الفهرس 
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Abstract
Pertrochanteric fractures are a common problem with an increasing incidence specially among old age groups. Accurate realignment, rigid fixation, decreasing comorbidities during surgical intervention is the main goal during treatment of these fractures as well as early mobilization. An independent predictor of successful surgical outcome, should be the goal of each fracture reduction. Proper implant choice is crucial in pertrochanteric fracture management.
The proper implant must be chosen based on fracture stability and medical comorbidities of the patient as blood loss and operative time. Although the dynamic hip screw remains the standard choice for the treatment of most pertrochanteric fractures as well as other surface fixation implants as the DCS and the fixed angle plates but they require increased surgical dissection and operative time. The intramedullary implants as the Gamma 3 nail can be placed with less surgical insult and less operative time therefore is preferable.
This study included 40 patients who had been admitted to EL-Hadarah University Hospital having traumatic pertrochanteric fractures of the femur between January 2012 and March 2013.
The age of the patients ranged from 19 -81 years with the mean value of 38.6 years and a standard deviation of 17.3 years. Twenty six patients in this study were males (65%), while fourteen were females (35%). Bilateral cases were not encountered in this study. The right side was affected in 23 patient (57.5%), while the left was affected in 17 patient (42.5%). Eighteen patients (45%) were injured in road traffic accidents (RTAs), ten patients (25%) had a simple fall, eight patients (20%) were injured while climbing stairs, and four patients (10%) sustained their fracture as a result of falling from a height (FFH).
Trochanteric fractures were present as the sole injury in thirty seven patients (92.5%). Only three patients (7.5%) had associated various types of factures, Ten patients (25%) had a medical history of different systemic diseases. In this study five fractures (12.5%) were Evan’s type I, seven (17.5%) were Evan’s type II, eleven (27.5%) were Evan’s type III, eight (20%) were Evan’s type IV, while nine (22.5%) were Evan’s type V.
The time lapse before operation ranged from 2-15 days with mean of 5.33 days
(S.D. ± 3.25).
The time of operation in this study range from 50-90 minutes with a mean of
62.7 minutes (S.D. ± 4.25).
Thirty six patients (90%) were