الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Intertrochanteric hip fractures account for approximately half of the hip fractures in the elderly and pose a number of management dilemmas depending on the fracture configuration and status of the bones. A wide variety of implants are available for the internal fixation of these fractures ranging from dynamic hip screw which can be combined with trochanteric stabilization plate; locking plates; intramedullary implants such as proximal femoral nail (PFN), Gamma nail.
In the last century dynamic hip screw used to be the gold standard treatment for intertrochanteric fractures. But in the last 2 decades more surgeons now prefer gamma nails for these fractures. There has been a 20 fold increase in the use of intramedullary nails in America since 1999.
The majority of the patients in our study were between 50-80 years old with a mean age of 67 years. Ten patients were treated with GN and ten patients were treated with DHS fixation were included in the study.
Patients treated with DHS had more limb length shortening as compared to those treated with GN.
In our study shows that 80% of patients in dynamic hip screw group had poor score, patients in gamma nail group had 30% excellent outcome, 30%with good outcome.
Although in our study intramedullary stabilization system proves to be biomechanically and biologically superior to dynamic hip screw for fixation of unstable inter-trochanteric fractures as it provides stable intramedullary fixation resistant to varus collapse and fixation failure, with less operation time, less
surgical trauma and low level of technical complications, it must undergo further search especially with new intramedullary designs.
It is recommended to continue following the patients at nine month and one year follow up.
Low number of patients in study group leads to many statistically insignificant data, so it is recommended to increase number of patients in study groups.