الفهرس 
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Abstract
Aim of the work
To evaluate the role of monolateral external fixator in proximal femoral fractures in respect to simplicity of the procedure, its efficacy in restoration and maintenance of anatomy till the union and its complications specialy in high risk patients who are not candidates for surgery of open reduction and internal fixation by dynamic hip screws.
Conclusion
The major disadvantages of the method the intolerance of the device by the patients and the need of prolonged care of the inevitable minor complications.
We strongly advice against management of medically high risk patients, with trochantric fractures by traction. We recommend that external fixator for proximal femur readily available in all trauma centers for use in such patients.
We believe that external fixation should be considered as a good for the treatment of trochanteric fractures in elderly patients with osteoporosis especially after introduction of hydroxyapatite (HA) coated shanz screw which allows osteointegration of the bone, which enhances stability and reduces pin track infection.