Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery

Patients were encouraged to walk with partial weight bearing 2 - 6 weeks post - operatively, then with full weight-bearing according to follow-up radiographs. Follow - up was undertaken at 3, 6, and 12 postoperative months. Plain AP and lateral radiographs were obtained at each visit. All changes in the position of the implant, complications, or {uFB01}xation failures were recorded. At each postoperative control, we recorded pain about the hip, lurch and duration of union. We report our results after an average period of 12.45 (+ / - 2.9) months. The current study included 16 (38.10%) male patients and 26 female patients (61.90%) with a mean age of 64.3 years (+ / - 13.9 SD). Out of the whole patient population, 28 (66.67%) patients had unstable inter-trochanteric fractures while 14 (33.33%) had subtrochanteric fractures. No intra-operative difficulties were encountered with most of our patients (88.10%), while in 5 patients some sort of intra-operative difficulty was encountered either with the proximal screw (2 patients), the distal screw (2 patients) or due to a lost pin (in 1 patient).Post-operative general as well as local complications experienced by patients were also recorded. For the general complications, only 1 patient (2.38%) developed DVT, 2 patients (4.76%) developed post - operative infection, while none of the patients developed respiratory infections, urinary tract infections, GIT disturbances nor bed sores

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