الفهرس Only 14 pages are availabe for public view
 |  | from | 210 |  |  |
| | | from | 210 | | |
Abstract
The fractures treated were classified according to Evan{u2019}s classification and there were 9 patients classified as Evan{u2019}s ЇЇЇ, 13 patients were Evan{u2019}s ЇV, and 5 patients were Evan{u2019}s V. Results: No lateralization of the greater trochanter resulting in a medialization of the femoral shaft was recorded. The mean fracture impaction was 9.5 +/- 2 mm, ranging from 5 mm to 15 mm, resulting in mean limb shortening was 6.7 +/- 2.2 mm, ranging from no shorting at all (0 mm) to 12 mm. Functional results in the study were excellent in 74% of cases, and good in 26% of the cases according to SALVATI AND WILSON ASSESSMENT SCORE. With 33% of the cases were walking unaided and 63 % were using stick after 6 months postoperative. In addition, the abduction power was good in all patients with Trendelenburg’s negative test. Some complications happened like wound infection in four patients, three of them in superficial wound layers and one in in deep wound layer but superficial to fascia, also one patient got cut through of lag screw 2months postoperative and so revision hemiarthroplasty done for her.Conclusion: The combination of (DHS) and modular (TSP) is likely to be a better option in the management of intertrochanteric fractures as compared to (DHS) alone. As addition of a (TSP) over (DHS) creates a biomechanically stable construction, likely to improve the stability of fracture fixation, while at the same time permitting a controlled sliding collapse. Improved bony contact between proximal and distal fragments by stabilisation of the comminuted lateral wall is likely to improve the chances of union and maintenance of adequate lever arm