الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
The intertrochanteric region of the hip, consisting of the greater and lesser trochanters, represents a zone of transition from the femoral neck to the femoral shaft. This area is characterized primarily by dense trabecular bone that serves to transmit and distribute stress, similar to the cancellous bone of the femoral neck.
Intertrochanteric fractures account for nearly 50% of all fractures of the proximal femur. Average patient age of is 66 to 76 years. Intertrochanteric fractures usually unite if reduction and fixation are properly done. A wide area of bone is involved, most of which is cancellous and both fragments are well supplied with blood. The goal of treatment of any intertrochanteric fracture is to restore early mobility safely and efficiently while minimizing the risk of medical complications and technical failure and to restore the patient to preoperative status of function.
The intramedullary devices for stabilization of intertrochanteric fractures have been recently developed, like Gamma nail, Roussel Taylor’s nail and proximal femoral nail (PFN). Intramedullary devices have many advantages like:
- Intramedullary devices because of its location provide more efficient load transfer than does sliding hip screw and dynamic hip screw provides.
- Shorter lever arm, which decreases tensile strain on the implant.
- Closed procedure with short operative time.
- Minimal blood loss with less soft tissue dissection.