Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopedic Surgery

Background: Pertrochanteric fracture of the femur is one of the most common injuries presenting in the causality. Stable pertrochanteric fractures can be managed successfully with conventional implants, such as sliding hip screws or cephalomedullary nails. However, the treatment of unstable trochanteric femur fractures is being challenging with a high rate of implant failure and re-operation.Lateral wall fracture, medialization and varus collapse of the femoral shaft are the most common intra and postoperative complications reported in association with these fractures. The aim of this study is to compare between DHS with trochanteric stabilizing plate (TSP) and proximal femur locking plate (PFLP) in unstable trochanteric fractures regarding the functional and radiological outcomes. Materials and methods: A randomized controlled trial (RCT) was conducted whichinvolved40 patients (22 males, 18 females) with unstable trochanteric fractures managed byDHS with TSP and PFLP. The cases were randomized into 2 groups; the first one included cases managed by DHS with TSP while the second group included cases managed by PFLP.The mean age in the study group was 62.72 years. All patients were followed up prospectively for a minimum of 6 months. Patients were assessed clinically using Harris hip score (HHS) at 3 and 6 months and radiographically

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