Results of intertrochanteric fractures fixed with dynamic hip screw fixation

Numerous internal fixation devices have been used to stabilize intertrochanteric fractures. DHS offers the advantages of being a simple, predictable surgical technique which has given consistently successful results in the past. Recently, there is a tendency of increased use of intramedullary nails. We have analyzed the results of the intertrochanteric fractures treated with dynamic hip screw fixation. Thirty-three patients of intertrochanteric fractures were included in the study with an average age group of 70 years. The union occurred in 31 fractures and 2 non-unions with screw cut through anteriorly. Seventeen patients had some amount of shortening. Six patients had short limb gait, 5 patients were using a cane on ipsilateral side for assisted walking. The results were analyzed using the Harris Hip Scoring System. We conclude that dynamic hip screw is a reliable, vetile and cost effective device forthe treatment of most intertrochanteric fractures.