To achieve union and restore the normal biomechanics of the hip region after unstable trochanteric fractures, surgical intervention is a must. There are two options for internal fixation: extramedullary and intramedullary. Dynamic hip screw (DHS) as extramedullary fixation is widely used to surgically treat intertrochanteric fractures. However, it sometimes fails to give good results. Intramedullary fixation methods include gamma nail placement, which is considered by some surgeons to be a better choice as it can avoid the complications occurring with extramedullary fixation.
AIM OF THE WORK:
The aim of this work was to compare the intramedullary and extra medullary fixation in management of unstable intertrochanteric fractures in El Hadra University Hospital.
Patients and Methods:
This is a retrospective study of 40 patients with recent unstable intertrochanteric fractures between January 2020 and December 2020. 20 of them were fixed by intramedullary gamma nail as a group I and the other 20 patients were fixed by extramedullary DHS as a group II. The mean age for group I was 50.05 (20- 83years) and the mean age for group II was 60.5 (22-91 years). 14 patients from group I were males and 12 from group II were males. All fractures were classified according to Evan's classification to be unstable (Evan's type III, IV, V).