THE MANAGEMENT OF INTERTROCHANTERIC FRACTURES OF FEMUR BY DYNAMIC HIP SCREW

Intertrochanteric fracture is a serious injury in the elderly population. Surgery is the best line of treatment for these injuries. Out of the various extramedullary and intramedullary implants available to fix these fractures, we used Dynamic Hip Screw in 20 elderly patients. There were 12 males and 8 females with an average age of 68.2 years, all had a fall at home. There was 100% union rate. The average time of union was 16.04 months. We had 5 patients with shortening of < 2cm, one superficial infection, eight patients with terminal limitation of hip movement. It is concluded that apart from careful patient selection, surgeon related variables like choice of implant, its position and stable reduction are crucial for good results.