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Abstract Summary and Conclusion Fifty cases were treated by Dynamic Hip Screw, including (37) females and (13) males, whose age ranged from 60 to 75 years with a mean of 67 years. The most frequent modes of trauma were simple fall on a side and a fall at home. These fractures were in the right side in 29 cases and in the left side in 21 cases. Follow up after 6 months. The average time to surgical interference was 5 days. All patients were clinically assessed according to the Harris hip scoring system. The final results were excellent in 26%, good in 42%, fair in 28% and poor in 4%. Poor results occurred in 2 cases. Radiologic assessment include solid union, nonunion, delayed union and mal-union, failure of fixation and implant failure. There were only 2 cases of delayed union and one un-united case, solid union may be accepted and may not be accepted solid union occurred in 47 cases (94%), so solid union accepted in 28 cases and not accepted (Mal-union) in 19 cases. At final follow up. Shortening occurred in 2 cases, varus deformity occurred in one cases with trendlenberg gate and LLD less than 3 cm and valgus mal-union occurred in 18 cases resulting in lengthening and limping. Failure of fixation occurred in 3 cases with implant failures. Changes of proximal femur morphology after fixation were evaluated by measuring the proximal femur parameters (FAL,FNL,FNW,NSA >PSD) by radiographs of both hips by AP view in the DHS sides and the contralateral sides and compared the result and found no clinical significance, measurement was 10. |