances of non-union and avascular necrosis are minimal.
The use of enders pins in extracapsular fractures
of the hip.
Johansen  classified Fractures in to radiographically into intracapsular and extracapsular fractures
and discussed about the treatment for the fractures.
are generally treated with fixation using a dynamic hip screw or intramedullary nailing.
Patients with intracapsular fractures were more likely to achieve successful rehabilitation than those with extracapsular fractures (69% versus 60%, p = 0.
Previous studies have found better rehabilitation for intracapsular fractures in comparison with extracapsular fractures [9, 10].
Thomas, "Proximal Femoral Nail Failures in Extracapsular Fractures
of the Hip, " Journal of Orthopaedic Surgery, Vol.
al in his study done in 2005 quoted PFN as efficient means for treating extracapsular fractures
of proximal femur.