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Abstract
Background: Trochanteric hip fractures are common among elderly patients. Integrity of lateral wall is important to prevent excessive fracture collapse and poor outcome. DHS with TSP is considered a good treatment option for unstable trochanteric fracture. It prevents lateral wall fracture and medialization. We study the radiological and functional outcome and the complications of using TSP in unstable trochanteric fractures A2-2, A2-3 and A3-3. Patients and methods: 40 patients with unstable hip fractures were operated in KasrAlainy Hospital using DHS with TSP.The mean age was 65.78 years. Patients were followed up prospectively for a minimum of 18 months. Patients were assessed radiographically and clinically using Harris hip score (HHS) at 3,6,12 and 18 months. Results: Time to bony union ranged from 11 weeks to 22 weeks with mean of 16.38±3.01 weeks. At 3 months the HSS ranged from 43 to 89 points, the mean was 70.22±12.65 points. At 6 months the HSS ranged from 50 to 100 points, the mean was 82.81±10.37 points. At 12 months the HSS ranged from 55 to 100 points, the mean was 89.09±9.20 points. At 18 months the HSS ranged from 62 to 100 points, the mean was 93.84±7.95 points. Conclusion: Using DHS with TSP in unstable trochanteric fractures is a good treatment option with good functional outcomes and minimal complications