Ahmad Awad Ahmad, Ghullam Haider Qasrani, Iqbal Ahmed Bhutta.
Unstable Inter-trochanteric fractures of proximal Femur; Effect of different positions of reduction & internal fixation with dynamic hip screw on Hip Score (Larsson`s) & resumption of daily activities.
Professional Med J Jan ;9(3):279-84.

A randomized prospective study of Sixty patients having unstable intertrochanteric fractures of proximal femur fixed with Dynamic Hip Screw in four different reduction configurations, In-situ fixation, Anatomical reduction, Medial displacement valgifying Osteotomies (Dimon & Houghston and Sarmiento`s Osteotomies) at following hospitals Lahore General Hospital, Lahore, Nishtar Hospital Multan and Rawalpindi General Hospital, Rawalpindi during 1990-to-1994. Effect of early mobilization on hip score and attaining routine normal daily activities by the patients were studied. There were no non-unions, no cutting out of the implant or mechanical failures. Seventy five percent of the patients regained normal pre-fracture activities after 30 weeks. Majority of the patients scored 87 points on Hip Score evaluation. Conclusion, In-Situ fixation gives satisfactory results in management of unstable intertrochanteric fractures of proximal femur.

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