The Gamma Nail Versus DHS in the Treatments of Intertrochanteric Fractures Al-Fatlawy Wejdi A.1 Surgical Department, Orthopedic Branch, Medical Collage, University of Kufa 1Consultant Orthopedic Surgeon, Alsader Teaching Hospital, Najaf, Republic of Iraq Online published on 20 March, 2019. Abstract Intertrochanteric femoral Fractures forms approximately one percent of all fractures. To assess the functional outcomes, operative time, period of union, blood loss, and complications of femoral neck fracture treated with gamma nail versus DHS we managed 124 patients with closed intertrochanteric fractures, AO type A1 and A2, during the period between October 2012 and October 2017 followed up for 12–24 months at al Sader Teaching hospital in Najef/Iraq. There were 62 cases treated by gamma nails method and 62 patients treated by dynamic hip screws (DHS). Functionally outcome was measured using Harris Hip Score, fluoroscopic exposure, operative time, blood loss, period of union, reoperation rate, weight-bearing time, with other parameters. Regarding gamma nail method, the outcome was excellent in 42%, good in 45%, and fair in 9.7% and poor in 3.3% of cases, but with (DHS) method the outcome was excellent in 35.5%, good in 35.5%, fair in 19.3% and poor in 9.7%.We concluded that the gamma nail fixation method is superior to the (DHS) fixation method. Top Keywords Intertrochanteric Fractures, Incidence, Management, Gamma Nail, DHS. Top |